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14C 519 19-77i <br />FINANCE DIVISION <br />003 Administration Tower <br />Henn. Co. Government Center <br />Minneapolis, MN 55487 <br />Name <br />Firm _ <br />FEE TRANSACTION INVOICE <br />Address__ __ --_ -_.--- -_--_ —----------_----•---.-.�-..-- -.+. <br />i <br />Service issued by _ ___ Date <br />Payment received by _ -._ _— Date <br />Organ j Program <br />Detail of service performed <br />Account No. of <br />Units <br />Rate I Total <br />Make checks payable to Director of Finance, and mail or deliver to Fee Cashier, <br />603 Administration Tower, Henn. Co. Government Center, Minneapolis, MN 56487. <br />FEE AUTHORITY <br />The charges made hereon have been levied pursuant to Chapter 692, Laws of <br />Minnesota, 196-3, which gave authority to the Hennepin County Board of Curn <br />m►ssioners to set fees for certain services provided b%, departments of the county. <br />The fee schedule for certain: Division of F,nance services was presented at a public <br />hearing on August 16, 1977 and July adopted by resolution of said Bodid can <br />August 30, 1977, <br />WHITE COPY -Return wAtw Reemstenea, YELLOW COPY -Customer. PINK COPY --Frl• <br />