HomeMy WebLinkAbout1978-08-08 Statement, Tax PenaltyCRichard Lee Prlaus and/or Brent Wllllani Prf-
DBA R & B Holding Company
^32 Midland Bank Building
STATEMEHT - PENALTY DUE $200 .00
tax parcel 3B-41331-2300 as reeeivH
•nd 19 July. 1978
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I daclara under the penaltiee of perjury that I aa
Treaaurer
THtlJ“ ®«le. and nM of a™ i( el.l« It by . „r eorp.)
axeaiined aald clal. and that tha ««a i, ju.t and true; that the
■onay therln charged uae actually paid for the purpoaee therein
stated; that the property therein charged was actually delivered
or used for the purposes therein stated, and %»as of the value
therein charged; that the services therein charged; that the fees
therein charged are official and are such as are allowed by law;
and that no part of said claim has been paid.
Signature of Clni—n»
TiM effect of this verification shall be the same as if subscribed
6?