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19 (326 <br />CITY OF LITTLE CANADA <br />No <br />To <br />y <br />5 /io/Sa <br />sr <br />5 /4o <br />jilt/ <br />We <br />4/Z4 <br />4 <br />tqa- <br />&fa )ti p�,1 <br />ziazo <br />4/ <br />4 <br />B� z`.-� ?4L t <br />6 �,.L <br />of te1/42..t <br />d <br />�cta <br />)1Liai-e;" <br />777 <br />711, <br />7 / ?s <br />�f 8 <br />Xo .ed, ,4 <br />A /n <br />, declare under the penalties of perjury that this claim is just and correct <br />and no part of it has been paid. The effect of this declaration shall be the same as if subscribed and sworn to under <br />Oath. <br />Approved this day of 19 <br />• •(la <br />28 <br />1 COMMITTEE <br />ON <br />CLAIMS <br />