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COMPLETE AND <br />RETURN TO: <br />Department of Revenue - Local Govemment Services Division <br />Mail Station 3340 <br />St. Paul, Minnesota 55146 -3340 <br />Telephone: (612) 296 -5145 <br />Na of of Gover mental Unit <br />/A. Ad _/ i * %_' <br />Mailin • Address <br />me of Person Filling out Form <br />0_11t0 r <br />5S01 <br />Telephone <br />62) -1t9q 5S( 2. <br />1. Total Levy Certified to County Auditor. (Do NOT Include <br />Local Government Aid or Taconite Aids in this Amount.) <br />2. Total Special Levies (from bottom of page 1) <br />3. Levy Subject to Levy Limitation (1 minus 2) <br />�+.• 1990/1991 Levy Limitation (see page 1 of the instructions) <br />$ 1,rl11,Li15) <br />$ A51, 852.50 <br />$ 1 ,'-1 , (021,03 <br />$ `71f5 21 <br />SCHED! <br />A <br />B <br />C Certificates of Indebtedness <br />D Principal and Interest on Armory Bonds <br />E Payments for Bonds of Another Governmental Unit <br />F Auditor's Error of Omission <br />G Clerk's Error of Omission ** <br />H Unfunded Accrued Liability of Public Pension Funds <br />Reimburse State Costs of Commissioner of Revenue <br />Ordered Reassessment* <br />J Debt Service on Tax Increment Financing Revenue <br />Bonds to Cover Shortage of Revenue <br />K Hospitalization of Indigents* `. <br />L Judgments and Out of Court Settlements on Tort <br />Actions (By Appeal Only) <br />SPECIAL.EVIE <br />Social Services and "Not Taken Over" Income <br />Maintenance Program Costs* $ <br />Bonded Indebtedness <br />NH. 590" <br />