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City of Centerville <br />1880 Main Street <br />�teryd(e Centerville, MN 55038 <br />Eoaffishrd ms- <br />Verified Claim <br />Claim of: Denise Chapeau <br />Amount: $120.00 <br />Address: 1959 Fremont Avenue East <br />City, State, Zip St. Paul, MN 55119 — <br />Dated: 07/20/21 <br />a7�o <br />1A iL <br />b 0. I I oo n z I C n`srn . ('v ter) <br />01> <br />i the claimant making the within <br />to money therein charged was <br />at the property therein charged <br />therein stated, and was of the <br />charged were actually rendered <br />fees therein charged are official <br />part of said claim has been paid. <br />V <br />Amount <br />Total <br />Acct. No. <br />07/29/21 <br />Sassie the Clorvn Appearance <br />$120.00 <br />$120.00 <br />Main Street Market - Sponsorship <br />$0.00 <br />Gio - American Family <br />$0.00 <br />Mark - Farmers Insurance <br />$0.00 <br />$0.00 <br />$0.00 <br />I <br />Totals <br />$120.00 <br />16120.00 <br />o,1-t- Szo I -3ia <br />