070155 Town Board Mtg
Ju1.y 1, 1.95$
The regular ~ ~ of t.be soaN. ~.. t.:t. 'town otmmWior
vaa held on Fr1da.T nI..gbt;, July 1, 19$$, with all1llllllber8 p:FtI8em. ;.'"
The m1nu.tee of tbB pJ'8V'1oae .~ WeN read tv FraDk KelJ3,
att.ornB1 tar ta. .'1'o1trl Board. The m1.mJ.tee weft appl'OYed .. read.
The cleric read a let..... from the Hennepin Count,y Aud1t07 fa oft.S.oe
by wbleb t1>>y bad l"eturned George peabody'. app1Jmltltm for an
on and oft sale beer 11e.... .BecswSe of ~ protenll ..e
di1"GOt1y to the HeJ:DIp1n County Board of CoIllll11&s81orJ81"8, \hilt
Board had returnedtbB appl1oation to the Cowlt;y Auditor'. otllce,
which in tu.m returned it to the Board ot Exoel8:S.or T~p for
1\1rlber cons1darat1OD. The Board oonob1ned tbt.t becawte no specs:lt1c
eY1denoe had been brouibt before it, 1iheJ:te ... no grog.nda on 1Ih1cb
the Town Board could deny the appl1cat1.Oft and the clerk was in-
art~ to retum it to the County Auditor'. office with ~
to that effect.
The clerk read a 1fttar from 111-. A. J. BU'bee, AN...., t~
h1a rt181g1at1on. The BoN'd accepted b1a rGls,pt1on.
~~alter Bean mved that.e appoint Ray hied., \he preeent d~
Aasossor, u A18e81Or. The c1.erk wu 1lwtru.oted to not117 the
COW'lty Auditor" ot~ of that cbange.
Becaua. the meet4Dg feU. onthe t1rIIt dIq of the I'IIOItbh the bU.la
were not prepe.l"ed tor pqment and the oltwk ... 1.r.8t1'UOted to
pay the bllla on the 10th of Jaq.
e.. k ~ R ,<, e....
A Hra. W81iW'trom .bat. 18 laJoIm as Ho1tuaere .~ COftp1aSMd about
the poor ro8d goLng 1nto .. place am. the tact tJat it bid not.
been ma1nta1ne4 in 78U'8, tbat it... 1'Il1Oh too ~. aDd t.bat
bNSh bad pract1~ overgrown it. She a1ao COII91~~ned aboO the.
axceasl;ve amount of poison 1vy. .tt.at wu groIdDl along the road
a%Xl the Town Board &g1"8ed to SN thattbe &pray rig .. .at. in
to e]j,nd.~ the potson tv anc tiJ.&., tat tJOtnetld.ng wc:a1d be dODfJ
aboUt tbe road. "Slo'II" alp were also to be erected along t.b1a
road .
I'1nI. I'ktyera e1eo IIIked ..t could be doIIe a'bc:.'lllt the road 1. be
place lJ1t the Board c:l1d mt 1Micaw tbat ~ 00Gld be dOIl8
tor her since ~ at lsaat a port1on of it.... a private
road.
v~itb DO t\1.rther W&dneea, the _.ung ~0UDed.
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Board Members:
Walter J. Bean
Alfred H. Clague
George J. Dongoske
Town of Excelsior
Excelsior, Minnesota
W. D. Kendrick, Clerk
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1taNl'l'i.l_ f ~. .. .... e'l the fowa ...... toaee.pt. __
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PETITION
TO: THE TOWN BOARD
TOWN OF EXCELSIOR
The undersigned, being residents of the Radisson Inn area
of the Township of Excelsior do hereby request and petition
your Board to relocate, widen and resurface that certain un-
named road which services the said area and now winds through
Auditor's Subdivision No. 175. We feel that the road as now
laid out is inadequate for the amount of traffic which daily
uses the road and further that because of the many blind curves
it is a hazard to the many children who play in the area. We
realize that possibly it is a project which will r~quire some
time to complete, but one which we sincerely feel requires the
immediate attention of the Town Board.
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Yours truly,
(t. g. ffik
Excelsior, Minnesota
June 21, 1955
Town Board
Township of Excelsior
Exeelsior, Minn.
Gentlemen:
Please accept my resignation as
assessor effective .t once.
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A. J. Bis ee
Board Members:
Walter J. Bean
Alfred H. Clague
George J. Dongoske
Town of Excelsior
Excelsior, Minnesota
W. D. Kendrick, Clerk
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CM4 JadtAa\1I" ltaw ..... .. appUeatl..
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If. .. "T1..~ft~_
ROBERT. F. FITZSIMMONS, County Auditor
AL ~ PETERSON, Chief Deputy
(]~ Ilucli:kn HENNEPIN COUNTY
106 COURT HOUSE. FILLMORE 5811
MINNEAPOLI S 15, MINNESOTA
w. D. Kendrick, Clerk
Town of Excelsior
Excelsior, Minnesota
Dear Sir:
June 29, 1955
The application of George R. Peabody for the
On and Off sale of non-intoxicating malt liquor in
the Township of Excelsior is returned herewith. It
was presented to the County Board at their meeting
on June 28th and the Board directed that th~ appli-
cation be returned to the Excelsior Town Board for
further consideration because of numerous objectors
to theissuance of the license.
Mr. Peabody's check for $35.00 is being held
in this office, pending disposition of the appli-
cation.
Very truly yours,
ROBERT F. FITZSIMMONS
County Auditor and
Secretary to the
County Board
7!J. 71'~_~
V eputy'
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l U ATTORNEY AND COUNSELOR AT LAW
EXCELSIOR, M INN ESOTA
0' NEILL J. GRATHWOL
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April 19, 1955
w. D. Kendrick, Clerk
Town of Excelsior
Excelsior, Minnesota
Dear Dud:
'''--~---_...~._-_..- _._-~...~-:.------
I am representing lvlr. W. L. Langley, Jr., who
is the owner of part of Lot 26, Auditor's Sub-
division number 141, Hennepin County, Minnesota,
which is the first house on the south side of
Highway Number 7 immediately East of the Brom's
Market.
I find in checking records in the office of the
County Auditor that the Town Board of the Town
of Excelsior, on Febnuary 16, 1911, opened a 2
rod cartway running south from what is now llliJ.e~l.:.':
south line of Highway #7 along a ~uarter Quarter
section line.
Would you be good enough to check the records of
the Town Clerk and send to me a copy of such records
which refer to the opening of such 2 rod cartway;
Sinc erely yours,
~
O'NEILL J. GRATIDVOL
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7...~~.47
~ESOLUTfJ!t
WHEREAS, the Town of Excelsior did enact. and. ordinance
regulating the subdivision of land in the Town of Excelsior,
Minnesot.a on April 9, 1954., and did cause a certifi.ed copy of
said ordinance to be filed on May 17, 1954 in the Register of
Deeds for Hennepin County in Book 693 of Miscellaneous, page 195,
and
WHEREAS, saia. ordinance set.a up certain minimUII require-
men'ts to plat or replat. residential property within the Town-
ship, ana.
WHEREAS, the Town Board has haa presented to it the plat
of Amlee Acres located within the Town of Excelsior and baa
de:terrnlned that it 115 .for the beat intereats of the pu.blic that
the require.ent.o! the said deacribea. ordinance be waived as
the same may effect the plat of Amlee Acres,
NOW, THEREFORE t BE IT RESOLVED by the Town Board ot the
Town of Excelsior, Hennepin County. Minnesota, at a regular
meeting held on the 1st day of July, 1955, that all of tbe
reQuirements of the ordinance regulating the subdivision ot
land in t.he Town of Excelsior referred to above whicb is filed.
in Book 69) of Miscellaneous, page 195 be waived as the same
may effect t.be plat of Amlee Acres, and that tn. Chairman $.ll4
Clerk ot t.be Town Board be and hereby are authorized ~o approve
I said plat. 11.1 behalf of the Town of Excelsior.
I Upon the vote being taken on the motion there were three
I yeas, no nays, motion was unanimously carried.
I, ~~,~
Chairman, Town Board
Illl~T~S1' 7 I, // 7'
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I ,: "Dudley I Rena,lc'k, cleri
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STATE OF MINNESOTA
COUN'rY OF HENNEPIN
TOWN OF EXCELS lOR
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I, W. Dudle)' Kendrick, thedul.y electeG. qualified an4-
acting Clerk of the Town of ExcelSior, do hereby cer~ity that
lithe foregoing Resolution is a true and completetranscriptfroll
i'\ the minu.tes of a meeting of the Town of Excels:lorheld ont,he
II 1st day or July, .1955, on t11ein myofflce>> and I further
il certify that 86.1d Resolution was duly passed by the Town Boud
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W:ltnessmy hand and the ot1'1\:1al seal or said Town of
Excelsior this 1st day of July,
· SEAL
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4 the Town of Excelsior
Hennepin County, Minnesota
195-
To
Jack :B. Young
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...~.:-- '~~~Ying AlOIlg
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145.00
_ __L____
t own-~oaQ. s -
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I declare under the penalties of perjury that I am ...............................................................................................................
........................................~~:.~...~.:.....~.~~~..........................................................................................................................................
.................................
(here insert title of office and nem" of firm if claim is by a firm or corporation)
the.............p..r..aon................................".making the within claim; that I have examined said claim and
(here insert person or firm)
that the same is just and true; that the money therein charged was actually paid for the
purposes therein stated; that the property therein charged was actually delivered or used
for the purposes therein stated, and was of the value therein charged; that the services
therein charged were actually rendered and were of the value 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. ~
. .,. ........./.,::;I...,.......
Si t
66 Siza I-Walter S. Booth" Son, Minneapolh
Dr.
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VERIFIED ACCOUNT
No. ,19-
CLAIM OF
crack :e. Young
Audited and aUawed at I 145.00
thiL-.lsJl_day 01 cruly 19~
Paid in Order No. 2349
Dated 19_
Road. and Ilrttige F&l.Q
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Received Order No. in
payment 01 the within account.
~
Filed in my office this
day of 19_
W",,"-TC-OII e.aoOT"'" .. eoN, "'INNItAPoU.
..
,
The Town of Excelsior
Hennepin County, Minnesota
195_
To Javk:B. Young
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I declare under the penalties of perjury that I am ...............................................................................................................
........................................................................J.~~.k..].......yon.ng.........................................................................................................
...................................
(here insert title of office and nam!!. of firm if claim is by a firm or corporation)
the...............................p..~.~.~.~.~..............._making the within claim; that I have examined said claim and
(here insert person or firm)
that the same is just and true; that the money therein charged was actually paid for the
purposes therein stated; that the property therein charged was actually delivered or used
for the purposes therein stated, and was of the value therein charged; that the services
therein charged w.ere actually rendered and were of the value therein charged; that the fees
t.herein charged are official and are such as are allowed by law; a that no part of said
claim has been paid. 7 /J.-b
..~.........~..~......................................................
Sign r of Claima
rrhe effect of
to under oath.
66 Size I-Walter S. Booth & Son. Minneapolis
11
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VERIFIED ACCOUNT
No._~_, 19_
CLAIM OF
Jack :B. Young
4udited and aUawed at I 7"0.00
thi8~1__day 01 July
Paid in Order No. 2)48
19-35-.
mlNm11A T, li'IJND
Dated 19_
Received Order No.
payment of the within account.
~
Filed in my office this
day 01
19~
19--
in
The Town of Excelsior
Hennepin County. Minnesota
195_
To
William Mueller and Sons, Hamburg
Dr.
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l-{ay and June Gravel and sand ae per attached
-_.~-----~------ -
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eta~~Itl.n~s ()Laccount ~____._.____
484.88
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I declare under the penalties of perjury that I am .............................................................................................,.................
(title) of Wm. Mueller and Sons
.......................................................................................................................................................................................................
............................................,..............
(here insert title of office ond name of firm if claim is by 0 firm or corporotion)
the...................n.+.:m....................................making the within claim; that I have examined said claim and
(here insert person or firm)
that the same is just and true; that the money therein charged was actually paid for the
purposes therein stated; that the property therein charged was actually delivered or used
for the purposes therein stated, and was of the value therein charged; that the services
therein charged were actually rendered and were of the value therein charged; that the fees
:f~~'ha~h~~;~dp:id. offioia! and ar:i::h~.~~~b~~.~Ztfl:~tP~~./n
/~~noture of Cloimont . ~ I-{/~
The effect of this verification shall be the same as if subscribed and sworn to er oath.' '
M.S.A. 471.38, as amended by Laws 1949, Chapter 416.
66 Size I-Walter S. Booth & Son. Minneopolis
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VERIFIED ACCOUNT
No._~__, 19_
CLAIM OF
Wm. Mueller and Sons
.4udited and alluwed at I 484. B8
this----l.aLday 01
July 19--5!L
2341
Paid in Order No.
Dated
19_
in
Road and 13r dge
Received Order No.
payment 01 the within account.
~
Filed in my office this
day ot
19_
19----
I.
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The Town of Excelsior
Hennepin County, Minnesota
195-
To
John J&nQ
Dr.
--- I
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",,-'_A'~'___'''_'_''_'_'''''_.C_'^-''-''''"'--'
_--------, --t.
_____J,t.88 y.ard.:s..~!aYR~:t If{)~~_Elrd
195.20
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the................?~~!.::::J?~.?::.~.~~........,.making' he witbin claim; thJit I have exa~in~d said claim and
(here insert person or firm)---
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that the same is just and true; that e money therein chatgl:ld was actually paid for the
purposes therein stated; that the pro erty therein charged was actually delivered or used
for the purposes therein stated, and as of the value therein charged; that the services
therein charged were actually rend ere and were of the value therein charged; that the fees
therein charged are official and are s \ h as are allowed by law; and that no part of said
~~em e:::tb::~t:~~dverifiea:~::ll:.be :(.:ct:~~:~:~-:::.
M.S.A. 471.38, as amended by Laws 1949, Chapter 416.
6b Size I-Walter S. Booth If< Son, Minneapolis
.
VERIFIED ACCOUNT
NO.-____,19_
CLAIM OF
John Lano
----
.1udited and allowed at I 195.20
thiS---L'3-Lday of J11J y 19~5
Paid in Order No. ?JJ]
Dated 19_
--.---- I10ctd uud 13.Lldge F u.J.ld
- -
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Received Order No. in
payment 01 the within account.
~
-
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Filed in my office this
day 01 19_
"""'I.."rE1II e..oon... _ _ON, MIN"'lt....OU.
t;,;/
Quantity Unit
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Nc} 1552
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Date_d /'/>.:i~/'
Excelsior, Minn.
Description of Material
,!;;.~~l?
Unit Price
Amount
. - purchase ord.er must be attached to verified form and sent to the
Town Clerk before payment can be made.
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Signed
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Title
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~ PHONE 304
JOHN LANO
ROAD BUILDING GRAVELING GARAGE
Chaska, Minn., June 7, 195~
M Excelsior Township Purchase Order No. 1552
DATE TYPE OF WORK RATE I TOTAL
May-1955 488 yds. gravel @ .40/yd. $195.20
.
...
SUBURBAN HENNEPIN COUNTY RELIEF BOARD
Hopkins, Minnesota
MONTHLY STATEMENT OF RELIEF EXPENSES
TO:
C-h~~
Relief Expenditures for the Month of
"""L
2. Administrative:
I
Direct Relief Cases
/
3. Administrati ve Minimum Charges
4. TaI'AL RELIEF & ADMINISTRATIVE COST
I 7'1.3 S
1. LESS Credits as follows:
a.
$
$
b.
NEl' amount charged you this month
$
$,
2. ADD Past Due Accounts:
a.~~ $
b. l
c. $
$
BALANCE UNPAID TO DATE OF STATENENT
$
Respectfully submitted,
::URBAN IN c~. BOARD
Jos h C. Vesely, Secretary
No. 101S-(Rev. 1953)-VERIFIED ACCOUNT
Miller-Davis Co., Minneapoli.
June 28,1955
.......................................................................................................................19............
EXCELSIOR TOWNSHIP
~....................................................................................................................................................
SUBURBAN HENNEPIN COUNTY RELl~~.~~~~~..............................................................................................................................................
120 NINTH AVENUE 1II0U
HDPKINS, MINN.
To.....................................................................................................................................................................................................
..............................Dr
RELlEr EXPENDITURES FOR MONTH OF JUNE,1955
Relief Orders Issued
$ 160.00
14. '38
174.38
Aiministrative Charges
Total
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DECLARATION
I declare under the penalties of law that this account, claim or demand is just and correct and that no part
of it has been paid.
I?~ p~~
Ri ta Elmquist, B~kkeeper Signature of Claimant
Y.AN:1" CAUC.llHEti
NO~1 .t4.lblle, llOOJlcpill Vowu."
lib CJlnU...........'ID ~ ....
SUBURBAt{ IH:;,.iH H'J COUNTY RELIEF BOARD
120 NINTH AVENUE SOUTH
HOPKINS, MINN.
~
SUBURBAN HENNEPIN COUNTY RELIEF BOARD
Hopkins, Minnesota
STATEMENT OF RELIEF EXPENDITURES
FOR MONTH OF June.1C}55
EXCELSIOR TOWNSHI1
Township or Village
BI1EAKDO~,1N OF RELIBF ISSUED
. OLO- ~ PUB~ ~IED- REST T ALL 1
i i
CLIENT'S NAME FOOD RENT ~ THING FUl~L UTIL. rOAL HOME OTHER j TarAL
I I
I
Dei thelm , Gord.on 160.00 1160.00
-
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THE PURE OIL COMPANY
Divi..ion or Zone ~ho
Street Addre.... 1306 So. lst St.
City and State Uinneapolis4 Minnesota
IN ACCOUNT WITH
For. 105.53 P50 Poeo 10M
tIfIIIIt.
JUNE, 1955
I
,
Excelsior Township
w. D. Kendric~, Clerk
Excelsior, Minnesota
L
~
We Cha,-ge
Your Account aa Follow..:
820 Gals Gasoline
5 Qts Motor Oil
Less Fed Gas Tax on 800 gals @.02
Less Fed Oil Tax on 5 qts @.OlS
I.
I c..rtity that the above bhlls c:ocr<:c:t and justllnd that
payment therefor has not been received.
THE PURE OIL COMPANY
~---- --:
Subscribed and sworn to before me on this 15th cia
of J~, 1955.
~ad/
. CLIFFORD 'VR.."'ST'cD
N .". . I ...4l L;.
, oiary Public, Hennepin County M'
My C '. , Inn.
ommiciSlon ExPires June 16,1961.
J
No.
TERMS:
Jtme,
1
Form 105.53 P50 Poco 10M
THE PURE OIL COMPANY
JIlY, 19"
Division or Zone 5l~o
Street Addreu 1306 ~Q. ]Rt st.
City and State Minneapolis, Minneaota
IN ACCOUNT WITH
I
I
Excelsior Townsbip
Excelsior, Minnesota
L
~
We Char ge
Your Account aa Follows:
3li4 Gals Gasoline
Change Repair & Mt. Tires
Lees Fed Gas Tax on 344 gals @.02
f It f';: V that the above bi.1 ~ (lorr..Cl 1111\1 Ju.t ;mlil tll~,
,av...at .hrtefor bas not b~ rC':eived.
THB PURE OIL COMPANY
~~echtefA<<ooPtlft'
Subscribed and sworn to before me on this 3rd day
of June, 19".
CUFFORD WRANSTED
Notary Public, Hennepin County, Minn~
My Commission EX'Jires June 16. '961.
TERMS:
No.
93 76
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JT ~/~~ 0
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SOLD TO
YOUI ORDER NO.
1
.
..
FIlt-3-SS
GOODS Will ONLY BE ACCEPTED FOR CREDIT WITH PERMISSION AND THE DATE OF BILLING
.
..
FARNHAM STATIONERY & SCHOOL IUPPL Y CO.
301 SOUTH fiFTH STREET, MINNEAPOLIS 15, MINN. . MAIN 4242
TERMSc NEr CASH
A. J. IISIEE
EXCELSIOR
MINNESaTA
OUR NO.
DA TI!
112 LEGAL SIZE waao CLIPlaARI
PP
1 8e
27
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FARNHAM STATIONERY & SCHOOL SUPPLY CO.
301 SOUTH FIFTH STREET, MINNEAPOLIS 15, MINN. . MAIN 4242
-
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//
./ .".-;;- ...-,...--~
(....r
"
YOUR ORDER NO.
OUR NO.
DATE
if
') -
, ~l"P..../~~
#~ ~/w,'< .F,,'
J V PAID
~~/
No
APR 18 1955
FAA1\i..Aivi
STATY.8c SCHOOL SUPPLY CG
301 SQ. 5TH
BY
TERMS. NET CASH
FIII-II-54
~..-'~~~.....~." ~.
----
.,.,_-."'.0'.....-.----
------- .
~--- ".
i,f' \X 0
GOODS WILL ONLY BE ACCEPTED fOR CREDIT WITH PERMISSION AND THE DATE Of BILLING
..
"
MAINO
3'1/
m I ~L ~1 [ R -.0 A, V I S
."
COMPANY
215 . 221 SOUTH 4th STREET .
LITHOGRAPHERS . PRINTERS e OFFICE FURNITURE .
MINNEAPOLIS I, MINNESOTA
STATIONERY eDUPLlCATING MACHINl:S
CUSTOMER'S ORDER NO. 81 DATE
j SALESMAN
I REC'D ~LSON
cODE
5-1g-55
A
SOLD TO ..
SHIP TO ..
..
A d 81 S8EE
EXCELSIOR MINN
..
..
..
DATE SHIPPED
I VIA
ICOLLEC"TI PREPAID
MAIL 1 PHXNE I HOUSE I TERMS:
NET TENTH PROX.
NO DISCOUNt ALLOWED
QUANTITY
DESCRIPTION
STOCK NO.
6
19S9
8 I R COUNTER ORDER BOOKS
A d BISBE
e
IINVO~:;A;:551INV;,g;33
UNIT PRICE
AMOUNT
DEPT.
s
SPECIAL PRINTING MAY BE SHIPPED AS MUCH AS 10% MORE OR LESS THAN QUANTITY SPECIFIED AND PRICE ADJUSTeD PRO RATA ON INVOICE
210
II"""
MAINO
3<l,
.
~
CUSTOMER'S ORDIER NO. a DATE
I SALE.SMAN
MINNEAPOLIS 1, MINNESOTA
" STATIONERY . DUPLICATING MACHINES .
.\ CAODE .\ REc'D BY \ INVOicE DATE
. AS 5- 5-55
LEGAL 8LANKS
ffiJ t 1 ,[ R - 0 A.V I S
COMPANY
LITHOGRAPHERS
215 . 221 SOUTH 4th STREET .
. PRINTERS . OFFICE FURNITURE
5-5-55
I INVOICE NO,
364347
SOLD TO .
SHIP TO .
.
A fJ BISBEE
ROUT E 2
EXCELS I OR M INN
.
.
.
DATE SHIPPED I v~~T rOLLE~IPREPAIDII :E~~I MAIL I ;ONE I HOUsE I NET TENTH PROX.
5-5 CLASS TERMS: NO DISCOUNT ALLOWED
QUANTITY STOCK NO. DItSCRIPTION UNIT PRiCE AMOUNT DEPT.
2 DZ 2 D19t STATE FORM 9 - APPL FOR HOMESTEAD CLASS ETe 1 20 L
~-----_._._...-
1SR CLASS MAIL ~2I
1 47
INVOICE
SPECIAL PRINTING MAY BE SHIPPED AS MUCH AS 10% MORE OR LESS THAN QUANTITY SPECIFIED AND PRICE ADJUSTED PRO RATAQN INVOICE
#
MA,.\IO
Sq/
CUSTOMU'S ORDER NO. 80 DATE
I SALESMAN
4-25-55
MINNEAPOLIS " MINNESOTA
. STATIONERY eDUPLlCATING MACHINeS .
I CODE I REC'D BY BF 114:~6:55
~~-~
IINV36~639
/$-
ffil-l. L'E R - n A I V,I ~,-
COMPANY
-
LITHOGRAPHERS
215 . 221 SOUTH 4th STREET .
. PRINTERS . OFFICE FURNITURE
SOLD TO . SHIP TO .
A J Bisbee
. Excels ior , Minn .
. .
,,>I>
DATE SHIPPED I VIA \COLLEClREPAIDII HOW I MAIL I P;ONE I HOUSE I NET TENTH PROX.
,) 4-25 REC'D TERMS: NO DISCOUNT ALLOWED
~~v.
. .,-' . ,QUANTITY STOCK NO. tlESCRIPTION UNIT PRICE AMOUNT DEPT.
2 doz 2640 Blanks 1 20 L
1 II 2738 11 60
1 80
PP&Ins 28
2 08
INVOICE
SPECIAL PRINTING MAY BE SHIPPED AS MUCH AS 10% MORE OR LESS THAN QUANTITY SPECIFIED AND PRICE ADJUSTED PRO RATA ON INVOICE
MAINO
.1<;/
LITHOGRAPHERS
CUSTOMER'. ORDER NO. a DATE
SOLD TO .
MINNEAPOLIS 1, MINNESOTA
. STATIONERY . DUPLICATING MACHINES .
I CODE I REC'D BY EES IIN30~3~55E
.
rn I t L '[ R - 0 A.V I S
COMPANY
215 . 221 SOUTH 4th STREET .
. PRINTERS . OFFICE FURNITURE
3-2-55
A J Bisbee
. Excel3uhor, Minn
.
DATE SHIPPED
3-2
i"
QUANnTY
STOCK NO.
2 doz
2738
I VIA
I SA~ESMAN
SHIP TO ·
.
.
\COLLECYREPAIDI\ :E~~ MAIL I PH';E I HOUSE I
"-. ,,'" ;1OUGIUPTION
Yi
(State Forrq. 1) A~i for Red. Assessed Val. P.P.
"
t-' {(~d
~~ ' · t
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TERMS:
UNIT PRICE
PP&In
L
INVOICE
NET TENTH PROX.
NO DISCOUNT ALLOWED
AMOUNT DaPT.
1 20 L
28
i 48
SPECIAL PRINTING MAY BE SHIPPED AS MUCH AS 10% MORE OR LESS THAN QUANTITY SPECIFIED AND PRICE ADJUSTED PRO RATA ON INVOICE
&80
Customer's
Order No.
,., .-....
..
otUGlNA!a
~
~
D,to ~ "J-/
19 S-s-
M /\ ,'5; , qj /LJ <' .11
Address .t?Y-ef }Y ~
SOLD BY
QUAN.
.~
~
I CASH I c.o ,. I CHA,GE ION ACcr 1M'" RET'\ PAID our II
DESCRIPTION \ PRICE
AMOUNT ::
- -----
--
No.
UARCO iNC.. CHICAGO
=
. ~
~
INVOICE
Record Publishing Company
"COMMERCIAL PRINTERS SINCE ,1903"
Excelsior~ Minnesota
Date this Invoice____
I
~elsior Township
A.J. :818 bee
Town Assessor
L
Quantity
Article
Rubber Stamp
Customer
Order No.
_19_
-,
.J
Unit Price
*l.c8.(), ^" ~
~. ,,':.,,' fill ~~/,f -t~'. ;l;
t .,. -"J;: f ~i ~ 1 '",1 ~..~,- i "1
ROBEn~ r c
County
M,lnt) Raoolic;. 1 ~
TOTAL TillS INVOICE,
Extension
MiY1i,
~
SHIPPED FROM
VIA
CUST. ORDER NO.
SHIP
TO
SOLD
TO
F.O.B.
TERMS
ORIG. QTY.
ORDERED
)four
1955
;;;'{) 0\11:r~
ment
I
REPUBLIC CREOSOTING COMPANY
Cable Address. RET AR. INDIANAPOLIS
MERCHANTS BANK BUILDING
CUSTOMER'S
ORIGINAL
INVOICE
I
~
To'-m of }~::c81cior
l:b~ceJ.81or. Linnoooto,
L
CODE
NO.
DESCRIPTION
PER
1050013
:R.~~-}S
F~9J~1.. T,""I,.T n:t
OUR ORDER NO.
INDIANAPOLIS 4, INDIANA
B-123-R7
_ I NVO, ICE
6 ',. NO.
13",,581
10500'9
~Ej:
focI!'
DEST.
SR t!~2
DATE REQD.
DATE OF INVOICE
6...21...55
6...21=55
Ron.a a'~;
105010
"Drn!I,"::A
.J~,$. 1 ~~\#
a;~;; 6(}Q'F
f
\ io'
ns o;t'o..a:rC'iCi.
I
6022 --1
--1
PPD. COLL.
L I,-L -1
UNIT
PRICE
~"
DATE SHIPPED
aIL NO.
CAR NO.
SHIPPED VIA
lewall
2
SH'PPI,NGWT. 904 cal."
FRT. RT. CWT. ,,0315 per pl c
33,,90
BAL. ON ORDER SHIPPED
QUANTITY UNIT QUANTITY UNIT
AMOUNT
904
RTI6 ~. 1 ,,0) lba"
ES 369 010 lbs"
lio 171.,76
I ~J?>
I ~ 411 .
{~~~ql
;~~l
Seller certifies that in ..the manufacture of materials sold hereunder it complied with the Fair Labor Standards Act of 1938. as amended.
!l-3;J 25360 @ DITTOlorms @ 27
\
\
STATE OF M1NN~SOTAI
COU. nty ~~e;~pjn j S. s.
1')7 ~ .
____/_h_____________. In ~tate. being
sworn on oath, says he is _ _ _ _~'-( of the
Republc C'eosot"lo( Company; th said account is iUS1
and uu~; th..t U,e P opprt\{ t"'ert! cl1arl!,'ed lor was ac-
tually dedvered a."d \lias Of the va ue ,nerem charged;
and no pert 01 said aCCOunt has been paid.
Suli>scribed and sworn to before me this__2:_~____
day of -~~~--m~1_.e..~_____.A~__
~d~ W. G. SANDBEP.G .
.h_ -~~~~~~-I;~~~~-~~;~~~-~~:ot N;ii~lC- ~~:~~1~~~1~~~0R~;i~~~ ~~;tli. ~~~
OI--~ ~ 1
8y--LZ..L_(J!!Z;:::_y~~________
SHIPPED FROM
V.IA
CUST. ORDER NO.
SHIP
TO
SOLD
TO
F.O.B.
TERMS
ORIG. QTY.
ORDERED
" .\
, ;^~~:
, "'".
REPUBLIC CREOSOTING COMPANY
Cable Address . RETAR. INDIANAPOLIS
MERCHANTS BANK BUILDING INDIANAPOLIS 4, INDIANA
CUSTOMER'S
ORIGINAL
INVOICE
~
#
I
I
r-
-1
L
-1
PPD. COLL.
L.., -L ~
B-123-R7
_INVOICE
7 . . . NO. 1;=592
DATE OF INVOICE 6=22= 55
DATE SHIPPED f>=22= 55
elL NO.
CAR NO.
SHIPPED VIA Strwall
2
SHIPP1NGWT. !:fiO €!:mlllo
F"T. "T. CWT. 0 ti315 per gal 0
:~6c33
PER
BAL. ON ORDER SHIPPED
QUANTITY UNIT QUANTITY UNIT
AMOUNT
lit 0 90 ;) 1. b
ES 371 = 9
184030
!h'lll 25360 @ DITTOlonns ~ 27
Seller certifies that in _the manufacture of materials sold hereunder it complied with the Fair labor Standards Act of 1938. as amended.
STATE OF MiNNESOTAI s s
count_~;o, ,j , :ty -_Ie, b.;n,
on oath, seys he is ..H_____:. "-~~of the
R ubl.(; Cleosotn~ Company; the sid acCount IS ius!
nd tru"; t!'at the p. oper~~ here,n cnal~ fOr WiJiS liC.
tual!y 11elivered anCl was of HU;f ve !Je Hler6~,n charged;
and no pari of said account 1135 been paid.
Subscribed and sworn to before me thiS_~~______
day Of..;z~'!?:h__!'l~~___.A I;) 13~__
'-"~~::::;-~~~''':~~ii
.1. /"';:" /) jJ ;i., ~
IJ'I . li..)L' '-.y.l.-~~'
By _____[l~-____~_________~________________________..
.
,.
,
.
W. G. SANDBERG
Notary Public. Hennepin County, Minn.
My Cor!.lIllission Expires May 11, 19GO.
SHIPPED FROM
V.IA
CUST. ORDER NO.
SHIP
TO
SOLD
TO
F.O.B.
TERMS
ORIG. QTY.
ORDERED
Yo,,:,r 1955
TU {1 n1 T%'!'~
[J'lcnt
.
DATE OF INVOICE
6-3-55
6-3-55
CUSTOMER'S
ORIGINAL
INVOICE
REPUBLIC CREOSOTING COMPANY
Cable Address . RETAR. INDIANAPOLIS
MERCHANTS BANK BUILDING INDIANAPOLIS 4, INDIANA
B.123.R7
_INVOICE
3 ,. NO.
13...503
I
DATE SHIPPEI}
elL NO.
CAR NO.
~
-1
SHIPPED VIA
Sewall
2
SHIPPf.NG WT. 913 pla.
FRT.RT. CWT. .0315 per pl.
36.49
~
PPD. COLL.
L.p -L -1
UNIT BAL. ON ORDER SH I PPED AMOUNT
PRICE PER
QUANTITY UNIT QUANTITY UNIT
L
Dal:1,ve:rod. Hxvl l}~:pU{;)cl
CODE
NO.
DESCRI PTION
705002
'(05003
It1113 Ron~l~
at; 60(;i~f
'\
~ ,c'~;..t'
H05006
(
913
'to 9.~ lb..
9... 570 lba
lt10. 004
ao 184.11
p,<.,
RT16
is ;,
Order
"1e',:OCi'
.,. "1
}."', ~
<
;t
..
~;rJ.,J. e
(J.';~
Seller certifies that in _the manufacture of materials sold hereunder it complied with the Fair labor Standards Act of 1938. as amended.
~ 25360 <!J> VITTOlorm. @ 27
.
SlATE OF MlNNF.SOTAlS s.
County of Hennepin f'
--2a~--4:..~__. in s~unty a~b6in8
sworn on oath, Hys he ;5d_...___.__ _h_ '_h_ Gftlle
Republc Croosotil'1i Company; the i<l .coOlAnt IS iut;1
and tru~; that the propertlo ft,erem Cl'lfUged for w~ ac-
tually delivered a.nd was of the vltue lherem chlrged;
and no pert of said account has been peid.
Sutlscribed and sworn to before me thilL.f_________
~
day of --_.;;~=r.~~---- (r..~..c.________.If..a I ~4_
-..-------~ ____n___ ~ - '~~ - -----~.-----. __,_ _ '. _W. G. SANDBERG _
N ry .... Notary Public, Hennepin County, Minn..
REPUBL~,," OSOT~NO C '~NY My Commission Expites May 11, 1960.
""__ <trL/.,..__CJ!:~d~~___
."
,
.
..
.
SHIpPED FROM
VIA
CUST. ORDER NO.
SHIP
TO
SOLD
TO
F.O.B.
TERMS
ORIG. QTY.
ORDERED
."
REPUBLIC CREOSOTING COMPANY
Cable Address . RETAR. INDIANAPOLIS
MERCHANTS BANK BUILDING INDIANAPOLIS 4, INDIANA
CUSTOMER'S
ORIGINAL
INVOICE
<i
I
~
-1
L
~
PPD. COLL.
L -L<..J
CODE
NO.
UNIT
PRICE
PER
DESCRIPTION
,;...
',...'
~ j
4
B-123-R7
:5 _ IN~~I.CE l}.>607
DATE OF INVOICE
6<uz4...55
6..,24..,55
DATE SHIPPED
elL NO.
CAR NO.
SHIPPED VIA calle d tali'
9
SHIPPI,NG WT.
FRT. RT. CWT.
BAL. ON ORDER
QUANTITY UNIT
SHIPPED
QUANTITY UNIT
AMOUNT
""17
,&,11;
~?91 :U
28 I) 52
11?~~~3~1 L, s\c r:; J.bs.
}.14) "" 1,'00 ills. Q1r 1 ,7 gal..
O&",l~:r '10. St)~
9-5.q 25360 <ll> DITTOoforms @ 27
Seller certifies that in _the manufacture of materials sold hereunder it complied with the Fair labor Standards Act of 1938. as amended.
.
".
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STATE OF MINNrSOTA s s
Count)' of Hennepin . .
----~~-g~-~-------, .in sa&1 mty~te. bein{%
sworn or. oath. says :l€ .s._II.___.______h_n o-f the
Republ.(. Cr!'Osotf'~ Comear;y; that sf:lk1 e.ccount IS just
and trU"?; that thi" pcop",.t" t',er~.n cnar~1 for wss ac-
tually d,,:ivered an<J vva~ 0' th.!! 'J(!l "Je trierl:!,n charged;
and no part of said 21CCCllnt il<~S 02en paid.
Subscribed and sworn to before me b'iS______?.It.b.~_...
June 1955
day of ._n________________h________..____.~__
/ II ~~/ W. G. 8}lNDBERG
~h__~__~_~' ._ - ___U____h_____h _h_~---~- Notary I'ublic, Hennepin County,. Minn.
. ary PulPllc My Commis~ion Expires l'llclY 11, 1960.
REPUBLIC C!'EOSOTlNG CO PANY
YYl . C')<.- e#<_~
By ..__ ______ _.______ _.______________________~__
'(- -
'Il
SHIPPED FROM
.
VIA
CUST. ORDER NO.
SHIP
TO
SOLD
TO
F.O.B.
TERMS
ORIG. QTY.
ORDERED
Iou%' j.~Y!;5
:re u r.:\. rc",
E,eili
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COMPANY
CUSTOMER'S
ORIGINAL
INVOICE
REPUBLIC CREOSOlflNG
Cable Address . RETAR. INDIANAPOLIS
MERCHANTS BANK BUILDING
INDIANAPOLIS 4, INDIANA
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B.123.R7
5 _ IN~~I.CE 13=5tit
DATE OF INVOICE IS=16='55
DATE SHIPPED 6=1&-~55
ell. NO.
CAR NO.
SHIPPED VIA
S~'Wm.l1
2
SHIPPING WT. i~t>.l.~ ,_'1
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FRT. RT. CWT. 1)?7t;;: _'t
. '" j ..' :per g.SU, a
110~33
PER
BAL. ON ORDER SHIPPED
QUANTITY UNIT QUANTITY UNIT
AMOUNT
:illS
3.966
:)" 1 l"om pt1l~:' gsJ.
;j666 c 94 lbs 0
':1671) = 96 c ',. b~i 0
~, ~,d" . ~"~
~el ~1 . 313 . 54
:~s
~n:? gale"
Q01h "fP. '" '! ...
J.. . lI'lO........"
Wt. :1,,8
115 3672
916 gel ~ ~85" kl.lL
ll;j~ 1"1'9;:' g~l
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~o~~ AMT 55go9B
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9-5.~ 25360 @ DITTOlonn, @ 27
Seller certifies that in _the manufacture of materials sold hereunder it complied with the Fair labor Standards Act of 1938. as amended.
~
~,
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STATE OF MINNESOTAI s s
County of Hennepin f'.
--~!-_2.~~____m__, in said county and state, bein8
sworn or: oath, stlys he is. .-gJU~j}JcI~.~__ ~f the
Rep:!bl c CrOOSotni! COfnpany; thltt sekl 8cOOOnt is rU51
and trlJ~; t"at th('! WOPf'rt)' tnerem cher~ for wa$ ac.
tua'~)1 deiivered aII'd was ot the lie ue therem charged;
and no pllrt of ;;;aid account has beefl paid.
~j
Subscribed and sworn to before me this.___l.l~A__
June 1955
day of -----------~---- -----------------.,\.0. 194_
/ ~ ~ i~,;~..- f~~~lr:.i{~~nePin County, Minn.
-----~ ~,,~~~;;~~~ la, .C:""".'"_ "_>10, I},-.
By -__JtL:~_~________
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STATEMENT
~ PHilliPS MOTOR CO. 4~,,(1
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CI-IEVROLET AND OLDSMOBILE
SALES AND SERVICE
PHONE 1000
Excelsior, Minn.
%r1,,~
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11E'lk
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90 DAYS
OR MORE
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STATE OF ' J .._
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COUNTY OF ,
I,.~~.~.. ....... .~~......... .being duly sworn, do depose and say that
lam..~..~ofNORTHERN STATES POWER COMPANY,
that the attached bill amounting to $. ~~G. ? . . is just ~nd true, that th roperty, goods, me~chandise, labor or service therein charged,
was actually delivered or rendered to. . 0;.1"~. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
and of the value charged and that no part of the same has as yet been paid.
AFFIDAVIT OF V
FORM IOI.E.140
,
Signed: . ~ .J
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05
10 I 40644 020
_--L_~_~~?_CO~~-I~_~~~!!_R__.
EXCELSIOR, MINNESOTA
Rl!:/:.'l::r'(' ICILOWAT7
TELEPHONE
GRN'ND 4-8881
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PRESENT READING
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ACCOUNT NUMBER
07 05 55
MONTH DAY YEAR
GROSS AMOUNT DUE
APTER'THIS DATE
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INORlIIEINUA'E"O\"R COMPANY
EXCELSIOR, MINNESOTA
SERVICE FRO
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PLE;ASE; RE;TURN THIS STUB WITH PAYME;NT
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NORTHERN STATES POWER COMPANY
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FINAL BiLl- PRIOR ADDRESS
METER EXCHANGE
NO BiLL
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COPIES Of RATE SCHEDULES
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Excelsior TONnshi-p
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Excelsior, !'linn.
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that the same ;" just and true; that the money therein eharged Was aetuany paid for th.
purposes therein staled; that the prOperly therein charged Was actUally delivered or used
for th. Purposes therein stated; and Was of the value therein charged; that the services
therein charged were actually rendered and Were of the valne therein charged; that the fees
therein charged arc oHieial and are such as are anOwed by law; and that no Part of said
claim has been Paid. IZ.. :_____..~&~~""_
~ Si,~"~ of O';~M "-7
The effect of this verification shall be the same as if subScribed and sworu to under o.th.
M.B.A. 471.38, as amended by La"" 1949, Chapter 416.
66 Size I-Walter S. Booth & Son, MinneaPolis
bI..'=~'"
The Town of Excelsior
Hennepin County, Minnesota
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Unit Price Amount
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Tbi.pm-cbaoe order mu" be a.tacbod '0 vorifred form and oen' to tbo
Town Clerk before payment can be made.
Statement
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If not paid in thirty days 6% interest will be charged
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1. Federal Income Tax Withheld From Wages (If not required to withhold, writseee"NI'nOsnteru"ct) I'ons) '.1$$ ,,-,-
2. Adjustment for preceding quarter(s) of calendar year. (Attach explanation. I
3. Income tax withheld, as adjusted. (For fourth quarter or final return, fill in Schedule C) . Enter Adjusted Total Here~ $
Federal Insurance Contributions Act Taxes (If no taxable wages paid, write "None") g
4. Number of employees listed in Schedule A m____._nm.. 5. Total taxable wages paid (from Item 21) . $ -
6. 4% of wages in Item 5 (2% employer tax and 2% employee tax) . . . . . . . . . . . . $ -
7. Credit or adjustment. (Attach explanation. See instructions) . . $
8. F.I.C.A. taxes, as adjusted. . . . . . . . . . . . . . . . . . . . . . . Enter Adjusted Total Here~ $
9. Total taxes (Item 3 plus Item 8). If deposits of taxe~ are ma~ll in Schedule B on oth ide . $
,...., n~I..~~f( ~
COPY FOR EMPLOYER
Return for Calendar Quarter
(Enter quarter as shown on original)
IMPORTANT
Keep this copy at your principal
place of business, together with a
copy of each related schedule or
statement.
Before filing the return be sure to
enter on this copy your name, ~d-
dress, and identification number, and
period for which the return is filed.
10. Type or print in this space employer's identificatu.n number, name, and address
exactly as shown on original
Schedule A-QUARTERLY REPORT OF WAGES TAXABLE UNDER THE FEDERAL INSURANCE CONTRIBUTIONS ACT
List for each employee, except agricultural employees, the WAGES taxable under the Federal Insurance Contributions Act which were paid during the
quarter. If you pay an employee more than $4,200 in a calendar year, report ONLY THE FIRST $4,200 of such wages. If wages were not taxable
under the F.I.C.A., make no entries below except in Items 15 and 16. See instructions on back of original.
Sale or transfer of business.-If a business is sold or transferred by one employer to another, each employer
must file a separate return. Such a transfer occurs, for example, if a sole proprietor forms a partnership or a
corporation. Neither employer should report wages paid by the other employer. If the new employer does
not have an identification number, he should not use the identification number assigned to the previous employer,
but must file an application on Form SS-4 for a new number for himself. (See Items 15 and 16 below.)
12. Total pages of this
return, including
this page and any
pages of Form 941a ____________
13. Total nwnber of
employees listed
(same as Item 4) __________
14. Number of persons
employed during
pay period end.
Illg nearest 15th of
third month in
Quarter except agri.
cultural and house-
hold employees . . ____________
15. If there has been a change of ownership or other transfer of the business during the quarter, give the name of the present owner (individual,
partnership, or corporation) and the date the change took place mm_m_mm_n__mnm.mm.._mm_...nn...m_mm.._m.h....m.n_.n..m.m
16. Do you expect to pay taxable wages in the future to any employee (other than an agricultural or household employee) ? Yes 0 No 0
If "No," write "Final Return" at the top of this page, check appropriate block, and furnish the information requested below.
D Sale of business to successor D Formed partnership D Discharged all employees, but still in business
D Business discontinued D Formed corporation D Other (specify) mmmmn.n_____n_mm_____n___m_mmnm...m_.
Date of final payment of taxable wages to employees (other than agricultural or household employees) __m._mmmm__mm.nmmmmm_' 195m
Records will be kept by u__. ._. .__n__n_______n_____________._____ .._._______ __. .__._.__ - .------ ----.--.. - -.- -..- .------ .--- - -.--..-----------.- --------.------ --------------
at _ _ _ _ _ _ _ _ _ _ _ _ u _ u _ _ _ _ _ _ _ _ _ _ _ _ _.. _ _ _ _ _ _ _ _ _ n _ _ _ _ _ _ _. _ _ _.. _ _ _. _ _ _ _ _ _ h _ _ __ _ _ __ _ n _ _.. _ - - - - _.. - - - - _. - - _, -
- - - - - - - u - _" - - - - - - - - - - -.. u _, - - - - - - - -- - - - - - -,. - - u - - - - - - - - -- - - - - - - - - - -. - '.
Do you expect to pay taxable wages within the next 6 months to a household employee? Yes D No D or an agricultural employee? Yes D No D
EMPLOYEE'S ACCOUNT NUMBER
(If number is unknown, see Circular E)
(17)
000 00 0000
NAME OF EMPLOYEE
(Please type or print)
(18)
WAGES TAXABLE UNDER F.I.C.A.
Paid to Employee in Quarter
(Before deductions)
(19)
Dollars
:~~--~:~~:I=:
_n________________! __________
------------------1-----------
!
:~:::~~~::::t:~~-~
Stale, Possession, or
Territory of Employment
(or "Ootside U. S.")
(20)
------------ ----------- ----------...------ - - ---------------------------------------------------------------------
------------ ----------- ----------------- -------------------------------------.------------------------------------
------------ ----------- ----------------- --------------------------------------------------------------------------
---......------...- ---------- ----------------- ------------------------------------------.-------------------------------
--...-------- ---_...------ ----------------- ------------------------.----------------- ----------------------------
--------- --------- ----------------- -------------------------------------------------------------------------
------------- ----------- ----------------- --- -----------------------------------------------------------------------
---------- --------- ----------------- -------------- ----------------------------------------- -------------------
------------ ---------- ----------------- ------------------------------------------- -------------- -----------------
------------ ----------- ----------------- --------------------------------------------------------------------------
,
,
- -- --------------- !-----------
I
!
___ __ ______________j__n_______
__.dU_____dU u_: ______u___
$-------p------~--- !-----------
If there is not enough space to list all employees above. use Schedule A continuation sheets, Form 941a.
Total wages reported in column 19 on this page .
21. TOTAL WAGES TAXABLE UNDER F.I.C.A., PAID DURING QUARTER
(Total of such wages in column 19 of this page and on any continuation sheets) .
$____.__.m_._._mm____u___m' { fi~:r 5th;fx,~~~al in
16-39832-3
Schedule B-DEPOSITARY RECEIPT RECORD
(See Schedule B Instructions on back of original)
Serial No. of Form 450
Date of Deposit
(list in date order)
Amount
_____n_nn______nn__n________ _ nn_____nn___ n__nnn___ n_ $__ __ n_nn_ _n_ _n____
-- ----- -- ---.---------------------- ---------------------- ------ - --- .. -- ------ ------ --------..
---------- ------------ ---- -------.... --------------~------ ---- --- - - -- .. -- - ----------- ---------
----------- -------- - -- -- --------- ------------------------------ ...- -- -- --- - - ----
------ ----------------------------- ------------------- ------- ------ --- ---- ---.. ..------------
----------------------------------- ---------------------------- - --.- -.. --------- -------------
Total of all depositary receipts .
Total of other remittances (such as cash, check, M. 0., etc.)
Total payments (same as Item 9 on other side)
$- - - - - - - - -- -.. - -.. - -.. - -.
$
$
Schedule C-RECONCILlATION OF INCOME TAX WITHHELD
(Use only for fourth quarter or If filing IInal return)
(See Schedule C Instructions on back of original)
1. Total number of withholding
tax statements (Forms W-2)
transmitted herewith. . . . . . . . : .
2. Total income tax withheld from
wages during the year as shown
by withholding tax statements
(Forms W-2) . . . . . . . . . . . . .. $ (A)
3. Total income tax withheld from wages during the year as
shown in Item 3 of Forms 941:
Quarter ended March 31. . . . .. $....__._............___000.........
Quarter ended June 30. . , , . . .. ....__Un.........___..............
Quarter ended September 30. " ._hnUh_._......____n__.........
Quarter ended December 31.. .
Total. . . . . . . . . . . . . . . . .. $ (B)
Any discrepancy between the amounts
Avoid penalties by transmitting Copy A shown on lines (A) and (B) must be
of each W -2 to the district director.
fully explained in an attached statement.
GENERAL INSTRUCTIONS
The instructions below relate to the preparing and filing of Form 941.
Additional instructions are contained in Circular E. Special instructions
for employers of agricultural and household employees also appear on th~
back of the original of this return.
Circular E relates to (a) income tax withholding from wages, (b)
taxes under the Federal Insurance Contributions Act (for old-age and
survivors insurance), and (c) the Federal unemployment tax on em-
ployers of eight or more employees. Employers should refer to such
circular for information as to the employers and employees who are liable
for these taxes, the types of payments defined by law as "wages," the
computing and deducting of taxes from wages, how to adjust errors, and
other facts employers need to know in order to comply with the law.
Circular E may be obtained from the District Director of Internal
Revenue upon request. Employers also may obtain Circular H, "House-
hold Employer's Social Security Tax Guide," and Circular A, "Agricul-
tural Employer's Social Security Tax Guide."
Purpose of Form 941.-This form combines the reporting of income
tax withheld from wages and the taxes under the Federal Insurance Con-
tributions Act. If you have only one of these taxes to report, you should
filI in only the portions which are applicable to you.
Who must file.-If you have one or more employees you must make a
return for the first quarter in which you are required to withhold income
tax from wages, or in which you pay wages taxable under the Federal
Insurance Contributions Act, and for each quarter thereafter.
If you temporarily discontinue paying wages (for example, seasonal
activities), you must nevertheless file returns. If you no longer expect
to pay wages subject to any of the taxes reportable on this form you must
file a "Final Return." If a business is sold or transferred by one employer
to another, both the old and the new employer must file returns, but
neither should report wages paid by the other.
Mter you have once filed a return, the District Director will mail you a
Form 941 every three months. If the form should fail to reach you,
request a Form 941 so that you can make your return on time.
Quarterly returns and due dates.-A return must be filed for each
quarter of the calendar year as folIows:
Quarter covered
January, February, March
April, May, June
July, August, September
October, NOTember, December
Due on or before
April 30
July 31
October 31
January 31
However, if the return is accompanied by depositary receipts, Form 450,
showin! timely deposits in fulI payment of the taxes due for the entire
calendar quarter, the return may be filed on or before the tenth day of
the second month following the quarter.
Unless already shown on the form received from the District Director,
enter in the spaces at the right of the employer's name the months and
year of the calendar quarter for which the return is filed.
Where to file.-The original of this form is to be sent to the United
States District Director of Internal Revenue for the district in which the
employer's principal place of business is located, or, if the employer has
no principal place of business in an internal revenue district of the United
States, with the District Director of Internal Revenue, Baltimore 2, Md.
Payment of tax.-Each return should be accompanied by remittance
(cash, check, money order, depositary receipt, or combination of these)
for the total taxes reported in Item 9.
Employer's identification number, name, and address.-Forms 941
preaddressed by District Directors should be used in filing returns. If a
preaddressed form is lost, request another. If a non-preaddressed form
must be used, type or print in Items 10 and 11 the employer's identifica-
tion number and name exactly as shown on his previous returns, Do
not use the identification number assigned to a prior owner.
An employer who is required to report F.I.C.A. taxes on Form 941 and
who has not applied for an identification number should file with the
District Director an application on Form SS-4. Such form may be
obtained from the District Director or from any Social Security Adminis-
tration office. An employer who is liable for income tax withheld from
wages, but who is not liable for F.I.C.A. taxes, will be assigned an iden-
tification number by the District Director without application.
Penalties and interest.-Avoid penalties and interest by making timely
returns and payments of tax. The law provides penalties for late filing of
a return or for late monthly deposits unless reasonable cause is shown for
the delay. If you are late in filing a return or in making a monthly
deposit, send a fulI explanation in writing with your return.
Penalties also are imposed by law for willful failure to pay, colIed, or
truthfulIy account for and pay over tax, furnish statements to employees,
keep records, make returns, or for false or fraudulent returns.
Item 2. Adjustment of income tax withheld.-Item 2 should be used
for the correction of errors made in connection with the withholding of
income tax from wages paid in the preceding quarters of the same cal-
endar year. (Consult the District Director before correcting a prior-
year error.) Any amount in Item 2 must be explained by a statement
attached to the return. This statement must set forth:
(a) Explanation of the error which the entry is intended to correct;
(b) The particular return period or periods to which the error relates;
( c) The amount chargeable to each such period; and
( d) The manner in which the employer and employee have settled any
overcolIection or undercolIection of income tax withheld.
Item 7. Credit or adjustment of taxes under Federal Insurance Con-
tributions Act.-Entries in Item 7 should be made for the correction of
underpayments or overpayments of F.I.C.A. tax as reported on a prior
return, or credits for overpayments of penalty or interest paid with respect
to such tax for prior periods. If there are both an underpayment and an
overpayment to be reported, only the difference between the two should
be entered in Item 7. Any amount entered in Item 7 must be explained
by a statement attached to the return. This statement must set forth:
(a) Explanation of the error which the entry is intended to correct;
(b) The particular return period or periods to which the error relates;
( c) The amount chargeable to each such period;
(d) The tax-return period in which the error was ascertained;
(e) The fact that the employer repaid F.I.C.A. tax overcolIected from
an employee, if the entry corrects an overcolIection of tax so
repaid; and
(f) If the entry corrects F.I.C.A. tax overcolIected from an employee in
a prior year, the fact that the employer has obtained from the
employee a written statement that the employee has not claimed
and wilI not claim refund or credit of the amount of such over-
colIection.
If amounts of wages were erroneously reported or omitted for em-
ployees on prior returns, include in the statement, or on a Form 941c:
(a) The name and account number of each employee whose wages
were erroneously reported or omitted;
(b) The amount of wages, if any, erroneously reported for each quarter
for each employee (if none, so state) ; and
(c) The amount of wages, if any, which should have been reported for
each quarter for each employee (if none, so state).
Forms 941c, if desired, may be obtained from the District Director.
(See also the Instructions on the back of the original of this form)
u. s. GOVERNMENT PRINTING OFFICE 16-69832-3
,
Office, MOhawk 9.9074
Plant,
EARL A. SEWALL CO., Inc.
CONTRACTORS
BLACK TOP AND GRADING
5912 CAMBRIDGE STREET
ST. LOUIS PARK, MINN.
July. 8
r
Town Of Bxcelsior
Excelsior J4inn
L
TERMS: NET
7/5-6
8t hours brooming
, DEG..".::: Uf':;;:-? "'1 '-'r. pi:' 'AlTlrS OF
. -~. t....n ; n_ ....i~ t:
THt:lA\'I'r('f~"'" I .
l. Y i il'\' II,IS !'CCOU'r"T C'. ~ 'M
..... " "": l/tll
OR D;:A4j,'.'" If" "V-
'- ""'j I':' JL<:d AND CORRECT
AND THAT NO PART OF IT HAS
BEEN PAtp"
Qr6~ ~~11 I
Claimant
85.00
19~
.,
.J
COUNTRY CLUB OIL COMPANY
.... r ._~
@
DISTRIBUTORS
CITIES SERVICE
METERED FUEL OIL DELIVERIES JUN 3 0 1955
GReenwood 4-8815
Excelsior Township
Excelsior, Minn.
PLEASE RETURN THIS STUB WITH YOUR CHECK. AMT. INCLOSED
DATE I KD I GAL. I INVOICE I CHARGES CREDITS I BALANCE
BALANCE FORWARDED 15.80
JtJN 3'55f2 55 134.37 8.69 24.49
JUN 13'55fl 48 134.71 8.06 32.55
JUN 29'55 15.80 16.75
JUN 30'55f2 50 134.95 7.90 24.65
- ,
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......, ... .
. ...
. ..
.. .
.., ......
PAY LAST ~
AMOUNT IN
THIS COLUMN
Country Club Oil Co.
Excelsior, Minn.
TELEPHONE
64
SOLD TO
SHIPPED TO:
SHIPPED VIA:
QUANTITY
2
VIKING STEEL PRODUCTS COMPANY
SHAKOPEE, MINNESOTA
i
I
Excelsior Township
c/o "'W'. D. Kendrick, Clerk,
Excelsior,. .liiJ.inn.
L
.-J
Above
Thei r
DESCRIPTION
24" - 14 Ga. x 20' C. S. Culverts
Less haul
Net
Thank you.
I Cleftffy that the -be '-", Is correct and lust
e~~ th;t ,..yrnent therefe, has net been received
t tn, ttel "rod . t o. .
INVOICE NO.
452
INVOICE DATE July 11th, 1955
O'RDER NO.
SALESMAN
F.O.B.
Jude
Shakopee, Minn.
TERMS:Net .30 Elays.
40'
UNIT PRICE
3.77
AMOUNT
150.80
7.54
143.26
The Town of Excelsior
Hennepin County, Minnesota
195_
:Ray J. Friede
To
r=-===""""""~~='='''''==,
~
~.
.
Dr.
services-as. deputy a!l{!lle'HIOr
400.00
~~~~~1955
-~_..
II
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I declare under the pemH~ies of perjury that I am ...............................................................................................................
-\,,~
.......................................................................B.at.),.:F........F.rilil.d.....................................................................................................
.........................................
(here insert title\Qf office Md nam!) Qf firm if claim is by e firm or corporlltion)
\
the.....................:.+ll!r!ll'OTl........................mak~g the within claim; that I have examined said claim and
(here In$eft person or firm) \
that the same is just and true; thi\.t the money therein charged was actually paid for the
purposes therein stated; that the Pfoperty therein charged was actually delivered or used
for the purposes therein stated, and\was of the value therein charged; that the services
therein charged were actually rendered and were of the value therein charged; that the fees
;f;;:i~a~hb~;~;:id. official and are sr~~.:. :'.::~~1?;;;Z~~:it-~::
The effect of this verification shall be the same as if subscribed and sworn to under oath.
M.S.A. 471.38, as amended by Laws 1949, Chapter 416.
6b SizlI I-Welter S. Booth & Son, Minnellpolis
"
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1;
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i
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.
.
.
VERIFIED ACCOUNT
No._____. 19-
CLAIM OF
Ray F. Friede
4udited and aUawed at I lJ,()o.OO
this----1~Lday 01
July
2336
Paid in Order No.
Dated
('..enll!,.al
Received Order No.
payment 01 the within account.
~
Filed in my office this
day 01
19_
."\-Te:1II e..OOT,", .. .0", MINHItAoI>Qwa
-
19R
19_
19-
in
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t
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t Excelsior
County, Minnesota
195_
~ III iT- t-lvtl (jj ( L
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I declare under the penalties of perjury that I am ...............................................................................................................
................................................~~;.~.~.~~.E;~~~fi;;;.;...if..~i~.i;;;..i~..b~..~...fi;.;;;..~~..~~;.;~;~ti~~i................................................
the.............Q..~....~..~~..............._making the within claim; that I have examined said claim and
(here insert person or firm)
that the same is just and true; that the money therein charged was actually paid for the
purposes therein stated; that the property therein charged was actually delivered or used
for the purposes therein stated, and was of the value therein charged; that the services
therein charged were actually rendered and were of the value 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. .
~
The effect of this verification shall be the same as if subscribed and sworn to under oath.
M.S.A. 471.38, as amended by Laws 1949, Chapter 416.
66 Size. I-Walter S. Booth & Son, Minneapolis
. -i'...""
VERIFIED ACCOUNT
)/0.____, 19--
CLAIM OF
Vine Hill Oil Co.
Audited and aUowed at I 55. 26
thi8~t.--day of J1l1 y
Paid in Order )/0. 23 54
Dated
19----5.2
19_
RO~Q ana Bridge Fun~
Received Order )/0.
payment of the within account.
~
Filed in my office this
day ot
19_
19-
in
If&
Phone Excelsior 1363
~l(/
1-
,
VINE HILL OIL. CO.,
Conoeo Petroleum Products
Excelsior, Minn.,
c
0)
1660
-, ; ^
.:.. ' 19"
'~.~.~I~
. .~ 1\;.:\ t,,_.,,;
Terms
"..I
j. '~,J
J
Order No.
I
Delivery Unit No._ /
TAX TO BE ADDED IF PRICE
CONoeo PRODUCTS PACKAGES QUANTI'TY ADD NET N.~JNCLUDED IN PRICE PLUS AMOUNT
NO, KIND PRICE DEDUCT PRICE FED. STATE LOCAL TAXES
,~ .., . (;) ey/
, oL/-
- )';"'. ;- " ,
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. ,~
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,.' J ~. /
, 4i
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,
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" " :"'p
,
TOTAL
GOODS RECEIVED:
RECEIVED PAYMENT:
PURCHASER CASH CHECKS OTHER
BY VINE HILL OIL CO. BY
i DO NOT DESTROY, THIS IS YOUR INVOICE. Drums Ore the property of VINE HILL OIL CO. and must be returned promptly. Customers
rWiII"be held responsible for loss or damage while in their. possession. ARNElL BUSINESS FORMS, INC, '0834
9
Phone Excelsior 1363
---~c~~,L<'.'0 .y~sLf
---r; ..z.G..-J!J r fJJ f1 j ,. /\A t )J Ai ./
VINE HILL OIL CO.
Conoco Petroleum Products
1 7 27.
,..-1
M. I ----'2- -
Inn.,
;<./..c.f-~{,,-_.
Excelsior,
1 ~ .sS"
1-
Sold to
Terms
Address
_Order No.
Delivery Unit No._
TAX.TO BE ADDED IF PRICE
CONOCO P!'iODUCTS PACKAGES QUANTITY ADD NET NQr,LJNCLUDED IN PRICE PLUS AMOUNT
NO. KIND PRICE DEDUCT PRICE FED. STATE LOCAL TAXES
C tJ--v If> I ~l I 1.00 b d"O
Jl~r b
TOTAL -~ "D
GOODS RECEIVED:
F'lECEIVED PAYMENT:
PURCHASER CASH CHECKS OTHER
BY VINE HilL Oil CO. BY
DO NOT DESTROY, THIS IS YOUR INVOICE. Drums are the property of VINE HilL Oil CO. and must be returned promptly. Customers
will be held responsible for loss or damage- while in their possession. ARNELL BUSINESS FORMS. INC. .08,.
TIRES
~f#J
DATE
BATTERIES
LUBRICATING
COUNTRY CLUB SERVICE STATION
CITIES SERVICE PRODUCTS
J. W. RANDALL, PROP.
PHONE: GREENWOOD 4-9935JU~ 2 '( 1955
EXCELSIOR. MINN..
Excelsior Township
Excelsior, Hin..1'l.
PLEASE RETURN THIS STUB WITH YOUR CHECK
REFERENCE
CREDITS
BALANCE FORWARDED
CHARGES
ALL BILLS DUE AND PAYABLE ON 10TH OF MONTH FOLLOWING PURCHASE
COUNTRY CLUB SERVICE STATION. EXCELSIOR, MINN.
WASHING
CITIES
@J
SERVICE
195_
BALANCE
3.50
PAY LAST AMOUNT
IN COLUMN