LA - State)
(Case name and number)
United States Treasury check in the amount of ________________ ($_________)
was received on ______________19___, as payment by the United States of
America for Tract No.(_______), ________________________National Wildlife
Refuge, _____________County, , being _______________hectares (acres) of
land described in warranty deed dated _______________
19___ , and recorded on ______________19__, in the records of ______________County in Book __________page _________. This payment is full compensation for the land.
Dated at ___________________this ______day of __________, 19__.
(2) WHEN PARTIAL PAYMENT IS MADE.
Receipt is hereby acknowledged of United States Treasury check in the
amount of ______________________($______) as partial payment by the United
States of America for Tract No. ______, _______________________________________National
Wildlife Refuge, ________________ County, being ______hectares (acres)
of land particularly described in a warranty deed dated _________ 19___
, and recorded in Book ______page __________of ________________County on
______________, 19__. The above amount represents the total
consideration of ($____________) to be paid for this tract, less
($__________________) withheld to assure payment of taxes and assessments for the year ____. Dated at ______________, this ______day of _____________, 19___.
(3) WHEN LAST PAYMENT IS MADE.