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, <br /> • 0017 <br /> • • - Application for Exemption • FORM <br /> aM,aa d"Mt@1 from Motor VehcleTaxes by Qualifying NonprofitOrganizations 457 <br /> �� (!E • • •To beN.dtWmyour eomIYireaur.r. <br /> •nod lnsIW.a.ne onrom astda. TYPe Otomlarddp <br /> ,�ppm�aeNam. <br /> • SAINT FRANCIS MEDICAL CENTER �l ammo <br /> a Corn • <br /> sweat 0W FAIDLEY gAddrew - HALL. OOwer{epaaltA; <br /> 2820 W FAI AVE PO BOX 9804 - <br /> ZpGOda Me Whom Incorporated <br /> GRANO ISLAND NE 88802 - - <br /> IDENTIFY OFFICERS,DIRECTORS,OR PARTNERS OPTHE NONPROFIT ORGANIZATION <br /> The Nmne,AddIK,ON 0131%21p Code .. <br /> CEO-CHIHeeNI CIE RObeMen,MC/12009West Dedoo Rood,SU2e 388,Omaha NE 06154 • <br /> . <br /> Bead Member . Terry Preyed;708 N.locust,Sege 304.OM4 bland,NE 88801 • <br /> DESCRIPTION OF TIHEMOTORVENICLES • <br /> • •Attaoh an addlltalmlaMet,It necessary. — pp�.ppahegon SOU« ' <br /> Motor Vehicle Mehl - Y.hld.In Number Sate al Amuldide <br /> 4sadAriY edd/lypa IE Nov&Purchased • . <br /> .Dodge 2016 _Careven Dowd SXr _ •2GIRDOCOSER82TG64 _ <br /> • <br /> Fmptkw oMdarNMdto n m mda <br /> YeN*s ued mxlwht <br /> as Waled' <br /> QAe eamaNwmva d 0 Edaaaml ROAN, .0 <br /> . <br /> amalepmussdasdemUmmeae BYES ONO <br /> okedeWNddaaPWnquw,hdadlrq an eaFy^a� - <br /> Transport hospital equipment and patients be tweet buildings. u No,9x•Pi'MIKISa nnwtue% <br /> Transport Gash bags to bank and back. <br /> - Transport pedant kindandlaundry betweenbWir9rige• <br /> • <br /> urgeraeneaeaw13%Ideem sal I ban eremb adOhapP3allon sndtita ,todmbesta10knowledgewadnew,tmabompldaandconed.! <br /> _ an medmethboeoeklp e lwe^'d*aultm btoDen ilex aratl tepee• mdNMMa9eNUbnam ingememnbNdVwerhdoeerotasaladal oym <br /> sign 'd . i). - is l /�a-/7 <br /> • here)A eNtaleg TWO <br /> L FOR COUNTYIREASURER RECOMMENDATION <br /> taJ'APPRCVAI -RECEIVEil E - ' " A'''. <br /> DISAPPROVAL /-At-/7 <br /> JAN 1 1 2017 '°�'./?J <br /> DWI lift Cowl red Dam <br /> 1 - FOR COUNTY OARD OF EQUALIZATION USE ONLY • <br /> rIMItt,uURTY <br /> TREASURERS OFFICE ' <br /> ❑APPp0Vsr GRAND ISLAND,NEBR4 W4EM <br /> q DISAPPROVAL - _ ,��, ,,,ice/�• <br /> • • <br /> W m.m 4Vra <br /> Mhuttom/NaretbNesti*I end(is W4o4.1aa..Me/Sele <br /> • wr$3cQQaws120118 pe,.sn <br /> ema WNW/ PLEASE RETAIN A COPY FoRYOUR RECORDS. <br />