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2-Dc g <br /> merasmonomnemor <br /> Application for Exemption PORN( <br /> REVENUE from Motor Veh cieTaxes by Qualifying Nonprofit Organizations <br /> *To bafliedwtm'your toasty tronamc <br /> nmartzinsinTh <br /> •Read i nan ellans as moans aids. <br /> Appeants Name Type of O'wM p <br /> -sTFRANCIS weserrt . kid;raj ep I1f e <br /> Nalllantlt <br /> StantarOera Wang Address Candy Coepatation <br /> 2620 W FAIDLEY AVE HALL ❑ou r(spcc r. <br /> City State — Ztp Cade Stale Mani bmrpomed <br /> GRAND ISLAND NE 68803 NE <br /> IDENTIFY OFFICERS,DIRECTORS,OR PARTNERS OFTRE NONPROFIT ORGANIZATION r <br /> TDb _ Nam%Addross.CINSsaa ZTr Code <br /> President-CHI Health St.Francis _Ed Hannon:PO Box 9804.Grand Island,NE 68802 - - „_ <br /> CEO-CHI Health Cliff Robertson,MD:12609 West Dodge 9g3 liaLi .$fi&Qn a:NE BR754 <br /> Board Member Tenn Pfeiffer 308 North Locust Suite 304 Grand Island NF SRAM <br /> • <br /> DESCRIPTION OPTRE MOTOR VEHICLES <br /> •Attaeh an additional aheeta necessary. <br /> Motor Valets Meta ModefYaar Body Type Wad eID Humber. -gateau Aegdiatest: <br /> It Neap'Purchased <br /> See attached fist <br /> Boost Vass af MOW l bide: ` Are the aniorveNdpusea exdnhmly <br /> ❑AgrlatiumNicrecWwar ❑Ed,aabanat IE ❑awaits []Cometxyr esgqtad! me <br /> OM dotted desefpttn af we,edldepaaotyMnatbna TEE*useder»aa0am mist Oda ONO <br /> Transport hospital equipment and patients between buildings <br /> it No,ahapomNAe9s of maernatwa• <br /> Transport cash bags b bank and back $ <br /> Transport patient food and laundry between buildings <br /> Urderpena18esoflwa Madero slat l have Noised this epp&allanm wt t ls.to ma seetErwboaledm mad bast lma,au*leM.and Waal-I <br /> Ms Seam that Ism duyadhmbd tastes tit.xanplon:nficafws,and Sol mee galtallonoasIng the abonamed propadydaesnetdiecrk oats <br /> 8t <br /> onsmbealip or atapinyma l Wail on mos Was or Mend actin. <br /> sign f� /111:/— it��.` <__ 17 <br /> here} ti lxm <br /> FOR COUNTY T REASUR ER"RR RECOMMEND ATION <br /> ATION <br /> Mews, ^ " EC7N AAA_ 4 5:$, X77-..7.° <br /> L/PP�VAt RECEIVED <br /> I - . <br /> []DISAPPROVAL <br /> /4'— /7 <br /> DEC ` 5 2017 ►9lpamaa/ S 4' P o,m of County <br /> FOR COUNTY BEARD OF EDUALIZAYEON USE ONLY `_f <br /> HALL COU __ <br /> ROVAL TREASURERS O <br /> APP E LETS: <br /> GRAND ISLAND.NEBRASKA - <br /> o DISAPPROVAL <br /> SW' Far- <br /> Sabana.Mlwmveef rams* <br /> _ A1dwIIY0N'FMD.WAStftram(tiCWend SS.a-4 ele.laSMdcosin <br /> 90953008t P S I I timorteasSWARM Par nun <br /> PLEASE RETAIN A COPY FORYOUR RECORDS. <br />