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<br /> z � Notice af State Tax Lien -
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<br /> PLEASE DO NOT WRfTE IN THIS SPACE 'n��._.°.-
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<br /> � T6i�Notice ot Siwk T�x Uea is laaued by tUe NeM�aka Departmeot of
<br /> Re�nve I�or a�p�M fa:a pu�swat to tYe reve�K �ass of tie state at �'
<br /> Nebnsl�. 1Votke b het+eby given th�t taxa ixludl�g pen�itks�nd �_
<br />_ iferts3,wLkh �re i6o�n beiow,are dre !M�ik a�pyer apecided =
<br />- btks��d i+e�ln uepaid a[ter denu�sd. 'i'6ae tuas coneUtute�Ikn Ie ��:�ti��:
<br /> th�coaat�t�or�eal aal penond Pruperty bcloa�to the taxpayer or �
<br /> reraher �4ed. _
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<br /> H�bra�IWn11�cMionHunbK LMnFNdri1� Joc1Y8�rityaF�d�rall.D.NumWr 3po�ra.sSoclNS�pMttylVirrWw _
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<br />= 39451119 �R'�""" 628-92-1830
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<br /> -. 970 800038 °"�"� C1°ontln'YO" �COf�°�sd 7-11-97 HALL
<br /> sUBMIE�NA�IE AND LOCATiOp ADORES{ TAXPAYER N�M!AND MAILJNfi ADDREE�
<br />�'=': � pu�kwM Nrn� wrrn
<br /> FRANCISCO MARTINEZ
<br /> , erwtAddr� ete�t a oYMr M�Iwp Aedr�
<br /> ..,��� 716 S PINE
<br />- _ , piy ew ap caa cKy e�w ap cnd�
<br />' �. • GRAND ISLAND NE 68801 --
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<br /> ���'�•,t.a=,�:,
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<br /> �r..��.::..,: - - 7 4 5 .00 108.75 151.45 695.20
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<br /> - TOTAL $ g95 .20 n
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<br /> '� NEBR/uSKA OEPAFiT11AENT OF REVENUE-YNlit�I�tM tiddsnod Cq� TAXPAYER-Pkik Copy OOUNTY OFFICE•Can�rY�PY
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