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<br /> '�"��. I certify th�t�e to th�fallowinp•nsr►H texp�y�r�tM nquinm�nt�of tectlon d326 p) `;;_`-.�_
<br /> � of th�Int�md R�venw Cod�havs been utlsf{W tor th�t�xN Iistrd bNAw�nd tor 97.� � ��;;�_��
<br /> all at�tutory additlons.'�hentore,ths Iien provld�d by CotN�actlon 6321 fa theis ".:;..�-:
<br /> texea md�ddltions hws be�n nN�sad.Ths pro�p��;i�l�f�t1�oNla where ths �ti''��=�
<br /> notiq�of intemal roverwN Mx lian r+�s fllsd on '=
<br /> 19 � . is In authoriz�d to note the books to show ths retsase of thls Ilen tor ��:r--
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<br /> these texes end additbna
<br /> � N�me of Taxpeyer F+IrH�RU L pUNNI RII� `t^
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<br /> ` Residence �5C�8 CHAN7 I�LF EI; :3T �
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<br /> . Li.br+�' Page UCC IJo. Ser ial N��.
<br /> �.� n!7 r�/ta n/a 9�—l�:rt_�7E�1 .r,;,�.�',!�`._,
<br /> Tax Pertod Date ol Laat Day tor Unpaid Balmce ,f�-��
<br /> Kind of Tax Ended Identitying N�amber Assessment Reflltng �ef Asaessrn�nt
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<br /> � 1U4�) 12l31/91 °�0'�—��':-17��1 l4/�A/9� 11/�':!c)4 2�ti16.?•"
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<br /> -•. - ,. � Flal l County Total S 515��.67 �,�
<br />,��i•�i`-"�•'-::-.�, . ur�nd Islznd, NE E>�3�C�1 �_
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<br /> � � This notice was prepared and signed at ,on ihls, '•�-
<br /> . l�t�.h laugust '�7 .�
<br /> the day of , 19 _
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<br /> '�.��• Signature Tftle .���;�_
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<br /> "�'-�, (NOTE Gsne p�e of omce�qutnOrli�Dy law�o l�k��cknowNt/pmenta ia nof�tfent�y to tM r�lki►ry oI CMificate o/R�k»r of F�dWN TixWn Rrv.Rul.�t�,tp7f•T __
<br />- ' ''!;1� , C.B.�091
<br /> PART 1 •RECO�tO1N0 OfFICE FOrmIN¢�(q�y,lf.pd)
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