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<br /> PL�ASE DO NOT WR1TE t!i THtS BPACE
<br /> - . Po=swnt to t6e revc�ue Iaws of the Statc oi Nebraslca,nottce fs hereby
<br /> � , �tv�a t6st the�tate lbuc Uea wl�tc6 h�s i�een duly Aled by the Nebraska
<br /> • Dep�rtmentolRevenueagainsttheixbw•namedhxpayer,istermtnated�
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<br />� BlJSiNE'S�Nf�11E AND LOCA'RON ADDAESS TAXPAYER NAME AND MNUNG ADDRESS
<br /> ' 8wk�essName t�tame
<br />�`°�• '' ,.�, Harvey L. Keily
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<br /> -=-��f��-:�{�(y'�. • �TERIAlNATIOAI OF TAX UEN. �TLe Stau Tea L.ien is hereby Polly urminaud.lNSTRUMEr�i'NUYBER 90-100065
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<br /> � TAX YEf1RS(cor�l�ratq Irtdhr[dual Income.'a�a�withholding tex onl� 1984-196�-1986-1987-1988
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<br /> °''�� `` ❑PARTIAL RELFASE. '!Ue State Tex Lien is partially relcased as foilows.INSTRUYENT NUYBER
<br /> '��=;..�.f;�,� TAX YEARS(eorporat�.trtdhridust incame.and withholdtng t�x vnty)
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<br /> � " -- ❑StlBORDINATIOH..'ihe StaOe Tax Urn is snboNtnated as foltmvs.lNSTRUNENT NUIIIBER � .,,
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