|
�. <. �; ,� �:
<br /> .�____�.:_i."� f _ -. _ . . - . . . . ...r a_tr�•..��,.- �`:S_. .�..--a"�._. :'� "tj '`�`.t°-�-t. .,d����3�:�r..
<br /> _`- t; c4 4 c�f l f — Y � ._4
<br /> E L r �` ': `' �'_ r ''� � `' < _
<br /> d- -Y c�`,, �` Y � L
<br /> ���4 � c � ' � " � t ,� .. "'`c� tr.k' Z�' - " -r v a'�� `
<br /> tf2. � �? � �.t ` � .� -� `'; �;,c V.4, �, �F� �. � � - . ' . '�,`t� :.�. .. .S` ' " a t .. . ``��,
<br /> N T..`�aA. . Y C 4 ll. .C'. -;; .,y ,6' Lh S_v k �'F [. � C} `' �~'�' .. .
<br /> .c 1�. � 1 �. :, - . .. l 2� - � .; -' � .y—'.. _ ' `r� . � `rC ! td.. � �c __
<br /> . � -. Y -k - `t �`/ 'f S S (_Q� 4 t�i . i` ` c<f .. t . . .r- .,�' ai. C t f '�"- ,.,
<br /> 1 'v�< < � . 1.
<br /> . ..J� _'� . � . � ... 4_ + . . �' 2 . -� ' . . .� c s . - • _k - c 4 rr. a. .
<br /> .. .`' - ..� ."i � c :i_ ....��` ��5. .. . 1. .4• < .5�` �'` -,
<br />. � =.1 � S� • . � � � . � � ' . � ' � V, ,' G `•
<br /> i � . S
<br /> . . �'.,� . �� • � . . � • WI V/ . .. •C6 < ,•..
<br /> .�- � `.. .J � —! m `. :`�r. .F.:
<br /> � `�� >
<br /> , ��� . � � ° ` ` . �
<br /> r �v�� � � •[- ��` , . '� � .� d � �j ',r(`
<br /> `•.,�,,"�.?.. `_y,.� � 7i�� � � %� ' � � � .•.c��k M1 , .
<br /> ' � <'�.a...^�"1 4� � �1O � . ' {� � 2 � � � t q' .
<br /> _ c
<br /> YY � • � � �
<br /> �� � ' � ��sy.� � � � � � � � � =.LL � .
<br /> 4 , y -�� '•f . ' � 9 '� f'� � .. � �- r �,, �•F+�.,
<br /> .� k . ' � � �
<br /> �- � . . • ' ' " . � � �P,�A � p F. � �j
<br /> � q'' O � . �+ � . t' _
<br /> � � ; . . . . � � .
<br /> ` � _```��� � � 4V�#i��of St�t�7'�t L:ie�
<br /> , � . . . . ` ` ��-,_
<br /> , ,� _ ��� � _
<br /> '`,f-s' . ��_ ' ' . . � .. . .. . . �
<br /> . PLEASE QO NIOT ItYiiiiB IN T1il$ffi�ACE �,� V ..
<br /> . � , ' . . .. ,.;�� . �.
<br /> �
<br /> ',:� :� ` . _ ` . ` ---
<br /> � ;� •��` • . ' • ' _—
<br />_ .. . . .'j`'. . � � • . ' . . . _---_.
<br /> . • TE�O�NA�6i0�1 oF SYaYE �ax 6i�N . , _ -- -
<br /> � • � . � �..;-��.-
<br /> � . , �. ENDEV8D1?AL iN60NE TAX • . ����. �;�;t_.. -
<br /> . � • � ��-��.
<br /> .: :J ..1+ _ : ._� �YGU Yi��UERE.Ai30Ut YOUR � . _..;`.�_. _^-�
<br /> ACCe�INTv EtE�ER .tG YN�S� NU�98EE3S •
<br /> . . . � . .
<br /> ' SQC� SECw tdCto � �fl�TQ0238 . � � � . • `� �
<br /> �.. . - . . . _ � .
<br /> . . N��fte. EOE�1To NOs � 843T976? . . , . . ~ '�_
<br /> � SP�U°•SE SOCe S�Co N�o �9?64�9�3 . ' � ' 1% �`
<br /> � tA9tA01.f YEAFt � 1993 Lt�Et� C 6 NADBNF �Fl OA(G6.EY, � , �` '�;" �
<br /> ,�.
<br /> � � -� a.a€c� n�oo � Q�a�aoaa� ��e� � scag��R �� � � �. �`._:,�;.: ..;�
<br /> ' - Q,Yfcl�4 R@LEdlSE NOo 9�3j1��5. GRA11lD• YSl.AND tNE 688A1 . '...�.,.•":`'-
<br /> ��,..T, . ..s�,
<br /> . .r . . --
<br /> �Q��� � f ,,��..-..., •—=_
<br /> . .'1 Dl�'iE 0� i�OYICE A�/A8l�T . . '�"'-
<br /> . .e Nl/:�-.
<br />_ , � in�sT�uP�Na cuao .��a��a� � � ` � � ��.� ;; _ __-
<br /> . , . . . °.' _�.
<br /> ;� . . '�.� -_.
<br /> . . . PUEtSlJAI�T YO YHE l3EV��6�lE�d.A14S aF YHE 5'BATE Of Ng�EtASKAs N�YICE IS � � -- - __- _--�-
<br /> `. ,! `�. . ' HEREBV GIVEN Blf i'D!E I�sBRASKA �EPAR��-0�C� OP REVE[�UE �THAIt.�'�Hk . � .�� ---
<br /> ` �..�' �- ; � S3'A?E• TdK LIEN E�!llCt!'�iAS BE��i .DULY EIi.E� ACAIMST 7Ei�.ABOYE NAI��D � , - ,..-- - ,'�"„
<br />-i �: � � ` f. ZiAXPA1(sR EQR �ENDIVIIItiAL a1�CQf4� 31��fES IS 7'ERMINAY+��e . - -----`�-�. ,
<br /> . ,� � I �iEREBY CERTIFY t�OA% '6HE NEBRASKA r�EPARTNIENT 0� EtEVENiJE HAS COtlPA.YED . � ,' f ;: �:t��
<br /> � :_
<br /> � 19ETH �HC tiE9tENt0E I.AMS �,F YiiE SYA�E 0� NEBAASKA It� '��1E� DE'tElif�I@�TIOIV �� �. r
<br /> . . � � . 719IS YERf�iIIVAYIONe . � . � , - . , -
<br />-� , .. . . • :., . .
<br /> � : � � f�%� ���?�o �����' � //zs�7 . . - ._...-
<br /> . �; � e e�o b�Yd'"'_oo�000 •essMe�aos�oa�o• ,
<br /> � ' PEtEPAtt��o S SEGd�ATUldE . �I��E , DATE .. , . _.
<br /> ~;� . ; L� 7�/a��,� � . . .
<br /> •,� , . ,_ . .
<br /> _ . ' 4 0o s a e • � •e �+�s��• s�• e000 ..'��.
<br /> oos o o e eoe
<br /> " ` AUTHORIZ�D SIGlVAYUAE T LE DATE . ..
<br /> ,� � . . . . � . . . .
<br /> � . ` /C,�eeol� . ,:� �� � �
<br /> • NEBRASifA OEPARTMENT OF REVENUE—White and Canary Copies TAXPAYER—pfnk Capy CaUN7Y—Goldenrod Copy '
<br /> oxnrodwnnmyru►onracydcev�vo� �•�asr�aav.+oassupo�cam9r.10.478Rw.S91 ,
<br />.,r. ' . ' . .. �- . '—. - ..; , _ .._., . _• , , - . � , , . .. --�.-.�^.�..,•.�—, -r-+-----°- . —�---z—°_—•..,.�-^-' . �
<br /> , . . ' . " • . . . _ .� . . -- . - -• . .
<br /> "� • ' • • „ ,. , •. �
<br /> � � ...,�_..,�,.�._s._.. � ' --�^'-_:_�„_,....�;,-_, _.,.......r,� . "
<br /> . ..,-~��---�----.."'" .
<br /> ,..,
<br /> ...., . . ., ..�.- - . �
<br /> _•.b--r-•--. . _.. : . ....�:._.....L.•..., . ; ;.-� --„„-..�,•.- ,-•ro.i,q.Z..wF,•,� ..,:+:vw,-..:—. ,,.._ �
<br />
|