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<br /> � � fwm 888 � ��� BEPIUtTMEpT OF THE TREASURY��—INTBINAL HEYENUE SERYICE ��.�. ipr Optional L`se 8y Racor.9ing ONice
<br /> � ', �aev.z-7» NOTICE OF FEDERAL TAX LIEN UNDER INTERHA�REYENUE LAW15
<br /> � fJl$TFii�T SERIAL NUMBER 7�'_ L�(!5� '77
<br /> ..� , „omaha 3,1�99 ,° ' ` '�
<br /> Pursuant io the provisions of Sectioos 8321. 6322.'2nd 63Z3 of tne in[emai never�un
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<br /> � ` Code, notice is,hereby given that`there have been assessed'under the internal ReVa-
<br /> � nue laws of the,Uni4ed States 8gainst ihe foilowing-named taxpayer taxes linclud'+ng
<br /> � intere&# end penalties) which after demand for payment thereof remain unpaid, and ! '
<br /> . k ' that by virtue of'the ebove-mentioned sia;utes the amount of said texes, iogether v+rith
<br /> • ; penalties, interest, and,costs that may accrue in addition thereto, is a lie� in favor of
<br /> the United $tates upon all property and rights to property belonging to said taxpayea
<br /> � NAME OF TAXPAYER �
<br /> � � Roy Evans Cliryslc.r—P]:yrno-ut`ri, �nc.
<br /> � (� corpora4ion)
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<br /> � RESIDENCE `]l6 SC�ut;h E1Tt1 StY'eet
<br /> ; � : Gran` Is1•and, Neb-r�slca �$&G1
<br /> " � �
<br /> � UNPAID BALANCE��
<br /> , ,KIND OF TA% TAX PERIOD ENDED OATE Of ASSESSMENT IDENTIFYING NUMBER� .� OF ASSESSMENT � � �
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<br /> ; !al Ibl (cl fdl le! i.
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<br /> ; � 9�+1-P�z ob-3C-77 07-1��-77 �-7-05,k�54 �:25.5$
<br /> � � 91�0 12-31-77 c�-3Q-77 �+7-u5�44>4 57&.2u
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<br /> j P4ACE OF FlUNG �
<br /> ' � , Pc-Uister of D�eas ,
<br /> � COu11t;�, Of Hail TOTAL $ ].UU3.$6
<br /> � Grand Island, P�debraska 6�001
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<br /> ` ,. f WiTNESS.myhand at �=*Y'and Is1.3nd� 1_`�Pbr.a�;l<a , on this.
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<br /> � the,�_day of��2�.em'hPr 79�?
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<br /> � ��"�(N07E:�CenNieeta���o1 offiCer-auFhorized,by taw to take ack�owledgments is not assential to�the�validiry of Notice o1 Federal Tax Uen G.C.M. �� � � - �
<br /> ` ' .�,...•�� :� 28419.C.B.1950-1.725.1 � .. . . . . . � . � . � . .. . .. . .
<br /> PART 1 -To be retainad by recording offica
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