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• <br /> 1 <br /> ''''!:',..-,''',-T <br /> 1 y D 1 ♦li 1YG i^ <br /> harm 6�s OEPAIITMENT SPINz TNEA5UeY-aN1'EPfffL$VENUtSEfVICE ,'For Optional Use By,Rocerding O/GCe <br /> tR,Ev l 'r4I CERTIFICATE DF RELEASE.DF'FEDERAL TAX LIEN::` <br /> pTSTR1G7 SERIAL NUMBER , ;; , <br /> ,.. '.. 29912 <br /> 4 k ,I:hereby certify that as to the following'narned taxpayer the requirements of Section <br /> 6325(a),.,Internal Revenue''Gode,have'beenfsatisfied with respect to the taxes enu• <br /> n metaled°.below;together with.all statutory additions provided by Section 6321;and <br /> s that'the en for,such.taxes and statutory,additions ha thereby.been released: The <br /> proper officer In the office where.notice of Internal,revenue tax lien was filed on <br /> JanilaFy 1? , ' I9�,:iisherebyauthorizedtomakenotation <br /> on:his books to show the release.of said lien,-insofar as the lien relates to the follow• <br /> ng taxes..' <br /> NAME OFTAXPAYER <br /> . t : <br /> �R �pE CE ;;`.• <br /> 1a <br /> b I UNPAID.BALANCE <br /> MIND OF TAX' ' TAX PERIOD ENDED ;,DATE OF ASSESSMENT IDENTIFYING NUMBER> - OF ASSESSMENT <br /> { <br /> s ;tak..,i r;ibl 'Is! <br /> 2114 71 X31—d it i .,75 5O*4*ejc06t� 03:1 <br /> �' • *31.59 0,1).02.i...75' 50tf�4*-3464' - 330.24 <br /> yy i 122.31ds 70 0 2$.+F7 5rr�Q&$4064 49 <br /> z' 1 1040 12.1141- 1575 5 - : 4*28r - <br /> 10400 *►3172, 50$‘4673.4364'" 35*� <br /> fy, 1> 12-35a►73 009.15.77;•.: 5 *-k8'io64 • 145>of <br /> Pl ACE OF FILING <br /> 28 er oftr n38ed8 <br /> County o )� TOTAL SL# } i. <br /> o - Grrt IaI * l�aabr+as�ca 6 O1 .. <br /> WIiNEss my hand at •— Omaha, Nebraska on this, <br />.:,:,..;,:tic.,:,!....,' <br /> ,ttia 23rd"aay of Jai Uary 1s 76 <br /> v= <br /> ^: f <br /> SIGN/AT TITLE r <br /> r n aid' J.. Ii1' s 4.16(14) Special. Procedures Officer <br /> (NOTE:.Certlticete of officer authorized by law to.take acknowledgments is not essential to the validity of Notice of.Federal Tax i_ioli G.CA1, <br /> 26419•C-B.1960-1,126.) s e <br /> f, <br /> PART 3—To be used for recording Purposes- _ �: <br /> _' <br />