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r; �. <br /> ��� , ., <br /> ��.`��.�'� � � <br /> e• 'f' <br /> p��l`i <br /> �1��.���1�� <br /> R'�;�`.L';..�: , <br /> ,..:"i�,�7��'�G <br /> $%.¢�t <br /> ��� <br /> . ..... r - . . . . . . . , . .. ' ' . � <br /> '- FOrm6EN� OEPAOTNEHTOFiHETHEASU�Y-INTF6NALPEVENUESF.IIVICE ForOptionalUscByFero�JinyOlJrce _ <br /> �Rev.�z-7n� CERTIFICATE OF RELEASE OF ffOERAI TAX UEN �_ <br /> DISTWICT SERIAL NUME3€R � Z995S <br /> ��/l1�ay d�ik <br /> I heraUy certify that as to the following-named tnxpayor the requirements ot Soctfon <br /> �32G�a�,intornal Revenue Code,have been satisfied with respect to the taxes enu� <br /> maratatl below,toge:fier with all statutory additions provided by Sectlon G321;and <br /> that the lien tor such taxes nnd statutory additions has lheroby been released. 7he <br /> p oper offic in the office whero noticqp f internal reven�e tax lien was filed on <br />� Sanuarv � , 19/6, is herehy authorized to maka notation <br /> on his books to show the release ot said lien,insotor as the lien rniates to the iollow- <br /> ing taxes. � <br /> i NAME OF TAXPAYER <br /> ri ��� <br /> 5_ <br /> ResioE�vc� <br /> € '��' <br /> �� � �ri <br /> UNPAID OALANCE <br /> - KINO OF TAX TAX PERIOD ENDED OATE Of ASSESSMENi IUENTIFVING NUMBER OF ASSESSMENT � <br /> � lal lbi lcl Idl 1�1 <br /> � .�+� �/ b� <br /> � �� �.f,.+W f�,� W�'�f+� �{�� �t����� . <br /> 2.� �� �.vl�� � �l�� <br /> � <br /> �u- L,�r� �5 <br /> � PLF�OFFILING � � <br /> ;,; <br /> "` ��� TOTAL S �s;Ts�� <br /> �_ •� =.'" Grand Island, NE 6E3801` �__` <br /> � �� •. <br /> W(-TNESS my hand at��_" Omaha, Nebraska _____________ _._________ __ ,un this <br /> ; 'v �. <br /> ` thc_20th day ot—_M� . 1�—76--------- ----- --- <br /> :� <br /> t <br /> ; SIGNATURE TITLE �� � <br /> r pona d . h ers Spec�al Procedures Officer <br /> _; �---- - ---- <br /> � i (NOTE: Certillce�u ul alficor aufho��zaJ�y luw to take ocknuwladgnionts i�nut ossxnlinl to thn valltllry ul Not�ca of Fntlnrnl Tua 4iun G.C.M. <br /> 2G417.C.e.1960�1.175.) <br /> � e PART 3—To be used(or recording purpos�s <br /> ; <br /> 2 <br /> vy� L� � J <br /> i <br /> �,��.�`:�d•� <br /> �7:�,;^�'�-7.�:£ <br /> _ �'-�� <br /> _ ' ��r- <br /> 7 <br /> � <br /> } <br /> � <br />