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:�� i .. :��: <br /> 5��. �'�� � � � <br />���T <br />�� <br /> fC <br />�n <br />�' <br /> i � � <br /> . For�n 668 OEVAfl7MEN10F THE TfIFASI1flY-INTEPNAL fl(VENUE SENVILE For Op(ional Use QV RecOidiny O�lice <br /> ' (REV.12�741 NOTICE OF�EDERAL TAX LIEN UNDEH INTERNAL REVEiVUE LAWS <br /> DISTRICT SERIAL NUMBER <br /> Umaha� Nebraslca 30747 <br /> �j ; Pursuant to the provisions of Sections 6321,G322,and 6323 of the Intema� Revenue <br /> Code,notice is hereby given that there have been assessed under the fntemal Revenue laws <br /> of the United States against.the following named taxpayer,taxes(including interest and <br /> penalties)which after demand tor payment thereof remain unpaid,and that by virtue of <br /> the above-mentioned siatutes the amount of said taxes,together with penalties,interest, <br /> and costs that may accrue in addition thereto,is a lien in favor of the United States upon <br /> all property and rights to property belonging to said taxpayer. <br /> � NAMEOFTAXPAYER Van Osdel Inc. <br /> �8S1S B3I` <br /> RESIDENCE 2222 West 2nd <br /> ]b- {)n S U�� Grand Island, NeUraska 6$801 <br /> { <br /> UNPAID BALANCE <br /> � KIND OF TAX TAX PERIOD ENDED DAT[OF ASSESSMENT IDENTIFVING NUMBER OF ASSESSMENT <br /> , lal Ibl icl Idl lei <br /> 940 12-31-75 8-20-7b 47-U5432�3 49.52 <br /> : <br /> � ' <br /> ;: <br /> � <br /> � <br /> I <br /> PLACE OF FILING $gb1St2T` of Deeds <br /> County of Hall TOTAL S 49.52 <br /> Grand Island, tJebraska 6$801 <br /> WITNESS my hand at Grand Island ilebraska ,o�tn�s. <br /> �ne_�l dayo� Au�ust , �s_7b <br />�B: <br /> SIGNATURE y �� ��" TITLE <br /> 9 ���.. <br /> _ Lyle D. I�ietz�er Revenue Officer <br /> � (NOTE: Ceriilica�o ol oltir,er au�hori�eA�y law�o�ake acknowiaeu���ents is not essen��nl to�he��I�clity of Nolico ot Fedarei 7:+<L�en G.C.M. <br /> zcaio,c.n.i�so i,i:s.i <br /> PART 1—To bo relained by recordin9 of(ic: <br /> s <br /> i <br /> . '.N'_,.`._' <br />� � � � � � <br />� � <br /> � <br />� <br />� <br />� <br /> �� � � <br />�`� <br />"$ <br /> � <br /> 3 <br />