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x5 el el <br />m <br />Ni -n rn <br />cs) C CIS e - <br />= el 0 <br />n z <br />3 <br />co III 1 '''') <br />(s) m > tri <br />--.1 eltri— ,,, <br />c,..) <br />RETURN TO: <br />INTERNAL REVENUE SERVICE <br />P 0 BOX 145595 <br />CINCINNATI 011 45250 - <br />;5 <br />2 0 <br />:73 <br />CAJ <br />N) <br />RESERVED FOR REGISTER OF DEEDS RECORDING SPACE <br />(Sec. 23-1503.01) <br />HALL COUNTY, NE <br />