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71 11 <br />P1 = <br />is C r <br />tv rl z <br />x <br />cyl <br />cri t-1 "v: • • ?,-, <br />X :C <br />L.% <br />RETURN TO: <br />INTERNAL REVENUE SERVICE <br />P 0 BOX 145595 <br />CINCINNATI 01145250 • <br />RESERVED FOR REGISTER OF DEEDS RECORDING SPACE <br />(Sec. 23-1503.01) <br />HALL COUNTY, NE <br />