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08/01/2001 16:10 FAX 14024714429 <br />NEBRASKA UCC <br />109 - <br />Department of the Treasury - Internal Revenue <br />Form 666 M(c) Notice of Federal Tax Lien <br />IRev. October 20001 <br />Area: Serial {Number <br />SMALL BUSINESS /SELF EMPLOYED AREA #g <br />Lien Unit Phone: (414) 297 -3211 390146717 Fi <br />As provided by section 6321, 6322, and 6323 of the Internal Revenue <br />Code, we are giving a notice that taxes (including interest and penalties) <br />have been assessed against the following -named taxpayer. We have made <br />a demand for payment of this Ilablilty, but It remains unpaid. Therefore, <br />there Is a Ilea In favor of the united States on all property and rights to <br />property belonging to this taxpayer for the amount of these taxes, and <br />additional penalties, interest, and costs that may accrue. <br />Name of Taxpayer LIL COWPOKES , a Corporation <br />Residence 2211 COCHIN <br />GRAND ISLAND, NE 68801 <br />Place of Filing <br />Register of Deeds <br />Hall POEOX 1692 <br />Grand Island, NE <br />Q002/002 <br />ucc Fri <br />l <br />L7 Pqs; t <br />A CORPORATION <br />12001 02:43 PM <br />20010 7602 <br />Unpaid Balance <br />of Assessment <br />(f) <br />550.71 <br />This notipe was prepared and signed at MILWAUKEE, WI _ , on this, <br />the 25th day of July 200 <br />Signature 0 i Title <br />Revenue Officer 39 -01 -2337 <br />for MICHAEL PONTE I (3 08) 385 -6548 <br />(NOTE: Certificate of officer authorized by law to take acknowledgment is not essentiai to the vana,iT v1 ivv.rce .,1 o. ­1 <br />Rev. Rul. 71.466, 1971 - 2 C.B. 409) 1 Form 668(Y)(c) IRev. 10 -001 <br />Part I - Kept By Recording Office CAT. NO 60025X <br />