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_ _ 08_'09/2001 ^14 FAX 14024714429 NEBRASKA DCC <br />109 <br />Department of the Treasury - Internal Revenue <br />Fonn 668 M(c) Notice of Federal Tax Lien <br />(Rev. Cetobar 20001 <br />gee <br />Area: 1 Serial Number FO M H <br />SMALL BUSINESS /SELF EMPLOYED AREA t#9 <br />Lien Unit Phone: (414) 297 -3211 390148834 <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 liability, but it remains unpaid. Therefore, <br />there is alien 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 />Place of Filing <br />1811 W 2ND ST STE 320 <br />GRAND ISLAND, NE 68803 -5464 <br />Register of Deeds <br />Hall POBO:K 1692 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at MILWAUKEE, WI <br />the 02nd day of August 2001 <br />[a003/003 <br />i - ucc 'TL <br />i <br />9 INC, A CORPORRTI <br />/2001 01;24 PM <br />200108018 <br />Unpaid Balance <br />of Assessment <br />f <br />16253.49 <br />, on this, <br />Signature Revenue Officer 39- 01-2341 <br />for PATRICK KELLOGG (308) 385 -6548 <br />(NOTE: Certificate of officer authorizad by law to take acknow'edgment is not essential to the validity of Notice of Federal Tax lien <br />Rev. Rul. 71 466, 1971 - 2 C.B. 409) Form 666(Y)(c) isev 10 -00) <br />Part 1 - Kept By Recordint Office CAT. No 60025X <br />