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202110612
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12/15/2021 4:31:11 PM
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12/15/2021 4:31:11 PM
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202110612
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20211061 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2112000748-1 Pages: 1 <br />Debtor Name: FLATWATER MATERIALS INC, A CORPORAT <br />Filing Date and Time: 12/15/2021 09:53 AM <br />Form 668 (Z) <br />(Rev. 10-20001 <br />1654 Department of the Treasury - Internal Revenue Service <br />Certificate of Release of Federal Tax Lien <br />Area: <br />SMALL BUSINESS/SELF EMPLOYED AREA #6 <br />Lien Unit Phone: (800) 913-6050 <br />Serial Number <br />423873221 <br />For Use by Recording Office <br />I certify that the <br />of the Internal <br />additions. Therefore, <br />additions has <br />internal revenue <br />2021 <br />following -named taxpayer, <br />Revenue Code has <br />the lien provided <br />been released. The <br />tax lien was filed <br />, is authorized to note <br />additions. <br />under the requirements of section 6325 (a) <br />satisfied the taxes listed below and all statutory <br />by Code section 6321 for these taxes and <br />proper officer in the office where the notice of <br />on February 03 <br />the books to show the release of this lien for <br />these taxes and <br />Name of Taxpayer <br />FLATWATER MATERIALS INC, a Corporation <br />Residence438 MC HIGHWAY 30 <br />GRAND ISLAND, NE 68801-0000 <br />COURT RECORDING INFORMATION: <br />Liber Page UCC No. Serial No. <br />n/a n/a 202100937 2102000162-0 <br />Kind of Tax <br />(a) <br />Tax Period <br />Ending <br />(b) <br />Identifying Number <br />(c) <br />Date of <br />Assessment <br />(di <br />Last Dayfor <br />Refig <br />(a0 <br />Unpaid Balance <br />of Assessment <br />(fl <br />2290 <br />941 <br />07/01/2019 <br />09/30/2019 <br />XX-XXX4341 <br />XX-XXX4341 <br />07/20/2020 <br />10/05/2020 <br />08/19/2030 <br />11/04/2030 <br />173.11 <br />6061.39 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />Grand Island, NE 68802-1692 <br />$ 6234.50 <br />This notice was prepared and signed at <br />the <br />CHICAGO, IL <br />17th day of November , 2021. <br />Signature <br />Title <br />Operations Manager, <br />Centralized Lien Operation <br />on this, <br />(NOTE: Certificate of officer authorized by law to take acknowledgments is not essential to tho validity of Certificate of Release of <br />Federal Tax lien Rev. Rul. 71-466, 1971 - 2 C.B. 4091 <br />Form 668 (Z) IRev. 1020001 <br />Part I - RECORDING OFFICE CAT. NO 600261 <br />
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