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011-1 C 0 .(3° <br />CHECK <br />REFUNDS: <br />CASH <br />CHECK <br />es <br />(P.) <br />0 <br />CA) <br />co <br />(0 <br />MST 7f)73 0 1 3 8 <br />RETURN TO: <br />HALL E <br />2013 tlArl <br />08 <br />13 F-1,' 3: <br />REGISTER OF <br />INTERNAL REVENUE SERVICE <br />P 0 BOX 145595 <br />CINCINNATI OH 45250 <br />C/10.00 <br />RESERVED FOR REGISTER OF DEEDS RECORDING SPACE <br />(Sec. 23-1503.01) <br />HALL COUNTY, NE <br />