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0j7j£017Z0Z <br />II . T Z.T. 0 3 t! 4 0 <br />RETURN TO: <br />INTERNAL REVENUE SERVICE <br />P 0 BOX 145595 <br />CINCINNATI OH 45250 <br />CAC n �6 <br />C ECK <br />REFUNDS: <br />CASH <br />CHECK <br />iDED <br />HALL ` ` ( NE <br />20211 <br />I:? E <br />7 3: 03 <br />'_+DS <br />RESERVED FOR REGISTER OF DEEDS RECORDING SPACE <br />(Sec. 23-1503.01) <br />HALL COUNTY, NE <br />