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C4e(H 10,°5 <br />CHECK <br />11431 20711 0 5 1 0 <br />RETURN TO: <br />NEBRASKA DEPT OF REVENUE <br />P 0 BOX 94609 <br />LINCOLN, NE 68509 <br />REFUNDS: <br />CASH <br />CHECK <br />RECORDED <br />HALL couNTY NE <br />202/I NOV -Li P I I <br />KHST WOLD <br />REGiSTER OF DEEDS <br />C lb 9° <br />RESERVED FOR REGISTER OF DEEDS RECORDING SPACE <br />(Sec. 23-1503.01) <br />HALL COUNTY, NE <br />