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C'H C C9° <br />CHECK <br />insT ZOn 0 I b 3 1 <br />RETURN TO: <br />NEBRASKA DEPT OF REVENUE <br />P 0 BOX 94609 <br />LINCOLN, NE 68509 <br />REFUNDS: <br />CASH <br />CHECK <br />l''ECORDED <br />HALL CCh.:NTY NE <br />MTh P 3: 38 <br />WOW <br />FEG!STER OF DEEDS <br />C 109G <br />RESERVED FOR REGISTER OF DEEDS RECORDING SPACE <br />(Sec. 23-1503.01) <br />HALL COUNTY, NE <br />