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' ~ � <br /> Form 668 (1�(C) ��'��� Department of the Treasury-Internal Revenue Servlce <br /> (Rev.August 1997) Notice of Federal Tax Lien � <br /> District Serial Number For Optlonal Use by Recoid/ng 01/lce <br /> tr!I A1�IES"#" • <br /> ,:�t�+��'���87?. A ; �. <br /> As provided by sections 6321, 6322, and 6323 of the Internal Revenue a <br /> Code, we are giving a notice that taxes (including interest and penalties) <br /> have been assessed against the foilowing-named taxpayer.We have made <br /> a demand for payment of this liability, but it remains unpaid. Therefore, ! <br /> there is a lien in favor of the United States on all property and rights to 99������� <br /> property belonging to this taxpayer for the amount of these taxes, and <br /> additionai penalties, interest, and costs that may accrue. � <br /> Name of Taxpayer C��r}pLETE MED I C:AL GARE I IVG s �, �:r�r��ra r a t i r, <br /> Residence i""�r y ;� 1,,,GGU�T � <br /> � tl L / <br /> �a��vD I SLAIVD� tvE �,�-��a�-����:� <br /> • <br /> IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br /> unless notice of lien is refiled by the date given in column (e), this notice shail, <br /> on the day foliowing such date, operate as a certificate of release as defined in � <br /> IRC 6325(a). <br /> Kind of Tax Tax Period Ended Identifying Number Date of Last Day for Unpaid Balance of , <br /> (a) (b� ��� Ass���ent Refiling Assessment <br /> �e1 (� <br /> �?�i. i.''�:�i/i:�'�T �f-iT:���!1: �7:�1:3�af2��.�.� �7�/'�'��/;:.'��s:��-� 77���'.'�%,�� * <br /> .��i tJ3/;�if1�9}3 S+i-f7E3�2�2 i7E;1f'.�l1�S+�3 t)Tl1�/�r3r:jf3 �14:31 .T;: . : : . <br /> ���� �.��:��.i�.��47 �►�-t7����.� �a:�2�r���� o����r����as z�7.�:� <br /> • <br /> • <br /> � <br /> � <br /> � , ; � <br /> Place of Filing � <br /> fieg i ster ,�f Dee��s Total <br /> Ha i t F►�S�X 1��2 $ '::�;�21 .4F.: � <br /> Gran� Is 1 anr�, NE 69�t��--��;y�� <br /> � <br /> his notice was prepared and signed at ��L�aU�'EE, W� -� <br /> , on this, <br /> � <br /> he �5th day of M�Y � 15►'�9 , i , <br /> . _ �, . <br /> Signat , � , <br /> nue Off s c�r- :3y-Of.-'��i� <br /> for- L.INAtt PRE1'TYhil�ld t�,0�} �,3T-..r.,�,,�� <br /> (NOTE:Certificate of of/icer authorized by/aw to take acknow/edgments is not essentia/to the validity of Notice of Federa/Tax lien Rev.Rul.71-466, 1971-2 C.B.409) � <br /> FART'I-KEPT BY RECORDINO OFFICE Form 668(1�(c) (Rev.8-9� <br /> CAT.NO 60025X � <br />