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: JU� '99 07'O�AM U.C.C DIVISION ����P�.�5 y <br /> . .� <br /> FfI.E�. <br /> 99 10 715 4 �f �c� ��� <br /> �9 JUL I S :a� �B�� <br /> � SECtI' STAT� <br /> r <br /> Natice of S#ate Tax �.ien � <br /> � . <br /> � . <br /> a r�� � <br /> P�EABE QO NCT WRRE IN TN�$SPACE <br /> T6is Notice o!St�te Tax Lleu ls issuod by th�Neb�r�tslm Ikp�tu�eot of - <br /> Reveaue for unpaid t�xa purana�t ta t6e revenue lawa oC tlte st�te a� <br /> Nebraslca. Notice is hei+eby Rtvep t6st t�xes lnc�udiog peealties ��d <br /> intereat, which a�+e abown below, a�e dne irom the�lexpayer speciBed <br /> bebw�nd nmsid unpsid otteY demaad. These t�xes�nnstftnte�lien In . <br /> tbe couoty tor re�i and pe�ond prope�►beluagleg to the taxpoyer or <br /> berwtter a uired. <br /> N6�aoKa Ido�tlon Nunb� Ljen Alad 1NM SOCfaI SacurOqr or Federsl I,D.Nurnber Bpouse�s Sacisl Secur�tl►Numb�t <br /> 36b54787 �rofD00d' a001"�'a�` 5a5-a.'1-8754 <br /> Lien se�ia!Numbar 4en TYva v�ot uen Cou�xY <br /> 982i20374 �' ❑�0"�'"'�b0n ��atl 07-12�1999 HALL <br /> 9USIPtE$S NAME AND I,.QCATION ADORF89 ' TAXPAYER NAME J1ND�IAILINd ADDRESS <br /> Busineso IVSm� � <br /> JOSE ANDRADE <br /> SQeet AOeross Str�et w G�r t�a�ng Addraas <br /> 1700 JACKSON ST APT E <br /> cny sa�Ee z�p cooa Gqr �ee 7p Code <br /> S�0[JX CTTY IA 511pS <br /> �� A�eesm��+e Dw <br /> pry Tsx Prrbd � AmoYM of Tax Pene�lky Ilnvnst AddRlol�s <br /> 22 1994 5-33.- 8 145 .00 364.00 555.75 2375.75 <br /> � - _ <br /> TOTAI� $ 2 3 5.7 5 <br /> I hareby certlly tl�t 1he Nebrasils Dop6ub'nanl of A6Vaw6 he9 oompliad wMl1 iflo ro1191wo laws�ttw Sta18 4F NebrBSka i1 Yle AeterRiirwtl0� <br /> d ths aK�ount shoMm W be du9,snd ma�rel t�as�to pay tho rn+o�rR due a1Eei'defnentl. 4f this No�ee oi Stal6 Tax Lien ia an e�dait�on af <br /> Bfl 6f�BCdY@���881V95 OD OOIIIkW6lhB p�0lol�f 0�It1B�9 IfltAf95�I111H9 6}�BC�pfOp811Y dF thA ffi1f�6y6f• <br /> sign - ,�- 9 t�a 7� <br /> � T��. <br /> here � <br /> �. - � <br /> �u�hodswd:�an eNO . �..�. a � <br /> NEBFiA6KA OBPARTMENT OF REYENLIE-White and Cioldenrod COp�es TAXPAYER-Plnk Copy COUNTY GFFICE-Canary CoPy <br /> B A <br /> �pu,r,.r,.qeMe,,,r, �•�9i•�s aa+,1 a05 suvamfks 4s9.-7�raev,res <br />