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� � �� <br /> i�h ' ., . <br /> '- <br /> �P . . . ..._._.... . . . . . , +' + �' :' - --- - . ... _. <br /> �� Form 668(Z) ��� `4 �ur,�Interriel� v ������ <br /> (Aev,B-9� Certi �ca �����de� I <br /> r , . <br /> pistrict Ser{a!Number Far Use by Aecording OHlce <br /> �t�nat'►a +�4"T9'OOti�a4z ���<<i <br /> 1 certl that the followin •nsmed tax requlrements o?sectlon 6929 a ��t U�'� �'�� ' � <br /> iy g payer,under the O <br /> ot the Internal R�venue Code has sati$fied the taxes llsted below and all statutory �� ��;r� �; '� <br /> sddlt[ons. 7herefore, the Ilen provided by Code section 6321 fOr th'ese taxes and "`' �� ���+' ��;� ' <br /> additions has been refessed.The pro�r ofticerFJn the offiC� �+�ere the notice of S��i r ST�t� <br /> Qi+rua�ry <br /> � lnterr�L��ehue tax (ien was flled on ' , <br /> , Is authorized to note the baoks to show the release of thls lian far <br /> these taxes and additions. gg��j8�06 <br /> Nsme of Taxpayer DI��E.,�y Q. � EtET�E .�G, �'lAf�k; , <br /> Residen�e 1 q�� �EW�A'aTL� FiD 1 I I <br /> �iK.�Np ��{_A�VD� �!E �£�SO f � <br /> ��UF�'f t�;�CCiFtD�NG I NF[�RMAT i CrN: <br /> �.i�er �a�P UC�' �la. ��ri.al iVa� !� ` �� <br /> r�/a n!a �'s!a �b-lUC►749 �, '��� L��� <br /> Kind of Tax Tax Period Ended Identify9ng Number Date oi Last Day for Utlpald Balance of <br /> (a) (b) ��� Assessment Reslling Assessment <br /> td1 !�) (�1 <br /> �440 i��31!l,�r.:_� 5��-4�-5�4I ���.:_7�t���' S�fc�fi9�� �4�c{'.�{5 <br /> �a��+���+c �-��e�����x x� �e����r������+� a��c������c��-�� ���t��a��-�����r �r�a�������������� <br /> ��U{ � q� � q", ,(`"�'(,.i 5''� .,�' <br /> . i /r � i �yi � <br /> ��� ,� � �' '� h��.I•tiJ ll � �„y�n� ��'. <br /> .�,p�, '.���� �:: � � ,, <br /> < w���, �+ ��;� <br /> Place of Ftling � <br /> Re;� i s�er D�f Dee�s ; Total � <br /> F4a i t Yt�CDk id�?� • �`���.�'� <br /> Gra.eti� Island, I�E �.�£��-f.�yi <br /> 7his nati�ce w�s prepared and signed at Qmaha, �tE , on this, <br /> the �7�� day of R'��cRSCt 14�� � <br /> , <br /> Signature . Title ' <br /> Ct, i ef a �.�'.�� <br /> (NOT��Ce�Uflcare or oNicar aurhorrzetl by raw ro[eke acknpwiangmenfs rs�r esaential fa�e valrtlrry a�Certifrcef�01 Re/ease of F�oera!Tar!!en Rev.RLr.yl�68, 19Tl-2 C.B.dQB) <br /> PART 1•RECOflP1N�QFFiCE FOrm BBB(�(A�•B-9� <br /> � 'c.%�.�'.�d ��1���'tiIQ �����II 1���6�:Z� ��r Srr.r' lnH'4T.N0�00'161 <br />