_ �_.;_
<br /> - .� _ �
<br /> � _
<br /> _
<br /> Y x.:-q�., . - - u - - ..
<br /> _____..._ ._._ . __ ___ _ _ __ __
<br /> i
<br /> . '., ,:�-_`'
<br /> �_ , . ` . �U_' �A `•�i.. ; t��`... .` � � . L__��- — _
<br /> _� ' t ' . 'tc sf. . . << ` � r. . V . . � - r'.�_-.. . ' . .. . '? .. .. . .. . .�y - '.{�'
<br /> e�.a.� <..-- � — . � `fi x. f:. _ ` , -.' .c a --
<br /> ° _ ,. ... ��: .._ . .. � .--L. �.. . _ -,`..�. . .. ._ . �- _ 7�� , _
<br /> . • " � ' ��fs .�•�� .. .
<br /> �- - � � , ` ������ ` ��'"�� �
<br /> .— -< .
<br /> — t . < " _ w � .- =��rt��. ��i�. �� .� - `
<br /> �R�' TO�ENT� IIU*. � =1 7 . . ;i
<br /> ,.:--s�e1�E_�p�..�•-1�1..��l��i�-. - � � = _. - - - : - - -- - -- F - - --.
<br /> � TAa[Ai�:���EAIt `_. �. � . . .
<br /> ` �L�EN N0• '�. �4123�i0�01�. � � Ep1i�' F a� BETrM C MICKELLS {F .
<br /> �611MTX , ` lt�ll� - �"
<br /> -�� -- —___.
<br /> �` _�A�E.�:;N¢TICE� . 0�/Z3191 < �� .Mt3�MA. �T ._.._ IA-'�� -- s.--.-� -
<br /> �_ _II�T��-x3sfst�if�- , oi1�7I9i � ��.�1��L-at -. .- - -
<br /> :�_ - � . : `
<br /> fi�3 iitl[�CE GF STA�'�� TAX�I.IEl1; IS ISS�I�D� 6Y' Tli� liE��ASKA DEr�1r'filEllt OF ,.
<br />��a,:=:. RErE1M�"FOR IIDIMIaU�►L I�iCQ!!E T�% l�1I.R�i�� �' TME REYENU� i:AMS OF TNE�- -- .�=--- - - -
<br /> STATE-O� l�DR�SIU+ �N�TICE IS i!ElIEdY�t,l�r��f1� TN�T IMDiYI�U/1i. ME :a
<br /> � TAxES .IMCLI�IMC tENALTIES Ai� IMTER��� iillZCfi� A1tE SHOMi BEI�iEE DUE
<br /> .. -FMOM TNE-.TAI�AYER SfECI�IED It�OME AIM��:�R�tAA�IM'.UNR�I11 AF�ER QEIIAMO.
<br /> .� ��,:'�l�3E TA�4E5 CaNSTITftTE A r:IEM Ilf.Ti1���8tJM7':Y �R,- lRarEltTY �Et�NC3MC TG .
<br /> °J �. .TIIE TAXfAYER #1R�:l�REAFTEII wCQtfI1tE0+;:- . ` .:;
<br />'�- s� �A�� � TA�E_.::::. • • • v •.i�� �. �;<''s ,• � � • ,� i • • • • �, �6�OQ ,; ; _.
<br /> � 5` r�N�tr. . :,��: . - � :
<br />: -;,;�s;,' • w'R �:;� • � • -•t • s�*� � •' �.���"s s .� �.`.s..� � • � • � . �.T6 �-� -
<br /> Yl.laS� �y.�' ` TQ QBI���i�. • • � t• 4' t �.i � � � • � • f _�
<br /> INTEREST �C��" . , ,
<br /> ` '�,' � T�1TAl A �,` z� ��s-� �_r i.:s• • �,r �.'�.,'�':� � s • � � � .� ZS1�56 _
<br /> � ����Gact�� .:,�. . . .. .. ( .:
<br /> , �: :(�� :..:.r�'�.• . '• .''� : . �..,.,. �� �.�w�1%i�V����.Y '�. �s�-_
<br /> ` 'j .k ;,,. , ` I HER��;s��ER'�.1�'``Tl�A't���.'� NF.�RA�ICA�DiiPAR�?1�if:NT QF TIOM flF ?. ��`�
<br /> � `� .:.:.1ilTii.`����tE�.tAli�:'`�F-"THE �'�'�� QE� 11�BttASi(A IH THE.:�A�� �__-
<br /> . �.'n _ ":f.;:- �� .,.��. � TO 8� P�E• w�:`=lt� TA�RiIYffR� HAS FAI�::�C:`��i�X`_�?fHE �.:.�::.�:—
<br /> ���,:� :�� - ;
<br /> ., �. . . ,,
<br /> , :��:zg�.�� dH1A1Q.` 2F`��.�ZS MiI�fiICE OF STATE TAX�.:.L,'�M,.�S:�11�! `.;• �;-
<br /> � � � '' EJ�E��11. OF"��i f EfFEfT'�'� ilEll'I•T'S,Q:R1tES� TO� CUMTINUE �;���:�'NR� OF , - � ,
<br /> � , �THE'Si''A���S�`I�EREST '�'l.O,:TH FEC�D��.PIt08gRTY OF THE ?�'���YER+"' . � ` ' �,�„,�:.
<br />� _ `f � ' � ;5,1.". - � ,.. � I �/7fr` ! � ' � j'�� ��T==�
<br /> �� - . r , � �/'J
<br /> ,,rr,,.(,' '1� ;,,. r..;:;;;.� � � , ; , '`� ��Q.�`3�j J�o�.J -
<br /> • �,,F� ,� . � •��r �r • �w��if`/�� •�• •• • �`_-�_-:_
<br /> . . G'� OATE/=El:EPHONE �
<br /> • �'''�•- tR � SI6NATURE T E . �
<br /> �+�'f�?t' ` ' � 7 i�:-
<br /> .}.�4:. . ��� , �,� ` :��i���-�1 ;.- C -
<br /> ��s_� . .. .. ....... . . ,�: � .. ' .�........ ... ....., ,....... .� o � , . .
<br /> ' r�:; . �tlTNOltI D SI�MATURE TYYl:� OA���;. . �� �. � � _
<br /> ��:., ,�:.,`: ,•. ,
<br /> �', •��� ' , , • -
<br /> .. ��,.- � - FOR�CtIUNTY: �fFICIA��S USE f �` ' _
<br /> 1� ��t•F.
<br /> ' 1i; �� ' . - � t .jt;�l
<br />. . �. _ . � , . , , '�t�$� '
<br />. . 1'`,�ifR . '`-K. . ` (((\\\��� • , .. � . . . � �/A :� 7 �' •
<br /> '�.ti`.�:il a ��., � � �,• , � r.: Q� � ��� ~' � ' t .
<br /> f,•�'�, z . �' ' � � C��' � � ��y �.` : •`, -
<br /> _� - • . - .'_ —t:*'i:'r- ' ' .=�}ji' :
<br /> �}�� • - � ;N`.r L^� �j I'R�� p� �t�i't1t.Y,�` -
<br /> . ,ltx,_ �G ..� N ;� +'!!'r _
<br /> � T, ' !} � ��1j"��'rri _
<br /> � -- . . , . . :�.j'�� �� �,i � Q [:ri L�.tl#t•�}:���} _��
<br /> I ' �: �...� � � . �" � . '�,� z �,,.,� � i- ". '
<br /> �.,�`.� 0 .� . : � ;.;.: , `i= =a O .:� � ',i�. �:
<br /> ' _ '�i: ' , :n'i,.:i. .�<. y..., '� -.,t .
<br /> .�. , .i� � �' � . . . . . . . . . � ,.�, t•?'fY�. � '� ����'�';��,=i'�y` '
<br /> �tf-�:ip_' � " �� ` ,. : . , . . , �}.� �*u� �' � �/' � Q �• '.'}.`.tfiJ1.' .
<br /> ��.t, ii .f� �'f�'. N � �
<br /> �' 1 � �
<br /> J��. . �;;,.: ,. , C9 ' :
<br /> ',,y , ����tt,.el�.,". . , 1. i' .
<br /> . ::.�;i��_ ;�� ': '� . : . �
<br /> . ':'��i. �; OEPAATMEN70FREVENUE—WIif3�&raZ�2Ct�'�^.opiE9 TAXPAYER—Ftrtk,COpy d'Q1U�ifY--�Od�� b9t �•:r;�t�'
<br /> �t�,a�t��j�, � . -
<br /> ,; ; .�,Ni�;f• . ,. s�c.�.cti�.,is»a« eso
<br /> �'.,;; n• � , • ,
<br /> �'�;i���:_ . . . . . . �� � • � . . ' '.%` . .
<br /> .
<br />' .�.�,..- • � . .. '
<br /> . . . :::. . . . .
<br /> . . .... , : . . ' lf!;;'- .
<br /> . + • , .. .[1:1 . ' _ ' ' . � . '�':��i .� .
<br /> • . " .
<br /> . .. .
<br /> ' _ _'"_
<br /> , .'�e',r�. '_�___r_" _""__'' � .. . . . . .. . , � .{1�'" '' .
<br /> � !�.+tr. ' ' . . .. I. .•,l,' . . ' ('" . .
<br /> �. . � . ' ' . . . . . t:i�'�.: • ' . ' ' • . . .
<br /> �. _ ' ' ' , . . . . . ' . " , _ _ . ` 1 . • .
<br /> . . .i.�.. . . . ( . _ . . . ... ' ..`�''��',•.t. . .. -
<br /> � , .. • • . ' . � '. .. ' - .
<br /> � ' � . . - ' ' r • r 1 . I . , . , •
<br /> .. •. ' . . '.. � . . , . . _ _ ._ . .. . .
<br /> .__' ' "_ _ _._._._:_.��-.. . .. _ . . .r:. � .
<br /> _.__-,-__.-, - . ---_ _-__ "'-�......`.:._.�"_�..�.�:__�."__�.___��=_.J_..�.�.._""_�" ."'_ '" _' ___...� . ___'". ...'_"__"_ �_._..�.'__'__� " --_-_-__ ..__..-._,-.__.
<br /> _��..,�.,V.. _�.....
<br /> . . . � . {. ' . . " ..� 1-� .. . . . . .
<br /> • . _ . . . '.l.'. � .
<br /> . .. _ � ' ..---- . � . , . . . . '' . _ � . . .. , �(:�' , r ! .. . . .. . _ . ,
<br /> ' � • : . . . . , t, - ' . ��.
<br /> .
<br /> ' ' � � . .. .... .,_ . . .. . _ � .
<br /> . ..
<br /> j . t .
<br /> .. .
<br /> i. �.. .. - . .' �' ' . . . .• � �� ' � .
<br />
|