�.�m . . . .,..n -�� �,� ...-�.w,-"•1
<br /> �.rv' . " 1,rn}�nalMpr ur�+MW�-
<br /> � j{�9�.,.����•'�:°•� -- -
<br /> i�.s .. . • , ,.;r..,,,.sd4:,r.k�,:_.r
<br /> <, .... - ��-�----_- - - -�-=- �-_��'F a.� °°---
<br /> - ,. � _ -- - ��`�"��.sai=.�. . .
<br /> u•�, 7' �Yf�'-- �!��7°'s�'s_�e�.:.
<br />.�:e::i._-- '...TG_'SL"Y.^..li'YrF�::S:t::':.Y�L�..":•.8".��o�^�°"��"'�..b"r�t"1f�:'1-:'I7i`�"?te�:�ti•r?-•_t-�_:-.—.
<br />� ...___ ..�.�r'^'_�,�'�.. .r� --r-�rc¢�n-°=_°-°�:cr.'��2r.w."_'a1•—�-°�-��.. _ . __ __ __ . ... .. ..
<br /> _ _ .__ - ---�y3S"���'7+fi�6��'h'�ir.iFlS.=77C' " �'��y� _ri� �. •t{�.7!!LAStl�lt36�•_____-
<br /> .- —.�� ' '�-- ...n�-r. ���n�w,u�.a'.�,�1.�#�'!t1 �A��:*° —- .
<br /> --�--��-� --------- -- --
<br /> . .---- ------- ......__�...........e.a..�..�....�...,�...�-...-�.�..�+.•...�...+�+*+.-�..'++.r-._-r..-�..��.-..-,�.-._.....�... - -- -- . . _.. .
<br /> �tat�Tax Li�n S4et�ment ot 4irmirf�tlon or
<br />_ �
<br /> Csrtificat�ot Rartlat RN�as�or Subordin�tlon
<br /> �4��"��� .
<br /> u.ns«w� T�c n.wau«�
<br /> 4/10/308 O1 10-6-94
<br /> N�br�k+�I.a Na Qxrfly W�n F+Nd MAri 8aw BwK�Ny Nuno�raFiOryt I.o.Na 3po��ey SxW S�axlty No.
<br /> 6770665 Haii �I��aona. ❑camsycwnc
<br />- W�ii ti�YE A�LOQ�110t1 ADDAESi TA�AY4:R NAME AND IWI.![�K�ADDIIF.�!
<br /> �irr�t�tnnr S�tWMMNrn�
<br /> Lar V. Mei{evitt
<br /> ea�e�aarw 8en�taaMrMlY�gAd�w
<br /> P.O. Haoc 282
<br /> �Ar s�. �ooe. cry s�.�e apcoa.
<br /> Grand I�laiad NE 68602
<br /> P��►a�tbt�ee+�s�ewe4wsotttieStateotNeMaa�SS,natkeM�asby`ha�tY�ifLeSt�te'hsLkaw�Ic�IttsbeeadWyQkd -
<br /> 6�fke K�,slu Dep�etaeutotReve��e agaiaat We sbove-ns�ted�er,b termta�ted,par Wlbr tplased,ormboedlsahd
<br /> 3o the e�rte�t isdicated 6ebn. `�
<br /> T11PiE OF1►CtlON
<br /> ��RYMilAT10l1 OP TAX UEI�I.Tho State Tax Urn is IxRby fu11y tem�instsd.
<br /> Ni�TRi�i1�NT it�lIIBEOi 4�g-108321 YAX Y�ARS(itaiividwi lnconM tax oe�!»
<br /> ❑PAi1T1AL RELF�SE 76e Stote Tix Urn ia parti�py released as foilov�n.
<br /> MSTR�lAE�iY NUMBER TAX YF�RS(Nfi!lnldwl Mcon»tmt an�
<br /> Q�+�'P.�lA'!!�.`!. 't!��sx'3'sz!�s��s i�ito:vs. _
<br /> MtSTMl1�➢�'NtlMBER
<br /> 1we.aoartymrdno�p�tana n�auel.rorflroaANlaR.aa�►rw�s.«Mbo�irndonw+n.ovrop�iatNiin�afo.
<br /> � �n. o.p.mnwnaa.wn»e.mnqiw.ama»�.wr�,.ar►sanesn�.at�scxa�r,Mm.aw«nwnwa�aa�.
<br /> �wswa
<br /> si n , .
<br /> here `�� �. . �.-- `��3' �.,� '"`" °�f`
<br /> ��° ' �7
<br /> �
<br /> Fon ca�rv or�c+��s uae ' . �
<br /> o-i. � „
<br /> '� �. . c:zp (� n�
<br /> �� �, � `"_' � � � i -
<br /> 1'�`i .? r Q '�n � o,
<br /> � �� c� Cd �^ � F•!� •,i�P
<br /> � � � t�vt � � � � .� �
<br /> � � P C c 3 � �► ° -:
<br /> � m �y � e+
<br /> � �� �' � �
<br /> � � ..c
<br /> . ff'1 � '�in cw s�•
<br /> � N �
<br /> � O ! -.,
<br /> [�
<br /> DHP/tRT11AENT OF REVlNUE-Ylth�e arM C�nary Copfea TAXPAYER-Pink Capy COUNTY OFFiC�E•Cialdenrad Copr --
<br /> � �bq�Pr(I�Md�l�.)aYdJ� a�32a6Nw.s�9t9p���es�232�GeRav.P9t fi',
<br /> R._
<br /> r.-
<br /> - -- -
<br /> . _ . . _ _ ____'-_.__'" - _ "-.-Y;rc�r�` _
<br /> - .. . . , ). . _' T�. t� •� ��f!� •. � �_i
<br /> �.. .. . . .• ., .. ., - a 1 . � i:, �� �l..�v ' .' ..0�;�:+;x.
<br />.s _ " „� � ' � ' . ti,s• ~ -.J:�"1f.w'"F`..:..;::r.: �'.*;�::y"�,�,^,c,"'--y.-
<br /> �V . •.r� �`"�. _ .
<br />�-.y _' � °.. _ . i..lR,� .z 'a . J (•.
<br /> � .r •�,1 `kk,:..��� � . c.�-_
<br /> � � , . ; ., � d-r�"; �t=- t+ �y• •'-1 ��=�
<br />-�l- ` . - " , . . � . . .. . �): . '. H-;� � � N• �+J' � ..i�``�!{N -
<br />'� . . .� �� . �1 . ii ,a . . w4,.�.r,vy .. .}.�l �}-
<br />� - . . .� . .� � , i J .. . . � •�tY• '�Y i�. Yi�ti� ..Y
<br />. . .. � . .. t1 .� . b �. ny.•�..r . �. ]
<br /> t+u a a'1�,� �}i'
<br />�,�.< .. ` . ..: . y ' ..� � H - .. '1> ''� y���^+,, _.
<br /> � . - . � • .. ,"�l� 1'�_
<br /> �. . ' i .• " . .. u ��,^ u4 tr..�s_ .
<br /> }�� - •. .. . , " � • .. A`_r 1•1���I�'S W�'1_.
<br /> I
<br />.. . , �. r .. . , af � U . ., . . ,� .' .. -�+ �+ .� I��.. �.t'�e• .�.1'��4, ''�'(y��1ti
<br /> ., . .. ,. . • . ' ., ' ..� F '�����,��^y.��,4��:
<br /> .. . � . . � , `F} 4��L�CiiA� •
<br /> . . ° , - .• o ' e. Y�.i�41� . t �47:l14..a�
<br /> .. , .�
<br /> .
<br /> ., .. .. . . .. .. . . __
<br /> .. . ..._�._.._-' _. __ . - ._ . .-.
<br />
|