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200300197
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Last modified
10/15/2011 1:54:29 PM
Creation date
10/21/2005 3:47:59 PM
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200300197
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01/07/2003 11:61 FAX 14024714429 _ SEBRASR.A UGC <br />Pber.m.nb: <br />STATE OF NEBRASKA <br />DEPARTMENT OF REVENUE <br />1811 WEST 2m ST STE 460 <br />GRAND ISLAND NE 68803 <br />200300197 <br />rMU" GARY <br />Ia 002 <br />Or State Tax Lien Statement of Termination <br />or Certificate of Partial Release or <br />ap.*. Subordination <br />< >wd'aeN <br />The State Tax Llen Is hemny tWy tarmNatetl. UCG Instrumern Number <br />County lnsWment Number 9nn111291 <br />TAX YEARS ( corporate. Individual income, and withholding tax only) <br />u PARTIAL RELEASE. The Slats Tax Lie, o partially released as'otews: UGC lnllr,rom Number <br />Courdy Insrument Humber <br />TM YEARS (corporate, ind'rddual Income, and withholding tax only) <br />L SUBORDINATION, The SMie Tax Llen ie subprdinateo as ronrnrs UCC Instrument Number <br />County Instrument Humber <br />hereby certify the<[ a Neoraua Deparbnent pf Nevenue hzs mmplled with dte revenue Faws of fhc 91a1a pf Ne6meke in <br />ce:arr, lik ^, of a ternlinObpn, perNal rakace, or su6e:dinaMn mdlratetl above. <br />sign a Revenue Senro,Agent 1211312002 3L�'3,a'S -/c Li 73 <br />here P -c revs SlgnaW Tide Date Telephone NC tuber <br />/ Reve',ue Supervisor 1211312(102 <br />• Auth." _ 9 IU a irlp Data <br />P3]:N RN.e3e 9upe,awea , P-2ea ti,. ttas <br />PLEASE DD NOT WRITE IN THIS SPACE <br />Pursuant to the revenue laws of the State of Nebraska, notice is hereby <br />that the State Tax Lien which has been duly filed by the Nebraska <br />given <br />Department of Revenue against the below -named taxpayer, is <br />terminated, partially released, or subordinated to the extent indicated <br />below. <br />Nehrzaka Icertlnrallm Number <br />Tan Ce.tegary <br />Sochi Secunt, Number <br />Spouse's Social Securil, Number <br />6133794 <br />01 <br />60l -04 -0740 <br />Lien Serial Number <br />Lien 111C w T <br />Cate -&L t"n <br />County <br />0111C(302 <br />❑X ROgcter of Daads❑ County Clerk <br />?0 /30!01 <br />Hall <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND NAILING ADDRESS <br />ETetr ees Name <br />Name <br />The Oasis _ <br />Gary R Lemourg <br />Street Addmss <br />Street or Mailing Addr.a <br />205 E Hwy 2 <br />1322 W 8th St <br />ry State Zip ceee <br />City See, 21p Cade <br />Cairo NE 68624 <br />Grand Island NE 68801 <br />The State Tax Llen Is hemny tWy tarmNatetl. UCG Instrumern Number <br />County lnsWment Number 9nn111291 <br />TAX YEARS ( corporate. Individual income, and withholding tax only) <br />u PARTIAL RELEASE. The Slats Tax Lie, o partially released as'otews: UGC lnllr,rom Number <br />Courdy Insrument Humber <br />TM YEARS (corporate, ind'rddual Income, and withholding tax only) <br />L SUBORDINATION, The SMie Tax Llen ie subprdinateo as ronrnrs UCC Instrument Number <br />County Instrument Humber <br />hereby certify the<[ a Neoraua Deparbnent pf Nevenue hzs mmplled with dte revenue Faws of fhc 91a1a pf Ne6meke in <br />ce:arr, lik ^, of a ternlinObpn, perNal rakace, or su6e:dinaMn mdlratetl above. <br />sign a Revenue Senro,Agent 1211312002 3L�'3,a'S -/c Li 73 <br />here P -c revs SlgnaW Tide Date Telephone NC tuber <br />/ Reve',ue Supervisor 1211312(102 <br />• Auth." _ 9 IU a irlp Data <br />P3]:N RN.e3e 9upe,awea , P-2ea ti,. ttas <br />
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