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Notice of State Tax Lien <br />Discharge, Release, or Subordination <br />�seOraNt a <br />_ . Rw iitwruetibna on reeeree aide <br />Lilian sarlei Number Reieese Serial Number, Date of L.ten 1 social Secwtty Numb- '-- <br />�� 2 /825 9197 t 4 -8 -82 505 -38 -6438 <br />' ne[ <br />i I.D. Number County rUye(n Filed wnn it <br />e's social security - <br />Number 101712 <br />3J 87387 l T tom' er of Deeds Number b <br />r County Clark Q r. <br />BUBINEBB NAME AND LOCATION ADDRESS I TAXPAYER NAME AND MAILING ADDRESS <br />.Itilneea Name 1 fJa me <br />Mrs. Jans Day Care Inc. Stan Rnjcwcki <br />Street Addreea ( Street or Other Mailing Address <br />415 West Eighth Street <br />City state =ML zip Coca State Zip Code <br />Grand Island, HE _ 68801_ NF 8801 <br />Pursumtt to the revenue laws of the State of Nebraska, notice is hereby given that the Notice of State Tax Lien <br />which ltas been duly filed against the above named taxpayer, is discharged, partially released, or subordinated to the <br />extent indicated below. <br />TYPE OF ACTION <br />D DISCHARGE TAX LIEN. The Notice of State Tax Lien is hereby fully discharged. <br />PARTIAL RELEASE. The Notice of State Tax Lien is released as follows. <br />C'i SUBORDINATED. The Notice of State Tax Lien is subordinated as follows. <br />' <br />I herby Certify tnat the Nebfaska <br />Department of Revenue "as' Compiled with the revenue laws o` <br />the State of Net—Ska in the deter <br />mirNtion o tllsCRarge, rtial rat <br />indica teG above. <br />• <br />Spec ±al A9 ne_t <br />4 -7 -86 <br />re <br />Prelatr„ t r.. <br />-- r— _ <br />Date <br />Special Aqent <br />4 -7_86 <br />Authorised atur _-- <br />__ <br />lisle___ <br />_ <br />Date <br />FOR COUNTY OFF{CIAL'S USE <br />NEBRASKA DEPARTMENT OF REVENUE - White and Canary Copies TAXPAYER -- Pmk Copy COUNTY OFFICE - Goldenrod Copy <br />1)32ti9 Ray. 1 -8t <br />Supeiseoes 4- 232-x, Rev. 5- if <br />