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3602 West 2nd w t nd t <br />Ger state zip Code city State- <br />Grand Island NE 68801 <br />Grand I land NE 61 <br />Pursuant to the revenue laws of the state of Nebreall notice is be-by given that the Notice of Store Tax L <br />Which has been duly filed against the above named taxpayer, is d& charged, partially released, or r to the :s <br />extent indicated below. <br />TYPE OF ACTION <br />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 />❑ SUBORDINATED. The Notice of State Tax Lien is subordinated as follows. <br />i hereby Certify that the Nebraska Department of Revenue . COmpned with the revenue laws of the state of Nebraska in the cieter. <br />mination of the discharge, parnal r eLfe or subordination indica.ed above. <br />�iiwrer s.[J7Z <br />Title RPVenite Agent <br />Age 3 -1 -R5_ <br />Mere <br />Oats <br />AutheN :w Sig pre Special Agent 3 -13-85 <br />Title <br />Oate <br />FOR COUNTY QFFICIAL'S <br />NEBRASKA DEPARTMENT OF REVENUE — White end Canary Copies TAXPAYER -- Pink Copy COUNTY OFFICE — Goldenrod Copy <br />a- 232.68 Rev. 1.81 <br />supersedes 4. 232.68 Rev. 57a <br />u <br />�- L <br />Notice of State Tax Lien <br />M„et Discharge, Release or Subordination <br />t revenue � i <br />Li.n 5erlel Numtm till 1MSe ill 1! Number Date of lien Sochn Security Number <br />r4/11/800 8 <br />8068 11 -1 -84 507 -42 -4081 <br />Nepraiw 1.0. N <br />�� -- 04�1228�. <br />NurtWar County Lien Filed with Saotts't i Sewn y � <br />Number , <br />,' . <br />BUSINrt= NAME AND LOCATION ADDRESS " <br />" <br />TAXPAYER NAME AND MAiLIMG'ADDMU <br />Cow Palace G <br />Nerve - <br />- 4M. <br />drg <br />eet A <br />Street or Other halnna Adansia <br />