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<br />I <br /> <br />---,.__.---:---._,._""-:....~-.--r----. <br /> <br />""FOfmflSlHC) I <br />i i <br />(Rev. ~ftb,; 1983} I <br /> <br />---_._----,-~--~ <br /> <br />" ',4,-1 <br /> <br />Department oflheTrlilisury. tRl!mtal R_~Senilce <br /> <br />I <br /> <br />i SeriafM.imbef r <br />Omaha 47 i i~ 4JS&i OS!! ",a,s. L <br /> <br />'1~:r~hl~~~o~~:o~=~~:=~~~:t:~~e::~I:~~f:,a;~ I <br />::S:*t:u~ :'::. ~:=;,,~~ ~~:b~ff~~n ~:i~:~~~r; <br /> <br />lhenotiC>>ofinlemalrevenuetaxlienwasfUedon -".June 25 . , <br /> <br />19-M" is authorized 10 note the books los~therelaase of this lien for the . '.'- <br /> <br />lax"" and additions, I <br />I <br /> <br />NameOlTa,(paye(~~~1~~~'~'" S t.. ven ...~~.~. & ~ ~~'~r~~~----~-! <br /> <br /> <br />Cedifilte:, of "Releaseof' FederalTaxli. <br /> <br />District <br /> <br />Residence <br /> <br />8J1 SUflSQt <br />al"iHHI 1$1&IH1. at: <br /> <br />6SQOl <br /> <br />'--~----'! <br /> <br />~\! '::~ t:.t~~3:-'1~;\"~1--~.."'+.:.r:!;~~~1'~~~~-'C>O>~~~~~'.. ~ ~.. t;;-"~: <br />'~,i"(~, ~ti..._" ,.,o;-"'~'-~.I'il')-"":"-'-.1? i4l."f$>}'.t~:'( ~",:;-.'",? .k....;..~;"J.'~'!- <br />_,' lr---t ~,~.>; "t.~J,.--.~",........ .-.......;.'''""~~--",-\<i-/}.... b~',~'i~'J:-....r..."t~\.~:::".l:".... f:'t. <br />. . .,." ... '~~J"'r ....'\;;0., I" ~: "- ., ~ ~. ; _,.. ,f~ ~ ~ r- --: '-, ,,_;'Ii ; ~ ij ..) '". <br />........,'" :... 1"-__"I.;;:~-."1,l~~\. ''';,,~''''"'i''....~~~..J-f ?""'''''. ,'-" _.._~~~ ~ <br />,,~~ _ ---"'.. ..., '"-___.-\_. "'!-" t ~--" v .~-~~. -..^.,.~ ,~-...., <br /> <br />(0; <br /> <br />'C) <br /> <br />Oateot <br />Auessmen' <br />if/) <br /> <br />K;ndutTax <br />,a) <br /> <br />Tax Period <br />End;;d <br /> <br />Iderritiyjng'Numbr <br /> <br />l. 040--' -'lr~ j ~ ':;:11: <br /> <br />.~-~----------'~---'~,._~..- <br />;)01-0$..7093 <br /> <br />iJ3~JS.B4 <br /> <br />L' ',Dayfor <br />K.ttIU"9 <br />(fJ) <br />04.04.:;0 <br /> <br />Unpeld8illlmoe <br />i ot~t <br />W <br />$ q.,ilOO.OO <br /> <br />..., <br /> <br />~, -;":-- <br /> <br />~tij;lhf~r-: i~:~.:=- /,"~ <br />~~ ~~ "'".stir ....r, <br />. Hall County <br /> <br />t'l_,-",_ <br />U'CiQ'U~ <br />~rlnd lsldud, ~8~rlska <br /> <br />'.>dlhllotal <br /> <br />4,~tVU.O\! <br />S <br /> <br />Th!S ctlftlhcattt WaS p1eparoo and SlgnmJ df <br /> <br />,tJdt~a. NciJL~~_. <br /> <br />on this. <br /> <br />the. l.ith day 01 Al.lgu",t. '9 8,4.. <br /> <br />s.9naIUl"~... .~JJ ff6W <br />~ld__T~ ~ <br /> <br />~l~;;.~t~~~ ~~'~~.<..~ ~~;~rib'-_r 0, _~-'> :~- :,tiiW {fi;*-:1V."I\.~T~n;s ,"" <br /> <br />T,He <br /> <br />Form 6li8(C) (Ra., 2.8JI <br /> <br />~ <br /> <br />('.hlt..~f , <br /> <br />:~p::_~' Id 1 Pn )(::(;(itl["C~''; <br /> <br />':t'S~W'i.:t,!~ 'f'~ .aiowt, ~-J,:':tl-JtdICdrti oJ R~~ vi f.:H)t!:(dl ;a~ LAJotJ <br /> <br />L <br /> <br />I <br />L- <br /> <br />I <br />--.J <br /> <br />1_- <br />