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<br />I <br /> <br />---I <br />Fowl 668 I <br />(Ruv, September j 978)1 <br />i <br /> <br />Department of tho Treasury. Internal Revenue Service <br /> <br />~ <br /> <br />J+"1 ____ <br /> <br />Certificate of Release of Federal Tax Lien <br /> <br />I FOT Optional V$E' by Recording Ottice <br /> <br />I <br />, <br />.---; <br />i <br /> <br />-'-T ---, <br />! Serial Number <br />! 4'0'113 <br /> <br />i <br />n <br />II <br />i <br /> <br />I <br />, <br /> <br />-6istrict- <br /> <br />I certify that as to the following-named taxpayer, the requirements of section 6325(a) <br />of the Internal Revenue Code have been satisfied for the taxes listed below and <br />for all statutory additions. Therefore, the lien prO\fided by Code section 6321 for <br />lhese taxes and additions has been released. The proper officer in the office <br />where the notice of internal revenue tax lien was filed on ;>/R . <br />19~, is authorized to note the books to show the release of this lien for <br />these taxes and additions. <br /> <br />,84-004986 <br /> <br />I <br />I <br /> <br />Name of Taxpayer <br /> <br /> <br />L aDd if 1\"~Uor& ~tlM4 ia eorporatj"oa) <br /> <br />Residence no _~ 9tb Bos 292 <br />__ ti..., ~.aka 6U8' <br /> <br />KInd of To , Tn PerIod Ended I Date of Ann.ment <br />(a) I (0) ! (e) <br /> <br />Ie <br />I~ <br />I __.a.,.. <br />I 8007 <br />I <br /> <br />Identifying Number <br />(d) <br /> <br />941-G1 <br />'41...ot <br />941....ot. <br />941-01 <br />Qj.~,^ <br />~ <br /> <br />O~l <br />,~1 <br />1~1 <br />I 0J-QIp0081 <br />'*U41 <br />I OS-ltt-81 <br />I <br />I <br /> <br />ZIO' it.... <br />--. ' . <br />BJIl' At.. . . '. _ <br />I!! ;...~. .... ..', <br />t-. .It, <br />~..',!. 4-~.) <br /> <br />Plaoo of Filing <br /> <br />IWaia"" of lle... <br />~, oE Hall <br />~ laJ.aralt. new.... 6S801 <br /> <br />TotaIl'*-Jl <br />I <br /> <br />,I <br /> <br />This cerlificate V'ias prepared and signed at . <br /> <br />(mare, Nebt'aska <br /> <br />. on Uris. <br /> <br />the___2.0t~of _~.anl:~r:19 E.L_____ <br /> <br />s-".~~~T''':.:~:=-~ <br /> <br /> <br /> <br />(tlkJte; Certf'~t. Ql ot#tc... .__no.-ae-o by 1000w t'O t... ac.ic.n~t" I" nol ......... to In. ..,clhHfy <br />f...,.s r.... L~ G cu. ~&4U), '",0-1, C.B 125d <br /> <br />Of" NQlk;. Q/ <br /> <br />Part 3 -- To be used for recording purposes <br /> <br />Form ... (Rev, 9-18) <br /> <br />-, <br />-~ I <br />U <br /> <br />L <br /> <br />L <br /> <br />~ <br />