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<br />21 <br /> <br />TaxP.rlod I Dateof'T <br />! .... lA_on,! <br />101-01-84- thru'l I <br />i 03-31-84 14-30-84 <br />I 04-01-84 thrul I <br />i 06-30-84 17-31-84 I <br />I I I <br />~ I <br /> <br /> <br />r- <br />I <br /> <br />.- ._'ask. <br />d!lfiattmer>t <br />" _' - -ohevenue <br />u.n Set..., Numbf,t <br /> <br />O.le <br /> <br />r <br /> <br />wen Type <br />00. OrigJnal <br />4/10 .745 0 ".now.' 10-31-84 504-36,;.6112 <br />,,_..k. ';0, No, I County LI..FJI.dWIlI> Spa...." So<l.\ISOCIJrlty <br />C--Re9istel'-ot-~ Number <br />4163001 . Hall l(j County CI.", <br />BUSINESS NAME AND LOCATlONAOD~ <br /> <br />Busine$$ Nlme <br />Tri State Transmission <br /> <br />Name <br />Marie.Onnen <br /> <br />st'oet Acldt'e5$ <br />372 N. Broadwe 11 <br /> <br />ell)! <br />Grand Islami. <br /> <br />St.ahl <br />fiE <br /> <br />ZIp'COde- <br />6880i <br /> <br />i C::;.." <br />! ~L'1'!!"" <br /> <br />Amount of Tax <br /> <br />58.50 <br /> <br />21 <br /> <br />58.50 <br /> <br />. 1 i <br />i [ 1 J <br />l~-f-----._------.r--~--.~I----- <br /> <br />, <br />-+-- <br /> <br />1. <br /> <br />TOTAL $ <br /> <br />1 h.r-eby .:erUfy tn;;-t Oa N4lDr.&~lo..a Oc:p.J.rtment of R.~u. hilS cumplled with tl'\. r....-nue t.ws of In. Stlttt: of NftbfUlq In tf4__t..~ <br />min.Uon Of the .amQunt sho.....n to, b<<' au., ~rtd tn. t""P4y.r n.n f~i~ t<;:> ~)' U'l:- l1Im-OI.int due _net -demand. It tl\J$ NoU~of Stat. Tax. <br />Uen !s .n .~UtilStGrt Of ~f! et1$(:ti". 'it<~ It Sti\fti to continue m~ pflonty af Ute stat.'l. interest in tn. IItfKtad property of tM-t&x~..-~ <br /> <br />sip <br />..... <br />..... <br /> <br /> <br />TiH. <br /> <br />Revenue Agent <br /> <br />10-31-84 <br />Oate <br /> <br />.. <br />'------~',.....FOR CDUNTY OFFICIAL os USE <br /> <br />T1t~ <br /> <br />Special Agent <br /> <br />10-31-84 <br />0... <br /> <br />NEBRASKA. DEPARTMENT OF REVENUE - Whiw and G~d&n'-od Copilt. <br /> <br />TAXPAYER - Pink COpy <br /> <br />COUNTY OffiCE - Conorv Copy <br />.1-494->14 R...,. 1"1 <br />SlJoerWt1ei 4.494,74 Rev. 5.80 <br /> <br />u <br /> <br />L <br /> <br />L <br /> <br />-1 <br /> <br />L <br />