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<br /> <br /> <br />DeDartme~st of thr Tramrrty- rntxraaa Fiaw~aRZtk 5vrv~u <br />C ~80S ~CS Ji L~L t~ ~ <br />it6fC~iI3V ©~ ~bc.3 <br />li4b~f774~~ ®i <br />~ <br />. <br />. <br />! {~elv.ePtY+r+bAr t4791~ <br />~LN3T[~~C~ n- i .CY. x(!81 ERSJ1Trber ~ ~ F_ iPf~ana 1SR try AnC4tQ J `7 ft'' d <br />~. ~.-,.-.- ~ ~ t <br />y+~ <br />i Cert;fyPhaf a^a hsthe #,dTowina-named taxnaya€, the revilireme^tso€ s~.aien 53~5Ea} '~ <br />t~ ag <br />`~ <br />,,~ <br />nT iltt+ intexaaf Revenue Cale have teen satssfiad Tor the taxa s tiSTed beia~v and f <br />~ <br />~ <br />~~~ <br />. <br />fir ai! St$f33lUry ac~:i itUri5. Therefore, tste Ir9[~ provrded by CodcZ secifccn $3e ~ f~; C]G $,I <br />these taxt~: and addik~ans ;tas been rvNease2'.. '.'?~e a'o4tec oi9ice~ in the ofirca <br />v~he~the no#ice of in'an~al t~aerue t~ filii~ Wa$ ffied on '~~ 22 <br />~9~_, is au#hcrrzed tc Hate the bo;~ks to sha~v ?he rgiea~9 ofi this lien fos f <br />4hese taxes and addi#ions. <br />r <br />Name t7f Ta:cpayer ~` ~ " <br />~~~ 4; <br /> <br />Residence ~~ ~ kjk <br />~~l 4 <br />- _` <br />! ~ 1lntmid i3aFanc9 <br />Kind oi. Fax t Tax-;k"+~rind ceded ', Late of lament ~ laieadif"Y~9 iYum3rer ! ot,Asxesssneni <br />£dY [ iC7 i {a7 { <br />o; <br />~s 1 ~ <br />t <br />~ ' <br />j i ~ { <br />~. ~ { 4 <br />f / <br />E ./~ <br /> <br />~ t <br />f~~ <br />j <br />gg 4 j <br />'~ i ! ~ <br />i <br />i <br /> <br /> <br /> <br />1 <br /> <br /> <br /> <br />. i <br />~ <br />! <br />y <br />- <br />Pt3LCE~' Of ~f{t~l}3 ^~ <br />~~ <br />sc 7ota! S 123i,4.~ <br />~i ~siri~R, <br />This certificate waa atepan9d and sigt:~i ~ tAnaha, tvebraska <br />t2te 28th ~ C~cen.ber .t8 _ ~1 <br /> <br />.. 9;S ttlf3, <br />Stynaturs ~""/~)~~~~" f , n`~ <br />II~r~--3_-'L~'~f+lers ~ _ Chief, ~'peci.ai. Pracwdures <br />~_ (NaW.: CeN,licars o7 mtieer auuw~xee by r.i~' sa.. Htka aipc.ow:~ym..F,~r is nrr ~~-,saz4ly~ rorire vaHCtty-at: Notice et. <br />F~ar~t Tex tiaa sear. z6tab, t8sa e, e.s_ :25.k <br />i*an 3 - Tb steed fw ttwet~rdtrtg P+trnases Fsxtn $$8 {Rev. 9-7si <br /> <br /> <br />