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<br />Frxrr ~ '.~P¢rtlR@M OrtfieTre¢~ury-int@rnaF Revsreue S2rviee <br />.; gr3e~.~weme<m„a,e, Nat~c~` of Federal-Tax ~Ien Under frrfiernal Revenue: ~aws- <br />District F y ; ' ~ ' Serial t+Wmber For oprrona7 f7se by lixordrng ornce- <br />omal~a 47 40114 ~ ~-- a:f ~} a 4 8 "r" <br />As provided by set:.tions H321, 6322, and 8323 of-the intemai Revenue Codes. <br />notice is given th«t taxes (including 6nterest and penalties) have been assessed <br />against :;he'i®llfivting-Hamlett t$xp3yer. t3emanii for payment of this liability has <br />been mai3e.'but it remains unpaid: ,Fheref~re, there is a lien in favor of ttte liniied <br />States on all property and rtghis to property belonging fo this taxpayer for the <br />amouM,,of these' taxew aaddi#tonal penalties, anterest, and costs.: that may <br />pia". <br />accrue. + _ . ~ :~t- i <br />Namee ~f Taxpayer <br />@Srs Sans.Aay.Care lnc: 4a corporation} <br />Residence <br />415 w , 8th -. E <br />Grand T_sland, Nebraska fa8801 <br />- i Ut-paid'8alance <br />Kind of Tax Tax Period Ended Qate of Assesmeat ~ Identifyfng Numtrer +~f Assessment <br />re> tb~ ro7 ray rmr <br />94-1 _ Ol 8112 02-02-82 BMF 47-0616890 1575,6.0 <br />540 - 10 8112. 02-02-82 BM(F 47_0616890 ~ 16°6.b6 <br />Place of filing Register of Deeds <br />County ci tia11 7otah S 3272.26 <br />Grand Island, Sebraska 68&Ol <br />This notice was preparad and signed at Grand Island.. Nebraska. ,_ , onthis, <br />the 2nd__ day cf Februar ,18 82 <br />Signature Title <br />Lyle L', ~itetager ~ ~/ ~' Revenue Officer <br />iHOAl: C@fll fiCata Of of/I,er 9Utr#O,:Z94{ by r i3K@ YCkAOWr@dOm@lYfS f9 ~Or 9588nf~41 iO the vulFally Or ~-N@trce Of - ' <br />FOCard( 'aw Li@rt .a. C. M..: Sa%9, is5o-1; C.B. 125.7 ' <br />Part 1 - To be kept br retarding office Form 8fi8 {Rev. 9~z8} - <br />r. <br />._..i <br /> <br />