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<br />Notice of State'Tax Lien <br />nra:ka Discharge, Release, or Subordination <br />de~arrmenr <br />revenue • Reed irstruetrona onrewrle aide <br />L1en Serial Number Raiea a r:at Number I care <br />n ~Soclat5ecurlty Number <br />82-~ tl~f~8~~ <br />_ 2/Ol/34~ 537:s_ ~l-5 X32 505 50 3386 ~ <br />Nebraska I.O. Number Quota' ~ -?Jen FIIeA Wltb SPOUSa'S Sp Cla 15@Cprity. <br />j~ Roglittt of peeAS Numpel <br />2751330 _ Hal I i Coonb' uoru _ __ _ _ __ _ <br />BUSINESS NAME AND LOCATION ADDR E5S 'TAXPAYER NAME AND.MAILING ADDRESS <br />B uslness Name ~ Name <br />Safari Bar & Lounge Verlie G. Johnstan <br />Street AAAIess _ -~_------ -~-~~-~~~ $tr@M Gr Jtnet Mailing Atltlress --_----~_-- <br />~6 East 3rd Street _ 803 Shadeend P,oad _____ ___ <br />City Seate ~ Zip Gp+fe City Sta to Zla COae <br />-Grand bland, NE 688G1 Grand Islam ~E__ __ 6g8~11 <br />Pursuant to the revenue laws of the State of Nehraeka, noticeis hereby given that the Notice of State Tax Lien <br />which has been duly. filed against the abnce named taxpayer, is discharged; partially released, or subordinated to the <br />extent indicated blow. <br />TYPE OF ACTION <br />yl DISCHARGE TAX LIEN. The Notice oPState Tax Lien is hereby fully disedtarged; <br />^ PARTIAL RELEASE. The:\otice of State Tax lien is released as follows. <br />C SUBORO1fItATED. The hTotiae of Srate Tax Leen #s suhardatafed as fotlows. <br />t herby C1r/Ctty. tf4t tM.N~ p)rtrtte+lt rif flevertua Ms so ITlpiifA wiln tna re nub ~pWS oaf !re StattOf Nebreskd ~~~ tn^ Antnr' <br />rnln)t10N ar LM Fpe, IH+ 1 (e M 51+bOYAi!)ltpn $polGieA abOVe.. <br />n ~ ~ a ~1. <br />~+ w • aw.e ~ ~ ~ - t.n}i ~ V rt rP Q _.___. ~,.,___ -_ ~-L-1~i~ .____.___ <br />~ ~ C~~ -`--- ~~- -- Sgeei al Anent 9-7-3~ <br />+~ t )A )r +. ~ - ~ r rie na -_ <br />r .- __ _.__~-. F~ D~NTY OFFICIAI'S U9E r - -_ ____.. _.__.. _ ___ ____~ <br />~,,. i /. C' ;l/ j~- <br />-~'B2hal <br />~.i ,. <br />NEBRASKA DEPARTMENT OF HEV ENUE - Wh,r@ end <rnxy Cowes TAX~AY ER -- ?ink Ce py CO~ilTY :iFFICF - Gottle~i~or, Copp <br />31-LN n ., l~i%1 <br />~.. <br />.: Sjy <br />L-.-.. <br />