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<br />~~ _ _. ~ . - , Qeoartment of the Tr.e!tury -Internal Revenue Service - <br />(ReY s~.amb.r,476, ~ Ike Qf~ C-~d~ca! Tax Li@n URfff3P {rte; net R~Y6ClU8 Laws <br />- _ _ ~~-~~ -_ _ - - - _ _ __ _ _ _ N~jt~pr Fa Optioaa[ Uu W RetorOlnq Oieae <br />.115 hy'se$- ` t..t~. 2~..aHd`~. '-Y#f':. thfl tftf@fEtaf--RBV@FflliB-~.OdB. <br />:~ ~ ttta~ t~~ t+nra~t~ ant afld o®natt-~~ r,a~e t as~gd j $~ =~' i) ~ ~ 4 3 $ <br />against:;the foltcfl+!!n9^nartt6d taxPaYet:' Demand #ctr paytrtertt of ihis IiaM7ify h~ 3 <br />LleiHt made, twT ft iesnains unpaid. Therefrxe. there is a lien in favor of the United <br />- States orf aN property and rights to property tielvnging to this taxpayer for the a <br />amflunt of these taxes. and additional penaitf86, infere3t, and costs that may <br />attt~rre, t <br />I <br />Nis of Taxpayer i <br />Ctlarles I,~e Barak <br />Sox 1178 <br />4attd Is3.and, Bebraska 68802 <br /> <br />Kttxt of Tex , <br />w [ <br />Tax !?erGfd Entled <br />em <br />Outs of ~ ttlentflyhtp Number ~ <br />:ai ca unpe[d <br />of Attt <br />tt <br />I.Ck'3fl ?512 i 01~-05-82 I~4F` ~r.7$-i~$ 74.1b i4:9~s7:.94 <br />. <br />1t3~t3-3C~ 7br2 ` t~4-t}S~Sz '- T.Ri~' t~78-b8--7415 ~L,~613~. <br />1f~4~-3~ 712 t3i.-f35--~2 ` Iii` 1,.78-58-741b <br />~ ` 21,2~}3~7I <br />I <br />( <br />i <br />; j <br /> <br />~ <br /> <br />f <br />1 <br />~ <br />4 z <br />[ <br /> 1 <br />~ 4 <br />PtacAdFR~~4` ~~~;-St'r8X' Of ~~ 1 <br />~Ot~~11 O~ ~1i Tab# <br />~ !'~ ~?~~E~' Kea ~~ <br />Itf.LBAd, PAabras~Ca b~d2 <br />~5a~. <br />vaeat ar[rtmgnad at ~ IsLlnd ~Ob~'ASIti -____ , m this, <br />tnir .~ dayw ~ .'~~s ~~ <br /> <br />E rate <br />p~ Fts~rentae Qfi'icer <br />_ tom' CVNpNI. # «9c% a.p~w er n. ro tMe. des =. nee as,arx+.+ ro r.. a lybMC. d - <br />. - - r~.gw.t iu !,~ a.GM 2MrA rs~a.t.. G.d s23.I <br /># - taaitt 1 - TG' tIg t[4RC t!Y rst>!g uti<irm Form ~ ttiar, 8~F8) <br />[.. <br /> <br /> <br />