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<br />~~#~cp ~f ~~ta~~ T~~ ~~~n <br />nebraska <br />d2partmenl <br />t .e„r.~,~.. •-Read instructions on reverse side <br />Lien Serial Number <br />t County <br /> <br />~ Date Social Security Number ii ~ <br />~~~~~llaJ~~ <br />9/02/124 Hall 2-28-79 505-44-3012 <br />Nebraska I.D. Number Lien Type Lien RI(etl With Spouse's Social Security <br /> ~! Or;gi ral ~ Register of Deetls Number <br /> j Renewal U County Clerk <br />I BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />BUSineiz Name Name <br />ABC Cartaize and Storage Co. Inc. Marlene Hellman <br />SlreeE Atltlress Street or Other Mailing AC tlress <br />P. 0. Box 1665 3830 Garland <br />Gty State 7_ip Cotle City State Zip C+xie <br />Grand Island NE 68801 iv'heat Ride CO 80033 <br />Pursuutt to the revenue laws of the State of Nebraska, notice is hereby given that tales !including penalties, interest <br />and additions) have been assessed and are due from the above taxpayer and remain unpaid after demand. These taxes <br />constitute a lien upon property in the county belonging to the taxpayer or hereafter acquired. Liens for sales and use <br />taxes only attach to the real property of the taxpayer located within the county or hereafter acquired. <br />Tax <br />Category <br />Number <br />Tax Period Date of <br />A55essment <br />Amount of lax <br />Penalty ~ Interest <br />Additions Balatcea of <br />i Assessment Due <br />2 <br />21 04/01/77 thru <br />06/30/77 <br />1/31/78 <br />241.40 <br />95.55 i 24.14 <br />361.09 <br /> 07)01/77 thru <br />' O <br />5V•58_j! 85.9 f <br />I <br /> <br />21 10;03/77 thru <br />12/31/77 ' <br />9!27178 I <br />380,33 ~ <br />~ 19.02 26,60 i <br />425.95 <br /> I ~ <br /> <br />i I <br />__ <br />I <br />TOTAL ~5 1,935.27 <br />reby <ertifiy that the Nebraska Depar[menf pf Revan ue f~ai comp~~ctl witn t; a r¢venue taws o! the State o! Nebraska-ir. Lne tleter- <br />nation o! the dtnpurtt Shpwn t0 bE due, antl the taxpayer has !ai7etl LO pay :fie amount bue after tlemdntl. it th ii NOtiCe Of State Tax Lien is <br />an extension of an effiective lien it serves to cunt;nue the prror~: y' p! the State's in terezt .n the ef!ectetl property of the taxpayer. <br />s!g!t <br />`~~~~__ Special Ageat 3-2-79 <br />f~ Authp*izeo Signs re r;tte Date <br />~ FOR COUNTY OFFICIAL'S USE <br />COUNTY OFFICE -Goldenrod Copy <br />4-494-74 Rev. 9-78 <br />Superzetlas 4-494-14 Rev- 2-78 <br />.~++ <br />