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---- -- <br />iV®ti~e of State Yax Lien <br />nebraska <br />depa: tment • Read instructions on reverse side <br />of revenue <br />Lien Ser+dl Nu..^.:ber County Date Social Security Number <br />9 Q6 339 Hall 6-6-79 518-5 - 79-~~i'3r'~4 <br />Nebraska I.D. Number Lien Type 'Lrqien Filed Witn Spouse's Social $ecuritY <br />•t p r~-ly Qriginal i& Register of Deeds Numper <br />i6D~5~5~ {,~ Renewal ~ County Clerk f <br />[3USINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />Business Name Name <br />Ctty State Zip Code ~ Gty Sta;e ~+p Cotle <br />Grand Island,.. 68&(l1 _________._ <br />Pursuant io the revenue laws of the State of Nebraska, notice is hereh~ given that taxes (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 Tien upon propem' in the county belonging to the taxpayer or hereafter acquired Liens for sales and uu <br />taxes only st3aclt to the rest nroper[y of the tasnaye? igc-aced within the rnunh~ ~r Hereafter ~-Lluirs~A. <br />Tsx ? <br />lax Period psta of _~ <br />~y~ ~ Arttount of Tax <br />-.- <br />~-- _ <br />Penalty ~ ~ -~ [talance o1 -~ <br />~ IntErest ~ Additions ~ Assetsmertt Due <br />~ <br /> Jan. 1 thru i <br />' <br />i a1a 88 <br />~ 23 74 ----- <br />-- <br />502.68 <br />~ <br />' <br /> <br />~ _-- <br />----- <br />-_---- <br />- <br />~ <br />i <br /> - <br />--- <br />- --------- ----- <br />i <br /> <br />i <br /> <br />t ------- <br /> <br />~ <br /> <br />~ <br />I <br />i <br /> <br />~ - <br /> <br />-~ L--- <br />ro~aL .s 502.68 <br />3 hereby Lertifiy IRy. tn! ivcat ukb Detiart*rten', p? Re.-aLtue naz Lam Qtilo ~n:n the reran uE +awz r+t ihE StaLE Ot Near JSita in :ne oeie[ <br />~~* - -- -, E a~ovni ; :vtrn {a tae S:,e, an8 tnE ia><paye- nai 'a lad i9 ply iriC b~itu+`t Oise biter cCmanO. - .5 NGt+~¢ G' Sia[e Tar L~e!t t5 <br />Y ix 4artt 1n Gf iG f•°Ett~ E ~+En .t ;ei ~E-a iG :p'.~-~E .r.8 p 3 .r _?+tnE SiatE `; ~n SEre;S of+tne 3?tCCtetl G*4GC•ry ~q .r+e .a ~e yep <br />~A 1 A ent __ 6-6-79 <br />AutnLetmC 53 a Titi! Qate ~-_.- <br />i FOR COLNVTY OFFICIAL'S 135E - __-.~_._, <br />NEBRASKA DEPARTMENT OF AE4'ENUE - iMh~ts and CartarY Cbpwt TAXPAYER - Pmk Copr CGUNTY G't r' iCF - Go+denr nn Copy <br />_ aBa.:: r'e~.. _ 7a <br />5~a!•SCtlrL 33r±i-7S Ge. .. .' <br /> <br />