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may! ~u A~~~a~~ ~ ~~a~ a~p~~~r~y~u ~y q~ p~ ~q <br />ffw-Dfap!3 ~~J 3~'Wa''GYR 9:dy ~~'~F1V3~~ ~e'W`~~ ~14'~MI i~B +Ji aR E~9p"$ W <br />depa.~tmant <br />a# rCVanue a €~„aar5 iE#rr*;E t~v taeaa^#~,a,sidle <br />Lien Seral Number ~ Roisase Geria3 #a radar d. ate eR ~Llei~ ' Sdutiief Sen,nit{ ~%nf i~a P~nav , <br />~~~',~ <br />~/432f~5{3 -1349 1 ~'-~ 79 <br />f~2s6a S.D. Nusr~er County t,ien f3tad W(t}1 7S$vGfe'i ryaUal Security <br />( Ragist~ of Cads ~ Numder <br />Ol-3U29271 j_ mall Cos~ntYCtevk 451-42-1468 <br />~- BUSINESS ASAME AND tOCATtON ADDRESS TAXPAYER NAAAE AND MAlI(NG AOORESS t <br />Business Name Name <br />Kemlin~s Supper Club t Orville D and ~rankie M Ketn inq <br />Street Addreu 5:teat or (3nrer FRatding aE~ora:i {,3o Sntly and Severally) <br />2722 S©uth Locust ~ 2426 Deimonte Avenue <br />C.tty State Zip Code I CItY State Zip Code <br />Grand islt.nd~ NE 68861 i Grand Island, NE {R8[t'1 <br />Pursuant to the revenue laws of the State of Nebraska, notice is hereby given that the Noce of State Tax Lien <br />which has been duly filed against the above named taxpayer, is discharged, partially released, or subordinated to the <br />,, extent indicated below. <br />TYPE OF "1CT10N <br />~I DISCHARGE TAX LIEN. The Notice of State Tax Lien is hereby fully discharged <br />^ PARTIAL RELEASE. The Notice of State Tax Lien is released as follows. <br />~ $17F17RDINATED. The Noace of State Tax Lien is subordinated as follows. <br />1 hereby certify that the Nebraska Department of Revenue ha3 tompFied with the revenue iaw5 of the Stale of Nebraska in iha dater- -- <br />~~~ urination of dtseharge, partial rel ors rdlnation indicated above. [~ {~ <br />a il`~`fl <br />~•..,,.fl3~thar% _ 5--a ire. ~ j Titt• • ~ ~~ ~~ ~~~--~ - <br />'-' T- FOR COUNTY OFFICtAI'S USE II ~ _ <br />NEBRASKA DEPARTMENT OF REVENUE -White and Canary Copies TAXPAYER -Pink Copy COUNTY OFFICE -Goldenrod Copy <br />~t-232.68 Rev. 5-78 <br />Supersedes 8-232$a Rev. 5.76 <br /> <br /> <br />