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( <br />1 <br />Farm ~~~~~~~_^~.- - Llaaart.(nprlt of ttla Treasury ^ In,Atna3 RovAnue SArv;c:a ~.-~.~._....~.~.._..,~„.W._.~-.,. <br />~ r^y, ~q$ ~+~1 g9 ~9/t~~i~r~j +~r6/ pC9 i7~f~l~ g~ pt°! 1 ("~ y~~y rl~C~p~ ~f <br />(l4pv~SUPCgmba•r 1'$7al 9aWd'&~NY7 4~~ Ei 4ttV1"~'~[i~~~~(d.df. ~~97iAI ~4i66Lr~ ~1A~~~111~E 1"Y~VL~ii~I Ci ~[I~~~ <br />{3isirict -_------ ,-----------._...-- ------- <br />Serial Number ~ _..- - ~ Fo, opr;onsf Use b,. Rac o.cfin_Owr_ <br />OMAHA - ~: : 47 ..-~ 35618 i ~7- ~f-n__-t- <br />As provided by sections 6329, 6322, and 6323 of the Internal Revenue Code, i /~"" V~~xy~ <br />notit`s is given that taxes (including interest and penalties) have been assessed <br />against the following-named taxpayer. i7emand for payment cf this tiabi!ity has <br />been made, but it remains unpaid. Therefore, there is a lien in favor of the United <br />States on a!1 property and rights to property belonging to this taxpayer for the <br />amount of these taxes, and additional penalties, interest, and costs that may ' <br />accrue. <br />Name of Taxpayer ~ ? <br />Grand Island Fire and Casualty Insurance Board <br />Residence <br />Box 698 <br />Grand Island_ Nebraska fi£~£tt7l <br /> <br />Kind of Tax <br />(U <br />Tax Period Ended <br />(bJ <br />j ate of Assessment <br />rW <br />Identifying Numt-er <br />fa) Unpakl Balm <br />eN A~ <br />lsl <br />- 7 <br /> <br />c 77x9 <br />i <br /> <br />i ' 4-1 79 <br /> <br /> <br />f ~ ~~ 47 3z' 1 ____ 3, .~`- <br />._.. <br />R$gi8tar of Reeds ' <br /> <br />-~--~v~_ ~ ~ _ <br />~~ri?Sal:tVSl <br />Grand Tslas7:d, Nebraska t~841 <br />This notice was prepared and signed at.__ Island:-_~tlb#~aafta_____- - ~ . <br />thaw-._ day of _.,A.ti6~,__ ,192Q _, <br />-------_._ -_.._ .___~_.______~_._-_._..,..v.._. <br />Signature ~~-7it1Q--. ~_._.,-._----_ _.___...___.___.__..---_._,_~_~ <br />H~ A9eMEa.lla.amsr Jr. ,!~ j Revenue ©ff3cer <br />(NOfO: C•rtlliC•t• 01 other authoriz•sl by law to t#Ne acMnaw/edgments is noz BiitMtwl to tM wNVtty W NP7+ctJ W <br />Fetl•rs! 7r,x Lien G.C.N. 2847p, rB5U~7. C.9. 725.) <br />Fart t _- To t~ kept hg r~cxding oMIFe . Form 888 (Rev. 9-Tet 1 <br />. <br />J <br />t~ <br />