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79~ <br />Form 668 <br />(Rev. SeOtemoer <br />fJIStTIGi <br />DeOartment o! the Treasury - Irtternel Revenue Service <br />Notice of Federal Tax Lien Under Internal Revenue Laws <br />S@rial Number <br />47 35b3b <br />As provided by sections 6321, 6322, and 6323 of the Internal Revenue Code, j <br />notic@ is gEven that taxes (including interest and penalties) have been assessed <br />against the following-Hamad taxpayer Demand for payment of this liability has <br />been made, but it remains unpaid. Therefore. them is a lien in favor of the knited I <br />States oh all property and rights to property belonging to this taxpayer for the <br />amount of these taxes, and additional penalti@s, interest, and costs that may <br />aCCfJ@. ~ <br />Name of Taxpayer <br />Mayhew Products Corporation (A Corporation) j <br />Entered on numerical <br />i and recorded on <br />19~ <br />a •M. as insirurt~ent ~ <br />No. L.Y-~~~~~ <br />~ ~: <br />~ Jean Fisher <br />Regis*.er cf Deeds <br />@sidence i HaN County, Nebraska <br />2$09 East Highway 3G <br />Grand Island. Nebraska 6$801 <br />' Unpaid Balance <br />Kind of Tax Tax Period Ended ~ Qete of Assessment ~ Identifying Number ~ ~ Assessment <br />!e) (D) ~ !c) ~ (tl) ~ (d <br />1 - 1 ~ 79(~b -13-79 PMF 1+7-x531034 r $21,`7 588 <br />i <br />Segis~@r of D@@ds s <br />Hall Counter T ~ :~~'`~'_ <br />Gra:.d I;alard, Nebr~ka 61 <br />This notic@ was Prepared and signed at ..._._.S'iI'SIIti_S818md,_11Tebraska _ ~_._._~__.__ ..................__._.._..__.. on this, <br />th@_216t~1L_ day of tAu¢ust ,19 7~_._. <br />Signatur ~-~(i~L-~...~_~~~_~ ~ Title ~~ _.____.~._~_.r- <br />G~ 4~ ~ ff i <br />1e D. Metagar ~ Revenu@ Offic@r <br />(NPb: CnmNG.b et Of/roer eWDW~IrO ay IeW ro tehY eGMnowtedVmgnli ra n~f esxentief t0 the Wldlry Of Ng4Ge W ~ ~~ <br />Fetleret Tex L,en U.4'. e1. 10a iP. tP'~0-t, C.B. rTS.! <br />Psrt t - TO be kept by rel:ordMg oHkb _ Form f~i tftav. 9-761 <br /> <br /> <br /> <br />