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nietPr aska ~iaPp,IBrkmienR ,of red+en,pe ~ __ _.__ ~I'~t~~iCe ~crf #'~tt ~t3X'L~~.'U°# _ _ e RaM ihsmnucidlr~nc oru rsvera~w ar',de _ - ~ t..NAfY "$erFal NuP,rsdar ' 9ji0J666 CpknYy ~ Hall ~ Gptra ~ i0-3-~79 --•--._.~..._..._.w.._~e ^~r ~~ I EkSi'4ai 'a'ardx- lty N~,uimllmar r.~05-74-8328 ' ~7~"'~ Nebraska 7,D, Number 31039$6 tden Type ® Original ~ Renewal Lien Fifetl Wifh ~'j Register of Oeetls ~ County Gerk Spouse's Soria? Sauv#ty Number ` BUSINESS NAME AND LOCATION ADDRESS ~ TAXPAYER NAME ANO MAILtNG ADDRESS ~ Business Name j Na ma 3022 West Potash Highway 304 South Oak :.ity State Zip Code City Sfate Zip Coos Grand Island, Nebraska 68801 Grand island tebraska 68801 Pursuant to the revenue laws of the Stale of Nebraska, notice is hereby e~'ven that taxes (including penalties, interest and additiaas) have been assessed and are due from the above taxpayer and remain tmpaid after demand. These taxes constitute a lien upon property belonging to the taxpayer, or hereafter acquired by the taxpayu, and located in the above county. Liens for sales and use taxes only attach to the real property belonging to the taxpayer, or hereafter acquired by the taxpayer, and located in the above county. ~ Tax Gatpory Numttr Tax Period Data of Assassmert Amount of Tex Peewits irtarest Batartee of y Addition q~~f Dan ~4-1-79 thru ~ ~ ~ 7-1-79 thru - ~ i ! ~ ~ , - TOTRL ~$ 41O 13 I hereby certify that the Nebraska Department of Revenue has con plietl with the revenue laws of the Stara Of Nebrastta in the deter- minatlan of the amount shown to be oue, antl the taxpayer hu tail9o to Pay fns amount tlue after tlemano. If this Notiu of State Tax Lien b an extension of an sfhttive Lien it serves to continue the priority of the Slate's Interest in the af}aetstl property of fns [azpaYSr. ~ • ~.f.~~~ ~~ Snat:ial Agpnt 111-3-3Q '_^~$rQ EAU:hors 519tt ure Title - Gate ' -.. _ - FOR GOUNTY OFFICIAL'S l~E