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> Litn ~~7ol a.ImrEid Jilt i'i,~„-,-Caun•y ~_....._.._.._--..-.~..~..~,....._.-.__..,_._~,.D1aadC Ap'rFltruCt.. F_ „onCl Crt renASe~ldl9h..._......_...___.~.._.._~_._.._._~..,._.....~ .. Number ' Da'.e i5xia! security Numi>e• 9/10/657 Ball 10-3-79 ~ 505-64-5584 ~~'~ (~t1fa~(~~ Nebraska 1.D. Number ' Lr~ier. Type Lien Filetl With SpOUie'S SOChI Sectx~ty (LV Otyioa~ ~ RegiStef Of Oaeas Number 3103986 ^ Renewal ^ County Clerk BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS Husines: Name Nam The Car et '•1an Jale E. "~±ercer Street. AdGress 1 Street or Other Maiiinq Aaaress 3022 West Potash Nighway 712 'nest lith Street _ City Slate Zip Cooe City State Zip Code Grand Island Nebraska 68801 ,rand Island. Nebraska 588fl1 Pursuant to the revenue laws of the State of Nebraska, notice is hereby given that taxes (including penalties, interest and additions) have been assessed and are due from the above taxpayer and remain ttapaid after demand.l'ltrse taxes constitute a lien upon property belonging to the taxpayer, or hereafter acquired by the taxpayer, and located in the above county. Liens for sales and use taxes anly attach to the real property belonging to the taxpayer, or hereafter acquired by the taxpayer, and located in the above county. Tax CateporY Number Tax period Date of ~~~~ ~ ! Amount of Tax I 3 Penalty interest ~ Additions Behrtce d ( Apt Due 4-1-79 thru ~ I 7-1-79 thru - ( ' i ~ ' ' ~ ! a I ' i I i 1 I 1 TOTAL l$ 41fl.13 1 hereby certify that the Nebraska Department of Revenue has compllea with *.he revenue laws of the State of Nebraska In the aster- - minatlon of the amount Shown to be sue, an0 the taxpayer has failetl to pay the amauM tlua attar demand. 11 this NOtica of State Tax Lien is do extansbn of an affective Ilan It serves to continua the prlorlty Ot the Stats's Interest In the affactao property of [he taxpayer. Stgp Special Agent 10-3-79 _ ~$~~ Auttterisatl Stgrv s Tltte Date FOR COUNTY DFFiGAI'S-USE