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l -- <br />Department of the Treasury - intemaf Revonua Service <br />Form ~~$ _ <br />(Rev. September „J7a, ~ NO$iC~ ®~ Federal Tax ~.9eri Under gnterna~ ~e~e~~~ Lames <br />~' Senai Number ~ T_ For Optlonai Use by Recc: Qinp OHica <br />-'- f)/s?rlCt - <br />OMElAA 47 3526 { ~9°. ~~}~~- <br />t1s provided by "sections 6327, 6322, and 8323 of the Internal Revenue Code, <br />notice is given that taxes (including interest and penn!'.ies) have been assessed <br />against the following-named taxpayer: Demand for payment of this liability has <br />been made, but it remains unpaid. 'Therefore, there is a lien in favor of the United <br />sates cn all property and rights to oroneriy belonging t~ this taxpayer for the <br />amc.unt of these faxes, and additional penalties, interest, and costs that may <br />accrue. <br />!tame of Taxpayer <br />?Aaster Ba.lt, Incorporated (a corporation) <br />R os~t Off`ice Box 2086 <br />Grand Island! Nebraska b8801 <br /> ~ Unpaid Balance <br />Kind ~ Tax Tax !'eried Ended ~ Elate of Assessment , identifying Plumber of Assessment <br />cat rn: tc) m/ <br />g~.-P4 - el 79L'9 10-10-79 ~ 47-0537013 <br />~ ~' 47-~537a13 <br />} ~3, 623.37 <br />2,76.55 <br />941-~i - fll 7910 ~ i~-10-79 <br />- ?lace of Ft3ing <br />Remoter of Deeds <br />iisl? Oounty <br />Grand Island, Nebraska Cv8801 <br />7ataf I $ 5, 449.92 <br />Tt~s ~~ was Wired and signed at Grand Ia3and teb asks . Dn this. <br />the~._ day of + r ,t 3 79 <br />Signature _ ,Title <br />~. ~ ~~, t <br />r ~le D. Metsger,~ Revenue Officer <br />I <br />(flCIC C~'bffrccate 01 OthCbJ eu.'harc:eci ~} ~iw ro take acicnLw-law't~Tm Or'.h rs nom. Baaent~il rn th8 v-ih~ffy flt l2CSKe d <br />r=eDera7 raa usn u.s:.. K. _^St:II. ~=.F•- . -._.._c a <br />psii ~ - Ta t~ kept by reGC'dixrg ~~~ . Form 668 tRev. S78) <br /> <br />