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I <br />1 <br />.w <br />~,~-.^~. Xuw~~~~Yn N* ry.t~, qc~m u~~sra~i _._,..... <br />f'ctrr~ f r.¢o va., Nt'V t~' NE +sp f. '.E <br />~ t! F'~ ~~ c~ T ?) _ ~EE~fjIFiCATE 611 lRELECI~E R!E fEfAf fdl'~ EiEif <br />D#,TR(cr _.! ____ ~SfR Al t~tt>nw7iREF? •_._.T__ ~~~ __-.__ <br />"'t hereby ceritify"that as to t3ie foliowtng-nn~iied taxdayer the requirelner;ts of Section <br />6325{oj; In#emal Revenue Cade, have been stxtisfed with respect to the taxes env- <br />-- merated below, together with oft stotutory ad~itians provided by Section 632}; and <br />thaf the--lien for such fazes and statvtery additions has thereby bae~ reEeased. The <br />proper afPicer in the off wh a notice of irtemal revenue tax lien was filed an <br />_, 19 ~'is hereby outhorized to miake notation <br />on his books to show the release of said-lien, insofar as the lien relates to the foliow- <br />iilg taxes. <br />NAME OF TAXPAYER <br />r2os ~ r <br />i <br />7~'`' <br />:.. <br />a;~f~~~ <br /> <br />KIND Of TAX ~ TAX PERIOD ENDED <br />(a) ~ (bj ' <br />;DATE OF ASSESSMENT <br />(c} ` UNPAID BAIANCE <br />IDENTIFYING NUMBER ~ Of ASSESSMENT <br />(dj ~ (e) <br /> <br /> <br /> <br /> ~ ~ ~ <br />S9 <br />I ~~ ~ <br />~ ~ <br /> <br />i <br />i f <br />1 _. <br /> <br />i <br />+} <br /> F <br />t <br /> <br />~~ <br />~ <br /> \ \~ <br />-PLACE Of fIUNG ~ ~~ <br />~ TOTAL $ ~~ <br />-. , <br />WITNESS my hand at Omaha Nebraska , on ~,;~ <br />_3atEt d9y of ~D~ ~°._-,•"_, : ~ 1 <br />Donald J. Ehlers <br />Chief, Special Procedures Staff <br />(NOTE: CertiRcoie of oRicer authorized t3y low to take ack:wwledgmenis is not essantin! to the volidiry of Nc#ice of Federo! Tax lien G.C.M. <br />26419, C.B. 1450-51, 125.) <br />PART 3--To be vaed for recording Purposes <br /> <br /> <br /> <br />