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<br />Form ~~U <br />IRev. Sep2emt;er 1 <br />Deoartmenhc~t IFe Treasu ~- Iraterrrap Re~'v~cnusaSSa~.~xe ~. . <br />Notice of Federal Tax Lien Under Internal Revenue t.a`~rs <br />i <br />~A~ 36231 <br />As provided by sections 6321, 6322, and 6323 of the internal Revenue Code, 1 rJ~'~'° ~~'~ <br />notice is given that t-ixes (including interest and penattiesi have been assessed <br />against the following-named Taxpayer- Qemand for payment of this liability has <br />been made, but it remains unRaid. Therefore, there is a lien in favor of fhe United ~ <br />States on all property and rights to property belonging to this taxpayer for the <br />amount of these Taxes, and additional penalties, interest, and costs that may <br />accrue. i <br />Name of Taxpayer <br />S-J Incorporated (A Corporation} <br />t <br />Residence - ~!_ '~ <br />2530 St. Patrick <br />Grand Island, Nebraska 68801 i T <br />"""'-'~~ unpaid Balance <br />K1nd at Tax ~ Tax Period Ended I 1'~te of Assessment ~ Iden2itying Number of Assessment <br />(a) (e) (c) i (tU (e) <br />- _t-- i]~IF 4?-05kob61 $3r?21.61 <br />941 - of 7909 11-15-79 <br />ce of t°ilfng <br />Ftagi.ster of I}eads <br />f Gounty <br />Grand- 2slandr ATebrpask~ 68801 <br />This nptice was prepared and signed at _. _ .Grand TSl and r ~eh~8 vka _ ___.. <br />the_~9th daYOf JanuaryV_ ,t9 ~.~_._„~~. <br />Signature~P ~ ,~_ _ ~ ~€~ .___.-.._~... ~____._~1e ___...~__ <br />fL~,~. Metzge~ ~ Revenue Officer <br />fNOta; Ctlrlilicafa of attpcar autharrzoA by +aw eu take aeknawledyntnnfF i5 nor aASanf+ar ro the vap+d+ly at Nphca t. -~~ <br />Fadtlfal rax l.len D.C. M. 26A ttl, f9SQ-1. C.)3- t2$.) <br />Pert 1 - To be kfapt by recording office Fwm 6t38 (Rev. a-;<&~ <br />L~ <br /> <br />Taial j S 3r 72I.+61 <br />-------.__~.___.._____._.._., on this. <br />J <br /> <br />