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<br />fDrm 668 nEPNRh1E!iT OP THE TIF.A£"R'r-~MSEFNAL £E`~F4l~E SIMCE kr Opiiwpl Uso 9Y Aeca6ing 4$7n <br />(REV. 10-7tj (~ ~ ~~ ~ ( T <br />DISTRICT SERIAL NUMBER <br />~ ~ I <br />~~ ~~~ <br />~ <br />1 hereby certify that os to the following-nam9d taxpayer the requvemen6 of SecSon ~- r- - <br />6325(a} IMernol Revenue Code, have been seitisfred with respect to the taxes erw- I <br />meroted`below, together with al! statutory adcWions provided by Section 6321; and ,. j , <br />- that the-lien for such tones and statutory addtlions hcs thereby been released, The ' <br />- pFOper a#Rcer in the office wfiere notice of giternal revenue tax {ierr was filed``-on i <br />-~ - -` 9'-,~ , 19=~"pis hereby authorized to rdoke rrotaNan i <br />- oP his books to show the release of said-lien,\ittsofar as the lien relates to the follow- ~ <br />- ing taxes- ! . <br />NAME OF TAXPAYER -- j _ , <br />I <br />~ gs $M ~ I <br />RESIDENCE ~~ ~ ~ <br />~ s ~ ' <br /> ~-_ t UNPAtD BALANCE <br />KIND OF TAX C TAX PEtGOD ENDED .DATE OF ASSESSMENT'+ IDENTIFYING NUMBER OF ASSESSMENT <br /> <br /> 'J~ <br /> <br />( i <br />I I <br />I ' <br />! <br /> <br />i <br />f <br />f <br />` I <br />I <br />i <br /> <br />---------- <br />I <br />I <br />~ <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />----1 <br /> <br /> <br /> <br /> <br />I <br /> <br /> <br /> <br /> <br />~ <br />i <br />-------- <br />nnc-t yr rrLtrv~ ~ ~ <br />1~' ~lir 3Miitrils >~, <br />WiThfESf mY hang of <br />the_ nth day of... <br />TOT,4l ! S ~~ <br />,~.., <br />SIGNA'1'ClRF ~~ jJ~J ~ ikTl`c ------'- <br />C~. Ehlers _j Chief, Special Procedures _ <br />1NOTEvCarhfcote of offices :when-. e,- ~, ~ 'o sake :c4eo ied4mems ~, .t _ ,e rtcJ c ~ha o-+~~ d t - t ~._~..c of ~ nncicro .. - 41 <br />26479. C.B. 2960-51, 125 <br />pART 3 To be used far recording purposes <br /> <br /> <br />Omaha, Nebraska <br />Nay 1 q 30 <br /> <br />