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Form ~~~ ~ ~ ... r)epa rtnit-nt of :het ;,.~.., ry - In!i;rr,;~; Pe•ee~nu<~'u~~:c u <br />(npv. Scp:embar,37a,~;:, t~ott'c~ a~ ~'~d~r~t ~~ ~g~~~~~rt~~° ~~~~~~ ~ e'~~~~€~ ~.n~t <br />(3istrict ~Senal Numb _~ _,J <br />OMAHA , --47 ~ ! 36752 - - <br />As provided by sectiens C1<32 i, 6322, and 6323 .;t thy: ' • ~;=r n + i,avanue Code, <br />notjce is given thaX taxes (including interest and pe^~ifie:;: =t_ve ~,€~,f; assessed <br />against the #aitav)ing-n med txpayer. '~srnsnd tar paym~n2 0' ihl~ fiatziliiy has ~ <br />been made, Fat)t it remains unpGii. TitereforL, there is a Tien in favor of the united <br />States ors aFl proper#y and ^igitts to prcperty be!ongirg to this taxpayer tar the <br />amount a# these taxes, and a ,rit#anat penaFties, inte<°est, a,.d costs that may <br />accrue. ' <br />_ _ I <br />fVame of Taxpayer <br />Michael S. Grasp <br />Mike Gray Contracting _~I <br />Residgn~ <br />l.tt~3 Nortli Hroadwell j <br />lS~nrvi Tcl anri _. Nahrnal~m hRRr)l - <br /> <br />KFnd of Tax <br />fa)- <br />Tax Perfod Endad ? <br />(D) <br />Fate of Assessment ! <br />[c) I <br />identifying I~Eumt~r ~ <br />(a) Unpaid SaFanee <br />of Assessment <br />fe)- - <br />941 - 0]. '7903 5-26-SO BMF 47-X09538 ~.7-,273.47 <br />-941.- 01: 7906 ~ 5-26-60 BMF 47-a6~953g 4b3.33- <br />941 - O1 7909- 5-26-60 BMF 47--0609536 139.19: <br />-9~t0 - To <br /> <br /> <br /> <br /> <br /> <br />i 7912 f <br />a <br /> <br /> <br />w <br />~ <br />I <br />j 5-2b•-60 , <br />~ ~ <br />i <br />i <br />i <br />I Bi`g' 47-0609536 i <br /> <br /> <br />! <br /> <br /> <br /> <br />j 224..42. <br /> <br /> <br />- <br />Place of F3Fing <br />ste~~~ Deeds Tote! ~ S ?,lOC?.41 <br />Gtend Island, Nebraska 66601 `; <br />Thfsnafice eras prepared arsd signed at _ (3`and. Island!. Nebraska on this, <br />ttte ~~~day-o~t-_~e yg 60 <br />5igna#ure \l l- 11P--\n <br />Revenue flf£icer <br />__ <br />fri0{~ Caitaieata of Wl tee: a~aircv.zea by taw :a !aka aeknow.eagmatus rs ne, euaneia; za .he .afiarry o; kto:iea a( <br />FeWrt! 7u lien G.C-~. 2S6t J, 755PS, C. B. 725,) <br />Para i - Ta tte kept 5y recording office Form 688 iRev.9-78) <br /> <br />t_.._. <br />