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i j a2aar?r.,en? ct f fie Trearwry - G~t..snai Rzvertua Service - Form ~ ~} ~t ~yyp (~~,}p~e~j qy t! 51 ~(n~@®i^ ~y} p{g/ ~~ Qq~}t g~}~~ iRev.S9P?2m6ar 49Yaii - -_-~~~~ Eis ~iJE,ii~t"-iiE ~i~A #.411 °r88GF.I L-ri ~fil~~-iBal I~L.i~U3-8Y~ ~3i V5_s8 - i`?isiriat ; Seriat`rlum6er pFOr oaa tea: t~ c~r 4sc~r-a err°~ - ~tAFIR `' s ~ 4'T ! 3bFS~b ~ 42' ~ ~_~ ~ i As provided by secitons'832t, 6322,-and 8329 of the internal Revenue Code. { nstice [s gluon that taxes"(inciuiiina interest and penaitiesi have beam assessed against _the foiic+riing-named tvtpayer. Gemand far: payment of this ifabitity has burr made, but it temairts unpaid. Therefore, #here is a lien in favor of the Jnited States on all pray;~rty and rights to property tsetongirig to this taxpayer for the amount of these taxes, and additional penalties, interest, and costs that may accme. i Name of Taxpayer y~~ Steven klessels Ttrirt Valley Concrete Building Residence Fo'st OfYice Hox 374 ! -- Woad h~verr Nebraska 68$83 ~ ~ ~ Unpaid Bafarsc4 Hind d lax ~ Tex Period Endsri `: ~2t@ of Ass~Erienf ! identityirsg Number F CEf ksseasntr~nL ,. - --. tat ta; .e) S .a; - - i --Est- - 941 - 1 7 12-24- 4 1 441 - 01 i 7909 i 1.2-24-79 i ~` 47-0606315 ~ 73$.30_ - 8an~ai ~ta~ g~ DeEgLg Cawrty Grrsnc3 Islr3rni, 2dG-brash 68801 This,Cx3tice iVaS prepared 8ri~ 5?Qnt§cf at _ E;~nri i al {areii ~mb2'85ks ___ - _ ..art fhi:; the `~'at.h dztyaf ,1ttnF -- .tS ..E~1._.~_.~ Signature ~ ~ r \ ------ Title - - - - chael Porte- Kaeenue C1 ty.a=.:'r ;"3lCa; Ctert:t~'a i;! ::lt~cs: a:;re:;x..rv +n !='r.~ :v ra-~ mkk::;:a!~~~:umx~x. a :: r.! u:aen;:,x= ru !an e_.. s ut r:.~==-tea ~.. %edsra{ Tax Llry;r t3.. U. -.".tl+e 9, ri!3d~; G.U. ±15.> - i+ert t - Ta 139 kept by r9cardirg3 only-' Fcr, ~, fi~8 tftsv ~-ta7 _~