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Fate 668 ~ ~ ca-~wcr. FrT ~r n+=_ ~aur¢r-arreww! a,~•;~»ue 5<+t~ r:c. ~gnc1 U=e <br />(REti`. i 471) ~~1~~~ ~ RAfASE ~ ~ TAX )~ <br />tAStK~;t la>~t~ rvL'ML[1t <br />-- ~ ~- p~ - - <br />I C3U~r° 1.~t~~Jfl~ <br />! hereby certify thoi os to the {ogowing-nameed taxpayer the requirementz of Section - ~ - -~ - <br />6825lo}~-Internal Re~•eaue Code, have Fieen~salisfied with rasped to the taxes enu- <br />~be{aw, together with a)S statutry >dCl'aions. provided by Sec±ion 6327; and <br />merofed' ~ <br />_ <br />- ttirtt ths lien far such taus and statutory adttftiorts hos thereby been- relapsed. It~e i - <br />pmper officer in the office where notice fiitMrnpi revenue ~tnx lien wos filad on <br />>'n7y 21t 19Z; is hereby authorised to triake notation <br />-~ pis his books to show the relapse of said Tien, insofar as the lien relates !o the follow- ~ <br />- itfo foxes - i <br />~. <br />BJCE ~ <br /> <br /> <br />KIND OF TAX I <br />TAX PERIOD ENDED <br />DATE OF ASSESSMENT <br />IDENTIFYING NUMBER UNPAID BALANCE <br />Of ASSESSMENT <br />(a} !b) ~ (~) (d) (el <br /> <br />Wit. j ~ ~ ~- <br /> 7$ r-•1tm•'~ <br /> <br />~-'" <br />~ <br />l I <br />P{1xCE OF FILING <br />nrnrrwes ~ r <br />_- ~- _ i~TAL l $ <br /> <br />VitTNESS my hand at Dinah&. Nebraska ___- , on this, <br />the ~hday of~1~11.`it ., 1 <br />-- - <br />SIGNATURE TITLE <br />_ ~ __ ___ __ _ C_h_ier,, '~ci 1 Froc 3ures _ _ <br />(NOTE: Certificate of officer prized by law to rake acknowledymw.ms n na eswnnul to tha vu6dor of tioi~a~ of r,.•d~~~i L.~, ~~~~~ J.CAL <br />26119, C.B. 1950-it, 115.) <br />PART 3-To be usod for recording purpococ <br /> <br /> <br />