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FPrm j~`L~Q i r~~p pD^eoaar2mert of the 7rezsury-Internal Revenue Ssrvics <br />(RBV. aePtembert9iaj'~ ~ ~~'tTE~~~er:t1 i'ax Lien Under internal Revenue Laws <br />Oistric[ ` ~ Seriat Number ~r opngnat Use ny Aenwan~ ot:eee <br />~~ 47 ! 37321 <br />- --_.~ <br />t <br />As provided by sections~632'i, 6322 and 6323 of the Intema! Revenue Code, <br />nctice is given inai•~ax~%ft~Ridiiig ~fiitAt~>tand penalties) have been assessed ~ <br />egainst the fiollownTg-named .taxpayer. " ibWh+lbd for payment of this liability has <br />been made, but it remains unpaid. Therefara, there is a lien in favor of the United p~ _ <br />Slates on all prop 7~e a is pr longing to this taxpayer for the j ~SJ'~ (i t t e' , ~} <br />amount of these to es, ~a~nd additi~ona~ p" enHl£es, interest, and costs that may ; J <br />accrue. <br />_ I <br />Name of Taxpayer 4 r- ~ i <br />Grand Island La~ut' Care- InGorp~rtted (A Corporation) ~ <br />Rettldence r - <br />2226 South Blaine <br />Grand Island. Nebraska 6B23ni <br /> <br />Kind of Tax <br />r~ <br />i Tax Period Endetl Date of Assessment <br />~ rot ~ m7 <br />IdeMftying Numtrer <br />(e~ unpaid Betance <br />of Asaessaront <br />~ ta7 <br /> <br />o9 15-80 <br />i <br />f <br />1 <br />i <br />i <br />I <br />f <br />BMF 47-G555093 <br /> <br />~ <br /> <br />I <br /> <br />I <br />?#615:45 ., i <br />Plactt of Fiting ~ '- <br />x;'^Y.. t'iO1lTlty <br />Grand Islands Nebraska 6B801 <br />This notice was prepared and signed at __ Grand Island. Nebraska , <br />the ,jJ~+.h day of GP~pmhar,7g ~O _ <br />~ _ <br />Signature ~" ~~~. ,~ <br />Lyle D. Mat,ger <br />Revenue dfficer <br />on this, <br /> <br />(NO10: Carniicala pt ofircer ouff,pr~ted qy larv (o ..,np .ivanpwiagyrnpnf~ ~> ,ep, pasurilr•,l !a Iha valrUrly Ut Notlpe nl <br />FpOgiral Tax lion oC. M. 86119, i95Q 1, C.a. 1T5.J <br />Part 1 - To be kept by recording attiao . Forrn S88 (1~ev. 8-787 r-~ <br />VIII <br /> <br />Tyr I ~ 7r 6l 5 ~ I+K <br />t~__. <br />