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<br />f- Notice of State Tax ~,~!'~en t, l.t ~ ~ i °= I'~~
<br />- o~eve~u! [ - - - - _.. ~_ - -.: •Read mst uct[ons on reyer_se sid~_~ J - u' -_ _,___-., ~, I _
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<br />Lien-Serial Number Lieo Type - Obi! Sacral Slcurltq- Numb'at ~~ ~~ - {' ~ ~~i-^- -
<br />r - t ~ br191rt~! - -. f~f - _ - -
<br />1/0$J901 ` Re~lw=, 8-26 81 1 -505 34.8268- 1
<br />- Nebraska I.D. No. County en F led -v to pnuze'z Socia[Securjry - -
<br />- © R g s-e. n/ Oeen Number- - - - - -
<br />191000 Mall r,~ Cnunty Clerk '~
<br />- ~_ BUSINESS-NAME AND LOCATION ADDRESS - TAXPAYER NAME AND MAILING ADORESS - -
<br />Husrness Na.t:e - - - - ~ ~_ N mV -
<br />Gerald Rock Grand Island Copy Co: __ ~ ~Gerald'E. Rick
<br />Scree[ Aapress ~ i Street ar Oth r Mailing gddress
<br />404 West 4th Rural Route: 3, Box 15A _
<br />City - - 5ta[e Lfp CVd .. - C tY - - , - titata ~.. - .~ z p Codev ~ - -
<br />Grand Island, NE 68801 -Grand Island,. NE 68801
<br />- - Pursuant is the revenue laws oC the State oC Nebraska, notier is hereby given-that razes (including,penalties, interest
<br />and additions) have been assessed-and-are due frpm the above taxpayer and remain unpaid: after ~tentand. "these taxes
<br />constitute a lien upon property belonging to the taxpayer, or hereafferacituired by the taxpayer, acid located in the
<br />above county. Liens Coe sales and- use taxes only attach to the real pmperty° belonging to rife taxpayer, or hereafter
<br />aciluired by the taxpayer, anti heated in the above fount}°.
<br />Tax -r , -T- ____.__~~_. .._.___~~_._..~~~
<br />~~--R_~'~T ! - Data of - , - Salanc! of
<br />- - Category Tax Pe [ad • ~~ Amaunt ut Tea - Ranaky Interest Additions
<br />NVmbar , - - ; Astaassmanx - - _ -+ - _- Assessment Rue
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<br />,1-1-$l thru ~ ~ ~ i~
<br />_ ~ -.... ~- ., - .T- - 3 ----
<br />r {- ---t----- - _-_ _ ~_ 633.39
<br />21 +3-31-81 5/13/8, 59~,~ 9,_60 17 84 -
<br />i4 1 $l thru j ___ _ _ 4,_31_ _
<br />_.........21 t~ 30 81 h 31I_$Lj_~.f,2 ~ -+--- --G3 ~1 ~. _ - Al 0.18
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<br />nirn~ s 1543.57
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