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<br /> Form 668(��'9 -.
<br /> � �Rev.12•H3� e e f e e I a Ll�e� ^
<br /> . � DI�t�ICt S�rIAI ui�tUav For Ueo by RQOOrciinp Oldicc
<br /> } Omah� 47e72eS291
<br /> ••w�"'"' � 1 c�rtity that�s to th�followin�•nant�taxp�yH,the rsqulrsrmr+ts of aectlon 6325 p) �
<br /> � '"` � al tha Inl�rnd R�wnw Cod�h�v�b�n wtiUled lor th�taxes Ibl�a1 below and tor .
<br /> all�tatutory�dditlons.Tharetore,the Ilen provided by Code s�ctlon 6321 for these �.y • .•
<br /> ;I tsxes a�nd addttlons hes b�en rots�ssd.Ths prop�� oNicer In �he otflce whero the � ���r .:�-�_;�
<br /> notica a}Int�rnal rovenu0 tax iton was tlltd on �ul y 14 �� ,� ���-
<br /> � t�� , ia ln authorized to nots the booke to ehow the reiease of thls Ilen tor � �' �'^�'�`�__
<br /> theee t�zea md�dditlons i' •,�"��.
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<br /> „ '� Nams ofT�xp�y�r 30HN DAVID LACEY `'��_
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<br /> Hssidsnce BOX 498
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<br /> n� CqURT RECp1=�tD I NU I NF�RMAT�ON: �'P� --
<br /> LibPr Page UCC No. Serial No. �
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<br /> Tex Period Date of Lest Dey far Unpeid Bal�nce =
<br /> Ktnd of Tax Endod Identityf�g Number Aesaasment Rafiliny of Atsessment -
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<br /> ;���.�y�� 6672 Ob/30/86� 507-34-5271 t�2/23/87 0:>/2��/93 22161.,83
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<br />�""'�.�.!'•- � Regis@er of D�eds Total S
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<br /> — .•t�t�ll Gaunty 22161.63 -
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<br />�;•�;���{����r.,t Thfs notice was prepared and signed at mm�ha�N� _�,on this, -_
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<br />_ -the •�.e;C'S1. dey o1 F'ebr,�{�rv_, 193Z. `� -
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<br /> - • t;� ' • ' PAiiT 1'- NEC�Zj01NCy�•OFFICH � FOrm G68(2}(Fiev.12-93)
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