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<br />�" , • PLEASE 00 NIOT t'Yi�iTE Q�171US SPACE � � . • ' ;,.��.
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<br /> ��. ' 1bLs Nattce of Sffite Taz Iden is issued by the Ne6iastca Departmeut oP ' ' .. '_-_�,T._
<br /> �.: ` Rev�ue for�paicD taaes puisaant to the�+evenae iaws of the state of `.`... ,
<br />,'. � . Nebreslta. No4Ice is Le�by given ti�at tases in�iadtng penait[es and �''°.-
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<br /> ;,.�� _ tnCeaest,whtcb aie shown 6eIow,aze dee fiom th�te:payer spedSe� ..°�.� ' ��..�'..
<br /> below ead remein unpatd efter demand. These tases constItute a Iiea in . '�:
<br /> ' ' the cu�ty for real aad P��P�PE�'�Y 6e[ongtng to the taapayes or ' •.�,,`-�:
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<br /> 218 082 0�� I8�CO"�'�0n ❑�� 8-6-93 I3311 F
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<br /> • . BUSINESS[dAb1E AND LOCATIOti ADDRESS TAXPAYER NAIIAF AND lHAlUKG AODAESS �..
<br /> . siana�Mama ntame �
<br /> Son Van Phan ,��
<br /> � . � soreeiaam,asa saeetaomarMaamgaaaresa
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<br /> �� 22 6th Ave � :':: 'F'
<br /> ' . " Ciry Smle Z�CaQe Cih Smts T�Code . •••L
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<br /> _.. � uncil Bluffs IA 51501 � _° '����;
<br /> : ' , : Cete�[ory TaxPerlod �O� Amous�tolTax P�nelty fMaro�t Qddf@one �!ffiteeaf "'-'��.-
<br /> Husiit�6l A�tmttortt A88cet3Sit9ntDUe �_'';�ti;::
<br /> . • 22 1991 5-18-93 203.00 50.75 28.�3 282.48 , , ',���``
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<br /> ,:- ,' TOTAL $ 282.48 ,� " �
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<br /> . � an eNeclNe oen.n servesw oonEn e prwruyr o1B�e cta[e's iMerest m theffilac[e�properly of theta�ayer. .. �
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<br /> • .. � .(�vvT � Revenue Senior Aqent .
<br /> . 'rannor�zea Sl�ae ' r�te � ' .
<br /> • NEBRASKA OEPAHTMENT OF REUENUE-White and Qoidenrod Coptes TAXPAYER•Pink Copy CaUNN OFF(CE-Cenary Copy • • . •
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