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<br /> •r.;� � � N�IQmt�anN�nDer UBnPoedYYH1 Soc7a139aariyf�Fedetell.D Number Spe�s ��-�;
<br /> `t' 38410865 (�Reg�m`otoee�.'Oc°"�xycten` �07-82-9801 • '==;:,,
<br /> : ; • UenBedafQi�anDer ��� ❑ • '.�::---
<br /> � ❑�d � 10-10-97 ��
<br /> � ' BUSILVESS NAC.7E AND LOCA110N AODAESS TAXPAYER NAl:IE AND fJfAlLI6Ib ADORFSS � � �'"�
<br /> � B�Iness Name � � •,:3�_
<br /> JOHK T�+iIIiLI� VINSON .'
<br /> `� . - . - A�I�S SRB01or0UielMmQllgAdAfB,.°.1` ' --� .r,'�"-=
<br /> ' � 2 08 SHERMA.'�1 .:'<;� �
<br /> , • . . .> �y S�te ZfDCade Cily blam i�CaQe ',j�r,.
<br /> . . L E b8803 .. � . ••'
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<br /> � �O°f Ama�mtofTax P�nafty h►lerest ' AddRtm�s �epr�t�9u� , � ;.
<br /> ' � T�tP�rtod �M .
<br />. . . • �um
<br /> " • 2 �z 2993 2-25-97 532.00 i33.00 i79.�1 1444.51 �� y `--
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<br /> � ' !' TOTAL $ 1444.5I � .
<br /> � • .�
<br /> � 1 herebll��lllffatthe NeGraska�eDartrnerAof Ravenue has oort�UeO with Ole tevenuc�laws oliheSfate oi N�raska in tAeEetetminatlon .
<br />;'. , S o14�eatnamtSta�nmtoEedtte.an04�01a�aYetha9fat10dtopayttteartwuMQuBefterQe�nan0. RW9NOUOeoIS�teTaxUenbane,a�slar►o! , �
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<br /> . ���p T�18 �0 -
<br /> , � NEBRASKA OEPAiiTMENT OF REVENUE-tM�ite and Galdentod Copla9 TAXPAYER-Plnk Copy ����FPt��CanarY�AY� .
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