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<br /> � PIJEASE DO NCR WRTTH IN THIS SPACE �� =`��_
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<br /> Thls NIotloe of Sin4e Tos Id�a is issaed by the Nebrasica II�a�meat ot ' • " ==-_A
<br /> R e veaae for o a p a W�es pnisaant to the revenne ta�vs ot the smte of • . • '_;�.�:
<br /> NebraskA. NoUoe is hereby gfven tbat ts�eg[nciadiug �+enattks aad .: ....'
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<br /> , inte�est.wLkh are showo below,are due g+nm�►e taapsyer spedSe� , �;_ -�.
<br /> bdow��main anpald atter demawd. These tue9 consNtate a lien tn '�-;-� --
<br /> beioagtng to the taYpmyer or ���-_
<br /> . the oo�ty for real sad peiaonal p�ger�Y � �
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<br /> �a gtdal Ssaslty a Faderall.D.Nisnda sva�ds soa��un�r N� . : ,;
<br /> � N,o�a�au�n Kumbsr uen wea w,th - - - - � .
<br /> I���o�as a��►a� 47—a6173s7 '
<br /> �� n�o�ue� �r :
<br />_ uen ser�Nurnber �� ❑�0" ❑c«rectea 3-26—g7 Hall ��, ,_2�L;".
<br /> 0 3� TA�fPAYER Ad�7E AF�C9G111LIf�`8 ADDRE53 ' � ' •�
<br /> NESS NAIAE AiID LOCATION ADDRESS .. _. ..:�` •.
<br />. Biufiass Name j,� Z].II�12� & SOIIS II1C �,�+s.. ���� 'j
<br /> SCaYtAd�ws StreetotOOtarM2�ngPDGress .`,.�,,,�; - .'� .
<br /> 4160 k'est One R Rd . << '
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<br /> . stas �� � � �
<br />. .. GH �:=' :��. i •.
<br /> Grand Island NE 68803 , -
<br /> . :F,.' �a -
<br /> . � T�tP�Aod �of /ImpuntofTot �1�ll ���t � ��� � �°` !'!��_'
<br /> � . . • .d.�
<br /> � iai-96 tr�ru ia5.39 .�' ��� -
<br /> 21 _ _ _ _ 117.92 5.90 1.57 l�'�.�. i° -
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<br /> TOTAL S 125.39 :�±�'���`��-
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<br /> NEg DEPAFtTMENT OF FiEVENt1H•Whfte and Qotdonrod CdDles TAXPAYER•Pink Capy OOUNIY OfF(CE-Canary CoPY �
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