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~ . ~ oer~r~+r oR tf+e n~ws~xr~~ru~ ~v~r~ s~vrcE For opron~ t?,R h j•~?~w i (RE,V. 1-70) ~ T~ ~ ~ DISTR(CT SER~L ~ . - ~ i ~ ' 1 heraby asrlifr th~ as ~o th~ follow+~ roquiroenents of SKJioe - ~ ~ ~3~ IMernol Ilsvenu~ Cod~, haMe bwn ~i1 ~th rospsd M th~ ta~oe~ ~u- : - - bslaw, topaM~ wiTh dl stalul~anr ~1ant; P~'ovid~d 6y~ Section 65~1; cnd ' , 1l~at Ihi lien for wch Mxes and srolulnn? add'`ilia~s~has tl+sr~sb~? been nleos~d. ~M proper ofRar in ihs oiF'ios wl»r~ nolio~ o~' bilsrn~ reMa~w tax ii~n w~ iiNd on ~ , 19..~p.:;,.h h~b'Y ouNioriud to dia~ke noto}an - . i o~ his books to sl~ow ths roleose ~ sad INn:Yi~to~a' as the lian relaMs to tM follow~- - ~ I NI1ME OF TAXP~AYEIt ~ _ . . ~ . - ' ; ~ : r~s~cE - tA. !s ~ , !I~ ~l~~ u~i~ro e+w~ricE KiWD OF UX UX .PERIOD ENDED ASSESSMENi W?TE iDH~1TlF1fING NtJMB6t OF ASSESSMzNT , IaI bl I~) WI b1 ' j ~ f ~ !~1 i ~ !~1 i-'~-~ !-~1r - : . ; , _ i ~ ; - ~ ~ ~ ~ . _ _ i . ; ~ i ~ ~ ~ ~ ~ , , - l ~ ~ ~ oF Rur~c ~s Owes - f ~ j~~ ~ TOTAL ~ ~ I ~a ~ I , vMndESS rrh? hond at , on 1t,is, the~_doY of Nevuh~r , 19 °~1 - SIGNIJURE M~E S ciai Proc~dur~s St (NOTE: Grtit~caM oF au~ho.ized b9r law b talc~ «k~awi~dpin~nts 600~~~ ~~~~V~/No~ia of f~d~rd Taoc t'+a~ G.CJ~ ~ 46119, C.S. 19i0-Sl. S.) ~ MRT a-Ti bir rs~d for ne~ pwp~s~s siAk =.-L. ~F.. ~ h . . i .~Y.u~_ .T~i-_c'°`