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Employer or <br />Liable Person: <br />Tim D. Garrison f/d/b/a T W Construction <br />Address: <br />4339 West Stolley Park Road Grand Island NE 68801 <br />NDOL Serial No.: <br />LAB -0129 -2003 <br />To be filed in the State Tax Lien Register maintained by the <br />Register of Deeds do the following Counties: <br />Document Filing No: <br />9903275252 -7 <br />Hall <br />Logan <br />NDOL Acct. No.: <br />0257455002 <br />Federal ID No. / SSA No.: <br />47- 0790606 <br />COUNTY: <br />COUNTY FILING NO.: <br />DATE FILED: <br />ADDITIONAL INFORMATION (if applicable): <br />Hall <br />Logan <br />0803006012 <br />8703000138 <br />May 14, 2003 <br />May 13, 2003 <br />Org. filed Co. May 14, 2003 ® 12:22 #200306012. <br />Org. filed Co. May 13, 2012 (4) 3:30 Bk 1 Pg 38. <br />11/30/2012 FRI 14:43 FAX 402 471 4429 UCC SECRETARY OF STATE <br />• CONTINUATION <br />201210071 <br />STATE TAX LIEN o NEBRASKA DEPARTMENT OF LABOR <br />Hall <br />This is a CONTINUATION of an existing lien and serves to continue the lien and priority of the Nebraska Department of Labor <br />on the affected property of this employer or liable person. This CONTINUANCE is filed pursuant to Neb. Rev. Stat. §§48- <br />657 and 48 -664 and the Uniform State Tax Lien Registration & Enforcement Act (Neb. Rev. Stat §77 -3901, et seq.). <br />The following lien shall be continued for a period of ten years. <br />I certify that the Nebraska Department of Labor has complied with the Employment Security Law of the State of Nebraska in <br />the determination of the amount due, and the employer or person has failed to pay the amount due after demand. <br />Date: November 30, 2012 By: <br />T:\ DOCUMENTS \FORMS\Liens \Continuation.docx <br />RETURN FILED COPIES TO: Nebr. Dept. of Labor - LEGAL <br />PO Box 94600 <br />Lincoln NE. 68509 -4500 <br />CATHERINE D. LANG <br />Commissioner of Labor <br />2002/002 <br />NE Sec <br />111011 0 AM <br />HN H. A BIN, Agency Legal Counsel <br />THOMAS A. UKINSKI, Legal Counsel <br />NDOL Legal Division <br />P.O. Box 94600 <br />Lincoln, NE 68509 -4600 <br />Telephone - (402) 471 -9912 <br />FAX - (402) 471 -9917 <br />NEBR. DEPT. OF LABOR <br />CHARGE ACCT. #14765 <br />