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03/13/2013 WED 14:56 FAX 402 471 4429 UCC SECRETARY OF STATE • TERMINATION Employer or Liable Person: Address: NDOL Acct. No.: Federal ID No. / SSA No.: n/a T :\ DOCUMENTS \FORMS\Liens \Termination.docx 201301948 STATE TAX LIEN 0 NEBRASKA DEPARTMENT OF LABOR J G & J Inc. d/b /a Bullwinldes Bar & Grill 2118 N. Webb Road Grand Island NE 68803 0242960009 47- 0756101 This TERMINATION serves to remove the lien described below and the priority of Ole Nebraska Department of Labor on the affected property of this employer or person. This Termination is filed pursuant to 04, Rev. Stat. j48 -657, 48- 660.01, 48 -664, and the Uniform State Tax Lien Registration & Enforcement Act (Neb. Rev Stat: §71 -3901, etseq.). Date: March 13, 2013 B RETURN FILED COPIES TO: Nebr. Dept. of Labor - LEGAL P.O. Box 94600 Lincoln, NE 68509 -4600 LIEN TO BE TERMINATE X J FULL Termination I 1 PARTIAL Release NDOL . " - ` - ' ' 001 2 - - Property description (ONLY if PARTIAL Release): State TaxLieicument No.: 9911648503 -8 County: . r ;Hall County Document Filing No.: 0811000418 Other Filing In(;onation: Org. filed Co. 1/19/2011 @ 3:57 #0201104418. I certify that the Nebraska Department of Labor has complied with the Eipployment Security Law of the State of Nebraska in the determination of the amount due, and the employer or p er 'Q has failed to pay the amount due after demand. CATHERINE D, LANG Commissio ALBIN, Agency AS A. UKINSKJ, y�y Hall gal Counsel al Counsel 9913710611 -8 Pgs: I BULLWINKLES BAR 8 GR LL Filed: 83/13/2013 02 08 PM 2002/002 E Sec of Siaie John A Gale - UCC 109 NDOL Office of Legal Counsel P.O. Box 94600 Lincoln, NE 68509 -4600 Telephone - (402) 471 -9912 FAX - (402) 471 -9917 NEBR. DEPT. OF LABOR CHARGE ACCT. #14765