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<br /> GERALD E. CHIZEK, ) Certificate of Lien
<br /> Commissioner of Labor, ) or De inquent
<br /> ) Unemployment Insurance Contributions
<br /> vs. )
<br /> )
<br /> Eldon Donohue, d/b/a )
<br /> THE PADDOCK, Employer Account )
<br /> Number 83521-008-5813 )
<br /> TO WHOM IT MAY CONCERN;
<br /> The undersigned James R. Jones, attorney for Gerald E.
<br /> Chize3c, the duly appointed, qualified, and acting Commissianer of
<br /> Labor of the State of Nebraska, does hereby certify that Eldon Donohue ,
<br /> doing business as The Paddock, doing business in Grand Island, Hall
<br /> County, Nebraska, is indebted to the Unemployment Compensation Fund
<br /> of the State of Nebraska for contributions due on his employment for
<br /> the first and second quarters, 1977 in the sum of $600.00 (assessed) ,
<br /> and inter�st in the sum of $21.00, with interest at the rate of ane
<br /> per cent ger month on the surn of $600.00 from October 11, 1477
<br /> By reason thereof, said Gerald E. Chizek, as Commissioner
<br /> of labor, on behalf of the Unemployment Compensation Fund, hereby
<br /> claims a lien in the sum of $621.00, with interest at the rate of
<br /> one per cent per month on the sum of $600.00 from October 11, 1977,
<br /> until paid, upon any and all property, real or personal, of said
<br /> Eldon Donohue, doing business as The Paddock, and spe cifically claims
<br /> a lien on the following described real estate: -
<br /> W 1/2 of Lot 11 and Lot 10 except the west 35' of
<br /> Lot 1O, Block 1, Bel Air Addition to City of Grand
<br /> z Zsland, Ha11 County, Nebraska
<br /> subject only to liens of prior record pursuant to Section 48-65�,
<br /> R.R.S., Nebr. , 1943.
<br /> ";7'�'t--�-� � �%��`l�G.-'"',
<br /> MES R. JONES
<br /> ATTORNEY FOR
<br /> GERALD E. CHIZEK, COMMISSIONER OF LABOR
<br /> October 11, 1977
<br /> STATE OF NEBRASKA )
<br /> ) ss.
<br /> LANCASTER COUNTY )
<br /> James R. Jones, being first duly sworn upon his oath,
<br /> deposes and says that he is attorney for Gerald E. Chizek, Cominissioner
<br /> of Labor of the State of Nebraska; that he is authorized to maice the
<br /> above certificate; that the facts set out above are true and correct.
<br /> � w7 ;/�/��^t...X=/.7
<br /> � James R. Jones �
<br /> SUBSCRIBED in my presence and sworn to befo re me this llth
<br /> day of October, iy77. '
<br /> �� ,
<br /> Larirae F.N1ares � � �� ;
<br /> . GENERAL ASOTARfA� � � �� �-�� ��� � �?'
<br /> �'�-(7?//l�"F: �-`�J �.//,/r�.9�/'>l
<br /> L �F=�`�L Notary� Public
<br /> STATE OF r.CF�RA;N,q
<br /> . . . '. .c . ,gg � .
<br />� SEAL A 7gust�lM I`"'� .
<br /> --_.._. � �
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