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<br /> GERALE E CHIZEK',. . )
<br /> COMMISSIONER OF'LABOP.-', ) -
<br /> ) Certificate of Lien, � , ,
<br /> � _ � ��vs .�I �, � �) ��`for��:D'elinquent. � }
<br /> ' , ' . ) Unemployment Insurance-Contribution8 7 ,;I
<br /> ; � ^; PERSONALIZED,'HOME�S, �INC:`� " ' ') � : � �i
<br /> > ' Employer Account,,Ho..41627 '00&' 1511 ) - � � r ",
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<br /> 'f '' ` TO WHOM IT:MAY:CONCERNi '�� . ' � ���: � � �. > =
<br /> ° ;. ; : �' ` z.
<br /> " � "The undersign'ed. James R. Jones, attorney for`Gerald E ' �
<br /> ; � ,: _. ��� ., �
<br /> t
<br /> w , Chizek, the';:duly::ap"pointed, qualified,. and.acting Commissioneraof- �`
<br /> ' Labor:�.of, th`e State. of Nebraska, .does: hereby certify that Personalized ° `
<br /> ' '. Home"s; I'nc'.;.a corporation, doing buainess• in Grand Isl"and, ',Hall :� ' � , �
<br /> x, ,°; ;. CounEy, .Nebraeka,:cis� indebted: to the Unemployment Compensation.Pund,• • � �
<br /> ' �` of`tlie.State,of Neb�raska .for.�contrib�utions'�-due����on�its`;employwent�����.`�� ' �
<br /> ; ._ " �
<br /> ;�..,' for,.the ,aecond quarter-of 1976 in the sum of .$878.12 and intetest. i ' '
<br /> $ in the aum.of $26:75, with;interest at the ,xate of one per cent �
<br /> , . per. month on the sum of $878.12 from September 8, 1976, until'.paidc �
<br /> � � � � f
<br /> ' By reason thereof, said Gerald E: Chizek, as.Commissioner: . I
<br /> of Labor, on behalf of the Unemployment Compensntion -Fund, `:hereby �
<br /> claims a lien in..the .sum of .$904.86, with inCerest at the rate of � �
<br /> + � � . , one per cent per. month on the sum.of $878.12 from September:8, 1976', ' ' `-
<br /> ` {
<br /> s until `paid,:upon any and a1L property, real or personal of said €
<br /> � Personalized Homes, Inc, and, specifically claims-a lien on the �
<br /> ' � � g �`. -.; `
<br /> � �` following::described_ real estate: � <: � '
<br /> . . . . . .� . . � . � � r
<br /> Lot 4, Block 10, Lambert Addition.to the City of � -
<br /> Grand Island, Ha11 County, Nebraska �
<br /> i.
<br /> Lot 2, Lee Heights rourth Subdivision of the City of f
<br /> Grand :Island, Ha11 County, Nebraska `
<br /> Lots 5, 6 G 8; Block 9, Lambert's Addition to the � '
<br /> City of Grand Island, .Ha11 County, Nebraska � -
<br /> x subject only .to liens of prior record pursuant. to section .48-657, � _ '
<br /> R. R. S., Nebr., 1943. :
<br /> _ i
<br /> AMES R. JONES .:`
<br /> Attorney for ,;:`
<br /> Gerald E. Chizek, Commissioner of Labor � ° `
<br /> September 8, 19Z6 �
<br />�:�
<br /> STATE OF NEBRASKA (
<br /> ( ss.
<br /> LANCASTER COUNTY .(
<br /> , James R. Jones, being first duly sworn uppn his oath, deposea
<br /> -and .says. that he is attorney for Gerald E. Chizek, Commissioner of
<br /> Labor.of the State of Nebraske; that he is authorized to make the
<br /> above certificate; that the facts set out above are true and correct.
<br /> ; ;' ' ' > . :.
<br /> �,
<br /> �vLP/,J
<br /> SUBSCRIBED in my presence and sworn to before me this 8th �
<br /> day os September, 1976.
<br /> Ailiss J. Snyder
<br /> � GENERAL NOTARIAL btary Pu ic
<br /> ': SEAL,'
<br /> �� STATE OF NEBRA9KA � � � � � � � �� �
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<br /> c D�cem6er 11,1917 tA ,�, �,t ."
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