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COUNTY: <br />COUNTY FILING NO.: <br />DATE FILED: <br />ADDI'T'IONAL INFORMATION (If appUcable): <br />Hall <br />0805006377 <br />07/1212005 <br />Orig, Filed Co 07/132005 @ 9:32 AM # 0200506377 <br />4 ' <br />App, 8, 2015 2 :59PM NE Secretary of State — UCC <br />■ <br />CONTINUATION <br />Employer or <br />Liable Person: <br />Address: <br />NDOL Serial No.: <br />Document Filing No: <br />NDOL Aeet No.: <br />Federal ID No. / SSA No.: <br />Date; April 8, 2015 <br />T: VDOCUMENT SWORMSliaielConrinuetion doex <br />LAB- 0106 -2005 <br />9905402980 -9 <br />0298701003 <br />71- 0924021 <br />PO Box 94600 <br />Lincoln NE. 68509 -4500 <br />201502189 <br />Hall <br />STATE TAX LIEN ❑ NEBRASKA DEPARTMENT OF LABOR <br />Ae:' Inc. <br />819 No. Diers Avenue #1 Grand Island NE 68803 <br />...No, 0182 P o <br />ACC stYN <br />11 11111 <br />98I575190I.6 Pas: <br />CIS INC. <br />_. FiLd;_114168129 4 6- 02112 . <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 />To be filed in the State Tax Lien Reggidter maintained by the <br />Register of Deeds in the following Counties: <br />This is a CoNI1MMTTON of an existing San and serves to continue the lien and priority of the Nebraska Department of Labor <br />on the affected property of this employer or liabk person. This CONTINUANCE is filed pursuant to Ned, Rev. Scat §§4&657 <br />and 48 -664 and the Uniform State Tax Lien Registration & Enforcement Aet (Nth Arm ,Sw& §773901, etseg.). <br />The following lien shall be continued for period of ten years. <br />1 certify that the Nebraska Department of Labor has complied with the Employaent 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 />JOHN H. ALBIN <br />Commissioner of Labor <br />THOMAS A. UKINSKI, Legal Counsel <br />KATIE S. THURBER, Legal Counsel <br />RETURN FILED COPIES TO: Nebr. Dept. of Labor -LEGAL NEBR. DEPT. OP LABOR <br />CHARGE ACCT, #14765 <br />