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Address: <br />228 Checakee Avenue Grand Islmad NE 68$03 <br />?IDOL Serial No.: <br />LAB - 0135-2005 <br />To be filed in the State Tax Den Register mai>ataieed by the <br />Register of Deeds in the following Coantier: <br />Document Film No: <br />9905410242-5 <br />Hall <br />NDOL Acct. No.: <br />0256652007 <br />Federal ID No. / SSA No.: <br />47- 0791041 <br />COUNTY: <br />COUNTY FILING NO.: <br />DATE PILED: <br />ADDmONAL INFORMATION Of npplicabie): <br />Hall <br />0$0508574 <br />August 30, 2005 <br />Orig. Filed Co 08/3112005 (4 AM 11.08 # 0200506574 <br />Apr, 23 2015 3:31PM NE Secretary of State — UOC <br />20 502538 <br />STATE TAX LIEN 0 NEBRASKA IMPARTMENT 017 LABOR <br />CONTIMA°C1ON <br />Employer or <br />Liable Perron: I A & N Inc <br />The following ilea shall be eoutinued for a period of ten years. <br />Date: April 23, 2015 <br />T:11lOC' ir'TSWORhInieas‘Condaddtimdax <br />RETURN F LED COPIES TO: Nebr. Dept. of Labor - LEGAL <br />X) Box MOO <br />Lincoln NE. 68509 -4500 <br />JOHN IL AWN <br />Commissioner of Labor <br />THOMAS A. UKINSKI, Legal Conned <br />KATIE 6. THURBllR, Legal Counsel <br />No, 0500 °, 3!4 <br />84157+528074 Pod: <br />R M N /NC. <br />Filed- U/2312e15 e1:66 PM <br />NOM Legal Division <br />P.O. Ban 94600 <br />Lincolr, NE 68509 -4600 <br />Telephone - (402) 411 - 99L2 <br />FAX - (402) 471 - 9917 <br />This le a CON1oi0*1C1oN of an eating Hen 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. Thar CONTINUANCE is filed pursuant to Neb, Rev, Slat N48-657 <br />sad 48-664 and the Uniform State Tax Ilea Registration & Enforcement Aet (Mb. Bev. Sot §77 -3901, el seq.). <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 meant due, and the employer or person has failed to pay the amount due altar demand. <br />NEER. DEPT. OF LABOR <br />CHARGE ACCT. #14765 <br />