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oet <br />Jul. 16. 2015 2 :33PM NE Sec etary of State — UCC <br />n/a <br />STATE TAX LIEN o NEBRASKA DEPARTMENT OF LABOR <br />• TERMINATION <br />Employer or <br />Liable Person: <br />Address: <br />NDOL Acct. No.: <br />Federal ID No. / SSA No.: <br />I X FULL Termination I I PARTIAL Release <br />Property description (ONLY if PARTIAL Release): <br />Date: July 16, 2015 <br />T:U)OCUME TS FORMS1Liens\Termmarion.docx <br />Johnson Cash Way Lumber <br />2130 N Webb Road, Grand Island, NE 68803 <br />0008174005 <br />47- 0353670 <br />RETURN FILED COPIES TO:. Nebr. Dept. of Labor - LEGAL <br />P.O. Boy 94600 <br />Lincoln, Ne 68509 -4600 <br />20150LS37 <br />LIEN TO BE TERMINATED: <br />By: <br />County: <br />JOHN H. ALBIN <br />Commissioner of Labor <br />Hall <br />NE Sam of St& m John w bale <br />N-. 1 82 7 <br />9915757847 -6 F <br />JOHNSON CASH WAY LUMBER <br />Filed: 07/18/2015 10:53 AM <br />NDOL Office of Legal Counsel <br />P.O. Box 94600 <br />Lincoln, NE 68509 -4600 <br />Telephone - (402) 471 -9912 <br />FAX - (402) 471 -9917 <br />This TERMINATION serves to remove the lien described below and the priority of the Nebraska Department of Labor on the <br />affected property of this employer or person. This Termination is filed pursuant to Neb. Rev. Stat. § §48 -657, 48- 660.01, 48 -664, <br />and the Uniform State Tax Lien Registration & Enforcement Act (Neb. Rev. Stat. §77 -3901, et seq.). <br />NDOL Serial No.: LAB -0201 -2014 <br />State Tax Lien Document No. : 91474 - <br />County Document Filing No.: 0814007035 <br />P. 2 <br />Llll ION <br />: <br />Other Filing Information: Orig. Filed Co 11/4/2014 @ PM <br />3:55 # 201407035 <br />I certify that the Nebraska Department of Labor has complied with the Employment Security Law of the State of Nebraska <br />in the determination of the amount doe, and the employer or person has failed to pay the amount due after demand. <br />TH t MAS A. UKINSKI, Legal Counsel <br />KATIE S. THURBER, Legal Counsel <br />NEBR. DEPT. OF LABOR <br />CHARGE ACCT. #14765 o <br />