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1/6/2016 3:54:41 PM
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201600071
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Jan. 6. 2516 3:19FM NE Secretary of State — UCC <br />20160007/ <br />STATE TAX LIEN G NEBRASKA DEPARTMENT OF LABOR <br />NDOL Serial No.: ; LAB- 0061 -2006 <br />Document Filing No: <br />NDOL Acct. No.: 0256652007 <br />Federal ID No. / SSA No.: 47- 0791041 <br />The following lien shall be continued for a period of ten years. <br />COUNTY: <br />Hall <br />Date: January 6, 2016 <br />COUNTY FILING NO.: <br />08- 06- 001953 <br />. T:. DOCUT? 5NTS \F0RMS\Liens\Continuation.docx <br />RETURN FILED COPIES TO: Nebr. Dept. of Labor -LEGAL <br />PO Box 94600 <br />Lincoln NE. 68509 -4500 <br />By: <br />JOHN H. ALBIN <br />Commissioner of Labor <br />NGS-� of. Nt 4 412 1 G.h. F. Ji 1, <br />8916766127 -3 Ps s: <br />A5.N INC. ' <br />Filed: 01/06/2016 10:38 RIB <br />• CONTINUATION <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 />Employer or <br />Liable Person: A & N Inc. <br />Address: 1 228 Cherokee Avenue Grand Island NE 68803 <br />To be filed in the State Tax Lien Register maintained by the <br />Register of Deeds in the following Counties: <br />Mall <br />This is a CONTINUATION of an existing lien 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. This CONTINUANCE is filed pursuant to Neb. Rev. Stat. § §48 -657 <br />and 48 -664 and the Uniform State Tax Lien Registration & Enforcement Act (Neb. Rev. Scat §77 -3901, et seq.). <br />DATE FILED: <br />03/07/2006 <br />ADDITIONAL INFORMATION (if applicable): <br />Org. filed Co. 03/07/06 @11:37 #0200601953 <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 amount due, and the employer or person has failed to pay the amount due after demand. <br />THOMAS A. UKINSKI, Legal Counsel <br />KATIE S. THURBER, Legal Counsel <br />NEBR. DEPT. OF LABOR <br />CHARGE ACCT. #14765 <br />
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