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NDOL Serial No.: <br />LA13- 0136 -2006 <br />To be filed in the State Tax Lien Register maintained by the <br />Register of Deeds in the following Counties: <br />Document Filing No: 9906458434-0 <br />Hall <br />i <br />I <br />NDOL Acct. No.: i 0293745004 <br />Org. filed Co. 06/22/064:11 #200605618 <br />Federal ID No. / SSA No.: 47- 0840034 <br />COUNTY: <br />COUNTY FILING NO.: <br />DATE FILED: <br />ADDITIONAL INFORMATION (if applicable): <br />Hall <br />08 -06 -005618 <br />06/22/06 <br />Org. filed Co. 06/22/064:11 #200605618 <br />I Jan. 12. 2016 <br />• CONTINUATION <br />3.57FM NE Secretary of State — UCC No. 4536 P. 2/3 <br />STATE TAX LIEN o NEBRASKA DEPARTMENT OF LABOR <br />Employer or <br />Liable Person: <br />Felipe Crime f/b /d/a Renacimiento <br />Address: s 309 N Walnut Grand Island NE 68801 <br />201600172 <br />NE Sae of S4a4• John A Got. - LICE SCOM <br />V <br />9916766583 -.0 Pee: 1 <br />CRUZ FELIPE <br />Filed: 01!121201 09:52 AM <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 />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, ,SYat, § §48 -657 <br />and 48-664 and the Uniform State Tax Lien Registration & Enforcement Act (Neb. Rev. Star §77 -3901, et seq.). <br />The following lien shall be continued for a period of ten years. <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 />Date; January 11, 2016 <br />T :tnocUMENTSTORMSTic0.s\Commnuation.docx <br />RETURN FILED COPIES TO:. Nebr. Dept. of Labor -LEGAL <br />PO Box 94600 <br />Lincoln NE. 68509 -4500 <br />JOHN IL ALBIN <br />Commissioner of Labor <br />THOMAS A. UXINSKI, Legal Counsel <br />KATIE S. THURBER, Legal Counsel <br />NEBR. DEPT. OF LABOR <br />CHARGE ACCT. #14765 <br />