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D <br />Oct. 26. 2016 3:35PM NE Secretary cif State — UCC <br />X <br />Employer or <br />Liable Person: Grupe Construction <br />Address: 7500 Sky Park Rd. Grand Island NE 68801 <br />NDOL Acct. No.: 03 62526 003 <br />Federal ID No. / SSA No.: 46- 3968840 <br />FULL Terinirlation <br />Property description (ONLY if PARTIAL Release): <br />I PARTIAL Release <br />Date: October 25, 2016 By: <br />T:\ DOCUMENTS \FORMS\1,icnslTcrminagon.docx <br />RETURN FILED COPIES TO: ' Nebr. Dept. of Labor - LEGAL <br />P.O. Boar 94600 <br />Lincoln. NE 68509 -4600 <br />LIEN TO BE TERMINATED: <br />201607142 <br />JOHN H. ALBIN <br />Commissioner of Labor <br />County: Hall <br />U . 8560 <br />Soo of 5+n +Q John A 6a1 <br />KATIE S. THURBER, Agency General Counsel <br />THOMAS A. UKINSKL, Legal Counsel <br />DALE M. SHOTKOSKI, Legal Counsel <br />NDOL Serial No.: LAB -0159 -2015 <br />County Document Filing No.: 0815005323 <br />P, 5,/5 <br />. CC' Wes <br />gs 1 <br />8916781872 -3 r <br />GRUPE CONSTRUCTION <br />Filed: 10/26/2016 01:4B PM <br />STATE TAX LIEN ❑ NEBRASKA DEPARTMENT OF LABOR <br />• TERIVIINATION <br />NDOL Office of Legal Counsel <br />P.O. Box 94600 <br />Lincoln, NE 69509 -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 48- 660.01, 48 -664, <br />and the Uniform State Tax Lien Registration & Enforcement Act (Neb. Rev. Stat. §77 -3901, et seg.). <br />State Tax Lien Document No.: 9915758979 -6 <br />Other Filing Information: Orig. Filed Co August 5, 2015 <br />2 : 23 PM # 201505323 <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 due, and the employer or person has failed to pay the amount due after demand. <br />NE1311. DEPT. OF LABOR <br />CHARGE ACCT. #14765 <br />