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Apr. 13. 2017 2 20PM NE __crr.tary <br />STATE TAX LIEN ❑ NEBRASKA DEPARTMENT OF LABOR <br />ai TERMINATION <br />Employer or <br />Liable Person: Mike A. Kraft <br />Address: 3630 S. Locust Street Grand Island, NE 68801 -8825 <br />NDOL Acct. No.: 00 06756 000 <br />Federal ID No. / SSA No.: <br />xxx -xx -1214 <br />X FULL Termination L `PARTIAL Release <br />Property description (ONLY if PARTIAL Release): <br />n/a <br />Date: April 13, 2017 <br />T :\ DOCUMENTS WORMS\Liens \Tennination.docx <br />LIEN TO BE TERMINATED: <br />By: <br />RETURN FILED COPIES TO; Nebr, Dept. of Labor - LEGAL <br />P.O. ltoa 94600 <br />Lincoln, NE 68509.4600 <br />- 176 �2 332 <br />JOHN IL ALBIN <br />Commissioner of Labor <br />County: <br />Hall <br />RE Sac of S1.4e Join R Isle - IK.G TR9 <br />11 11 <br />.9g177B0336 -8 Pos: 1 <br />KRAFT MIKE A. <br />Filed: 04/13/2017 01:47 PM <br />draittil94669 <br />KATIE S. THC1RBER, Agency General Counsel <br />THOMAS A. IJKINSKI, Legal Counsel <br />DALE M. SHOTKOSKI, Legal Counsel <br />N0.0429 P. <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.: LA13 0030 - 2017 <br />State Tax Lien Document No.: 9917789414-1 <br />County Document Filing No.: 0817001903 <br />Other Filing Information: Orig. Filed Co March 28, 2017 <br />@ 3:03 PM # 201701903 <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 />NEBR. DEPT. OF LABOR <br />CHARGE ACCT. #14765 <br />