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201705525
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12/9/2019 6:14:31 PM
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8/15/2017 4:04:49 PM
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201705525
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Aug. 15. 2017 3:23PM NE Secretary c.f State — UCC <br />STATE TAX LIEN ❑ NEBRASKA DEPARTMENT OF LABOR <br />• TERMINATION <br />NDOL Acct. No.: 0352076008 <br />Federal ID No. / SSA No.: xxx -xx -1364 <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 />Property description (ONLY if PARTIAL Release): <br />n/a <br />Employer or <br />Liable Person: Mark Trac f/d/b /a Mark Trac A.enc <br />Address: 643 E Ashton Ave. Grand Island NE 68801 <br />Date: August 15, 2017 <br />TbOCUMENTSIFORMS1Licns \Tcrmination,docx <br />RETURN FILED COPIES TO: Nebr. Dept. of Labor - LEGAL <br />P.O. Box 94600 <br />Lincoln, NE 68509 -4600 <br />LIEN TO BE TERMINATED: <br />By: <br />State Tax Lien Document No.: 9915755419 -7 <br />County: Hall <br />JOHN H. ALBIN <br />Commissioner of Labor <br />ME 5¢c of 5 Ake Jch„ M <br />KATIE S. THYlRBER, Agency General Counsel <br />THOMAS A. IJKINSKI, Legal Counsel <br />DALE M. SIIOTKOSKI, Legal Counsel <br />26116552 <br />G• e - UGc T05 <br />Pgs i <br />9917796561 - <br />MARK TRACY RGENCY <br />Filed! 08/15/2017 02:44 PM <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 />County Document Filing No.: 0815003725 <br />Other Filing Information: Orig. Filed Co June 4, 2015 @ <br />3:44 PM t# 201503725 <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. #147p <br />
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