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o% <br />Nov.17. 2517 4.18PM NE Secretary of State — UCC <br />X <br />n/a <br />STATE TAX LIEN o NEBRASKA DEPARTMENT OF LABOR <br />• TERMINATION <br />Employer or <br />Liable Person: Katherine L Patton <br />Address; 3886 Montego Dr. Huntington Beach CA 92649 <br />NDOL Acct. No.; 0334798002 <br />PULL Termination <br />Date: November 16, 2017 <br />PARTIAL Release <br />Property description (ONLY if PARTIAL Release): <br />By: <br />KATIE S. THURBER, Agency General Counsel <br />T:\D000 NTSWOR 4S \Liens\Terrnination.docx THOMAS A. UKINSKI, Legal Counsel <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 />JOHN H. ALBIN <br />Commissioner of Labor <br />(Th <br />County: Hall <br />2 P 16'0 7 1 <br />E Se= 0 Stela JnJ,n A Gala - UCC TO <br />9817501832 -4 Pge <br />PATTON KATHERINE L <br />Filed; 11/17/2017 03:67 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 />Federal ID No. / SSA No.: xxx -xx -8231 <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 (Web. Rev. Stat. §77 -3901, et seq.). <br />NDOL Serial No. : LAB- 0089 -2015 <br />State Tax Lien Document No.: 99 <br />County Document Filing No.: 0815002779 <br />Other Piling Information: Orig. Piled Co May 1, 2015 @ <br />2:50 PM # 201502779 <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. #1476 <br />