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Nov. 17. 2:117 4:18PM NE Secretary of State — UCC <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: 1201 Allen Drive, Suite 101 Grand Island, NE 68803 <br />NDOL Acct. No.: 0334798002 <br />Federal ID No. / SSA No.: <br />Property description (ONLY if PARTIAL Release): <br />xxx -xx -8231 <br />Date; November 16, 2017 By: <br />RETURN FILED COPIES TO: Nebr. Dept. of Labor - LEGAL <br />1P,O. Box 94600 <br />Lincoln, NE 68509.4600 <br />LIEN TO BE TERMINATED: <br />JOHN H. ALBIN <br />Commissioner of Labor <br />County: Hall <br />KATIE S. THURBER, Agency General Counsel <br />T:\ DOCUMENTSWORMS \Licns \Tcnnination.docx THOMAS A. UKINSKI, Legal Counsel <br />4v1 iV';iiz <br />No.2634 P. 5 <br />NI Sao of Stake Jahn R Data - UCC T0• <br />Pgs: 1 <br />State Tax Lien Document No.: 9916776284 -7 <br />9917801833 -8 <br />PATTON KATHERINE L. <br />Filed: 11/1712017 03 :67 PIS <br />County Document Filing No.: 0816004143 <br />NDOL Office of Legal Counsel <br />P.O. Box 94600 <br />Lincoln, NE 68509 -4600 <br />Telephone - (402) 4719912 <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. Seat. §77 -3901, et seq.). <br />PULL Termination <br />PARTIAL Release <br />NDOL Serial No.: LAB- 0062 -2016 <br />Other Filing Information: Orig. Filed Co July 5, 2016 ® <br />2:53 # 201604143 <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. #147 <br />