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Mar. 27.2018 3:07PM NE Secretary of 'State. <br />STATE TAX LIEN p NEBRASKA DEPARTMENT OF LABOR <br />1I TERMINATION <br />Employer or <br />Liable Person: <br />Address: <br />Ronald V_ Rathjen <br />1504 'W Ave. Grand Island, NE 68801 <br />NDOL Acct. No,: 0288410005 <br />Federal II) No. / SSA No xxx -xx -4972 <br />I " 1 FULL Tesulination <br />Property description (ONLY if PARTIAL Release): <br />n/a <br />Date: March 23, 2018 <br />L: \Grncral <br />Counsel\ Lege1\ DOCUMENTS \FORMS\Liens \Tenoination.docx <br />201801905 <br />LIEN TO BE TERMINATED: <br />PARTIAL Release <br />BY: <br />NDOL Serial No. : <br />JOHN IL ALBIN <br />Commissioner of Labor <br />County: Hall <br />G .5 a1 St.t. <br />LAB- 0016 -2018 <br />County Document Piling No.: 0818001407 <br />A IL S. Agency it S. ER, Agency General Counsel <br />THOMAS A. UKINSKI, Legal Counsel <br />LIBBY K ELDER, Legal Counsel <br />0264 P. <br />Jelin A gale - Il[[ TO <br />Pgt: I <br />9918808174 -7 <br />RRTHJEN RONALD V. <br />Flied= 03/27/2019 00.37 AM <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, etseq.). <br />State Tax Lien Document No.: 9918807276 -2 <br />Other Piling Information: Orig. Piled Co. March 7, 2018 <br />(33.430 # 201801407 <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 demaad. <br />RETURN FILED COPIES TO: Nebr. Dept. of Labor - LEGAL NEBR, DEPT. OF LABOR <br />P.O. Box 94600 CHARGE ACCT. #1476 <br />