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Jul, 11.2010 3:21FM NE Secretary of State <br />X I FULL Termination I I PARTIAL Release <br />Property description (ONLYif PARTIAL Release): <br />n/a <br />201804449 <br />STATE TAX LIEN D NEDRASKA DEPARTMENT OF LABOR <br />■ TierainqATION <br />NDOL Office of Legal Counsel <br />P.O. Bog 94600 <br />Lincoln, NE 68509 -4600 <br />Telephone - (402) 471 -9912 <br />FAX - (402) 471 -9917 <br />Employer or <br />Liable Person: Cod Terrell White f/d/b /a Sax's Pizza <br />Address: 5011 N. 2 Ave. Ste 52 Kearney NE 68845 <br />NDOL Acct No.: 0336945009 <br />Federal ID No. / SSA No.: 27-2603704/ xxx -4922 <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 Nei 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 />LIEN TO BE TERMINATED: <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 />JOHN 1L ALBIN <br />Commissioner of Labor <br />Date; July 10, 2018 Dy: _lB <br />L :\Goncral <br />Counsellege1DOCOMENTSTORMALiensleamination.docx <br />NDOL Serial No.: LAB -0119 -2012 <br />County: Hall/ Buffalo <br />N 0610 F. 2/2 <br />HE 5.. of Siwiel Jahn R G.1. - UGC T09 <br />I '.a <br />i <br />99 18815412 - 2 Pi 1 <br />6AZ'S PIZZA <br />Filed: 07/11/2015 10:53 AM <br />State Tax Lien Document No.: 9912687761-3 <br />County Document !riling No.: 0812002116 / 0912001721 <br />Other Filing Information: Orig. Filed Co. March 20, 2012 <br />® PM 1:12 # 201202116 Hall Cty / Orig. Filed Co. March <br />16, 2012 © 3:01 # 2012001721 Buffalo Cty <br />XATEE S. T ER, Agency General Counsel <br />THOMAS A. UKINSKI, Legal Counsel <br />LIBBY K ELDER, Legal Counsel <br />RETURN FILED COPIES TO: Nebr. Dept. of Labor - LEGAL NEBR. DEPT. OF LABOR <br />