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STATE TAX LIEN ❑ NEBRASKA DEPARTMENT OF LABOR NDOL Legal Division <br />P.O. Box 94600 <br />Lincoln, NE 68509 -4600 <br />1 CONTINUATION Telephone - (402) 471 -9912 <br />FAX - (402) 471 -9917 <br />E mployer or <br />Liable Person: <br />Michelle Cervantes dba Speedy Roofing <br />Address: <br />116 E. II. 30 Grand Island NE 68801 <br />NDOL Serial No.: <br />LA13-0265 -2008 <br />To be filed in the State Tax Lien Register maintained by the <br />Register of Deeds in the followin_ Counties: <br />Document Filin I No <br />9908580525 -6 <br />Hall <br />NDOL Acct. No,: <br />0324936001 <br />Federal ID No. / SSA No.: <br />16- 1747404 <br />COUNTY: <br />COUNTY FILING NO.: <br />DATE FILED: <br />ADDITIONAL INFORMATION (if applicable): <br />08 <br />0808010441 <br />December 24, 2008 <br />Orig. Filed Co_ December 29, 2008 @1 :46 PM ii <br />0200810441 <br />Aug. 17.2013 03FM NE Secretary of Stat_ <br />The following lien shall be continued for a period of ten years. <br />Date: August 16, 2018 . <br />L: \General CounselEega1\DOCOMLN`fSTo MS\Liens\Continuetion,doc <br />PO Box 94600 <br />Lincoln NE. 685094500 <br />NI fee of 114n4a John R G.1e - .. - I 1 CC -..- SOON <br />�I PIT' 111.' • i1W1 - uu. -_ <br />JOHN IL ALBIN <br />Commissioner of Labor <br />0306 F. 6 <br />201805410 <br />9918818006 -4 Pgs: <br />CERVRNTES MICHELLE <br />Filed: 0B/17/2018 09 :26 AM <br />This is a CONTINUATION of an existing lien and serves to continue the lien and priority of the Nebraska Department of Labor <br />on the affected property of this employer or liable person. This CONTINUANCE is tiled pursuant to Neb. Rev. Slat § §48 -657 <br />and 48 -664 and the Uniform State Tax Lien Registration & Enforcement Act (Neb. Rev. Stat. §77 -3901, et seq.). <br />1 certify that the Nebraska Department of Labor has complied with the Employment Security Law of the State of Nebraska in <br />the determination of the amount due, and the employer or person has failed to pay the amount due after demand. <br />KATIE S. an..� <br />KATIE S.1 ER, Agency General Counsel <br />THOMAS A. UKINSKC, Legal Counsel <br />LIBBY ELDER, Attorney <br />RETURN FILED COPIES TO: Nebr. Dept. of Labor -LEGAL NEBR. DEPT. OF LABOR <br />CHARGE ACCT. #14765 <br />