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1.2019 2:30FM <br />E S.,.retary :f Stat• <br />201900682._ <br />NE See of 91m, - (Ulm B. Evan <br />Filing Oooumcnt M: 1902000038-9 Pages: 1 <br />Debeoe Nagle: )4ICEELLE CERVANTES <br />Filiug Date and Tyne: 02/01120:9 11.45 Ale <br />STATE TAX LIEN . NEBRASKA. DEPARTMENT OF LABOR <br />■ CtleliNUanON <br />NDOL General Counsel <br />P.O. Box 94600 <br />Lincoln. NE 68509-4600 <br />Telephone - (402) 4719912 <br />FAX -(402) 471-9917 <br />Employer or <br />Liable Person: I Michelle Cervantes d/b/a Speedy Roofing <br />Address: 116 E. Hwy. 30, Grand Island, NE 68802 <br />NDOL Serial No.: <br />LAB -0047-2009 <br />To he flied in the State Tel Lien Register maintained by the <br />Register of Deeds In the lotiowln Counties: <br />Document Filinyg No: <br />9909589150-2 <br />Hall <br />NDOL Acct. No.: <br />0324936001 <br />Federal 11) No. / SSA No.: <br />16-1747404 <br />r <br />I 1 <br />ibis is a CONTINUATION of an existing lieu tad serves to eoutiaut the lien and priority of the Nebraska Department of Gabor <br />on the affected property of this employer or liable person. This CONTINGANCE is lied pursuant to No. ,ker. Slag §§48-657 <br />and 48-664 and the Uniform State Tax Lien Registration & Enforcement Act (Neb. Rev. Stat. 577-3901, at seq.). <br />The following Nen shall be condoned for a period of tea years. <br />COUNTY: <br />Hall <br />COUNTY FILING NO.: <br />DATE FILED: <br />ADDITIONAL INFORMATION (if applicable): <br />011-09-001696 <br />3/6/2009 <br />STL filed 3/&2009; Hall Co. filed 33/92009 <br />( certify that the Nebraska Department of Labor was complied with the Employment Security Law of the State of Nebraska in <br />the determination of the amount doe, and the employer or person has failed to pay the amount doe atter demand. <br />Date: January 31, 2019 <br />By: <br />JOHN H. ALBINI <br />Commissioner of Labor <br />I_:Genera: CeWnetAlga:,DOCLMt NT$!Sne Ta, Lie,e Sine Tex Deafen 70000 saran KATIE S. THURBER, General Counsel <br />Lt IBBY ELDER, Legal Counsel <br />Zea:,e, oml 3b;.009.da-.,1 <br />RETURN FILED COPIES TO: Nebr. Dept. of Labor -LEGAL NEBR. DEPT. OF LABOR <br />PO Box 94600 <br />Lincoln NC 68509-4500 <br />CHARGE ACCT. #14765 <br />