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202203141 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2204001548-0 Pages: 1 <br />Debtor Name: LIBRARY LOUNGE <br />Filing Date and Time: 04/28/2022 10:58 AM <br />STATE TAX LIEN . NEBRASKA DEPARTMENT OF LABOR <br />. TERMINATION <br />NDOL General Counsel <br />P.O. Box 94600 <br />Lincoln, NE 68509-4600 <br />Telephone - (402) 471-9912 <br />FAX - (402) 471-9917 <br />Employer or Liable Person: <br />Address: <br />Ronald L. Juracek and Sharon R. Juracek d/Wa Library Lounge <br />2012 W. Koenig Street Grand Island, NE 68803 <br />NDOL Serial No.: <br />NDOL Acct. No.: <br />LAB -0119-1999 <br />xxxxxx4006 <br />To be filed in the State Tax Llen Register maintained by the <br />Register of Deeds In the following CountylCountles: <br />Federal ID No. ! SSA No.: <br />xx-xxx9380 / xxx-xx-nla <br />Hall <br />State Tax Lien to be TERMINATED: <br />STL <br />ent N <br />STL Date f Time: <br />County Filing Number. <br />County Date /Time: <br />0895108335 (original) <br />920/1995 CO 8:00 am <br />95-106336 <br />9/20/1995 @ 11:16 am <br />9999841491 (continuance) <br />8/19/1999 @ 8:00 am <br />0099108379 <br />8/19/1999 ® 2:57 pm <br />9904360082-2 (partial release) <br />11/152004 @ 11:30 am <br />0200411220 <br />11/182004 @ 1:00 pm <br />9909596515-7 (continuance) <br />5/14/2009 @ 12:55 pm <br />0200903744 <br />5/14/2009 @ 3:11 pm <br />1905000694-6 (continuance) <br />5/10/2019 @ 10:53 am <br />201902703 <br />5/10/2019 4 3:29 pm <br />I CERTIFY that this TERMINATION serves to remove the lien descnbed above and the priority of the Nebraska Department of Labor on the <br />affected property of this employer or person, and that It is filed pursuant to Neb. Rev. Stat. (§48.457, 48460.01, 48464, and the Uniform State <br />Tax Use Registration & Enforcement Act (Neb. Rev. Stat. §77.3901, at seq.). <br />Date' April 26. 2022 <br />L'. <br />By: <br />JOHN H. ALBIN, Commissioner of Labor <br />KATIE S. THURBER, General Counsel <br />ELIZABETH CANO, Legal Counsel <br />.0ar000t1MENTStauat Tax lienstSTL Frreg02 28000 08002 21344 086110-18-1895 8m.doca <br />Return Filed Copies To: <br />NDOL General Counsel <br />P.O. Box 94600 <br />Lincoln NE 68509-4800 <br />NE Department of Labor <br />Charge Account 914765 <br />