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NE Sec of State - Robert B. Evnen <br />Filing Document #: 2206001074-8 Pages: 1 <br />Debtor Name: A & N INC. <br />Filing Date and Time: 06/22/2022 09:20 AM <br />202204540 <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 />A&NInc. <br />228 Cherokee Avenue Grand Island NE 68803 <br />NDOL Serial No.: LAB -0061-2.006 <br />NDOL Acct. No.: xxxxxx1041 <br />Federal ID No. I SSA No.: xx-xxx1041 / xxx-xx-NJA <br />To be flied in the State Tax Lien Register maintained by the <br />Register of Deeds in the following County/Counties: <br />Hall <br />State Tax Lien to be TERMINATED: <br />STL Document Number: <br />STL Date 1 Time: <br />County Filing Number: <br />County Date / Time: <br />9906441111-7 (original) <br />9916766127-3 (continuation) <br />03/02/2006 @ 09:41 AM <br />200601953 <br />03/07/2006 @ 11:37 AM <br />01/06/2016 @ 10:38 AM <br />l 201600071 <br />01/06/2016 (121 03:16 PM <br />I CERTIFY that this TERMINATION serves to remove the lien described 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. §§48-657, 48-660.01, 48-664, and the Uniform State <br />Tax Lien Registration & Enforcement Act (Neb. Rev. Stat. §77-3901, et seq.). <br />Date: 06/15/2022 <br />By: <br />JOHN H. ALBIN, Commissioner of Labor <br />S. HURBER, Genera Counsel <br />ELIZABETH CANO, Legal Counsel <br />L:Genarta Counse0Lsga5,DOCUMENTSSStata Tax UaxaskSTL Fangs502 50000 000102 56652 007 0302-2:00 fan dam <br />Return Filed Copies To: mm NDOL General Counsel <br />P.O. Box 94600 <br />Lincoln NE 68509-4600 <br />NE Department of Labor <br />Charge Account #14765 <br />