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NE Sec of State - Robert B. Evnen <br />Filing Document #: 2206001679-7 <br />Debtor Name: SHAFER INC. <br />Filing Date and Time: 06/30/2022 10:07 AM <br />Pages: 1 <br />202204844 <br />STATE TAX LIEN NEBRASKA DEPARTMENT OF LABOR <br />• TERMINATION <br />NDOL General Counsel <br />P.O. Box 94600 <br />Uncoln, NE 68509.4600 <br />Telephone -(402) 471-9912 <br />FAX - (402)471-9917 <br />Employer or Liable Person: <br />Address: <br />Shafer, Inc <br />1004 No Diem Ave. #300 Grand Island, NE 6880 <br />WOOL Serial No.: LAB -0169-2003 <br />NDOL Acct. No.: xxxxxx5006 <br />Federal ID No.! SSA No.: xx-xxx7680 /xxx-xx-n/a <br />To be filed in the State Tax Llefl 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! Time: <br />County Filing Number: <br />County Date! Time: <br />9903283366-0 (original) <br />6/30/2003 :i.1 11:48 am <br />200308440 <br />7/2/2003 11:08 11:06 am <br />9912705813-3 (continuance) <br />12/31/2012 (g9 2:31 pm <br />201211261 <br />12/31/2012 ai 3:11 pm <br />I CERTIFY that this TERMINATION serves to remove the lien descr bed 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. Stet §§48-637, 48-660.01, 48464, and the Uniform State <br />Tax Lien Registration & Enforcement Act (Nab. Rev. Stat§774501, et seq.). <br />Date: June 27, 2022 <br />11.:1:51Maral Caen <br />a <br />By: <br />JOHN H. ALBIN, Commissioner of Labor <br />KATIE <br />RBER, General Counsel <br />ELIZABETH CANO, Legal Counse <br />OCUMCNISIState tec Lim51511 Filoms152 5:0560 501002 /35 000 ta.30'?300tmaioce <br />Return Filed Copies To: <br />NDOL General Counsel <br />P.O. Box 94600 <br />Lincoln NE 68509.4600 <br />NE Department of Labor <br />Charge Account #14765 <br />