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<br /> 99 1099�� t-r�.��:� �
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<br /> ' �� �C7 � � 7��5� $�'��
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<br /> STATE TAX LIEN • NEBRASYCA DEFA.�t'�'MENT OF LABOR DO Legal Divis�oe
<br /> , P.O.Box 94�04
<br /> Lin�coln,NE 68S0�-d600
<br /> X CONTIN[JATIpN 'rCaephone-{402)471-9912
<br /> FAX-(402)471-9917
<br /> Employer Name: JERRX AND PAT7'Y DIMN7ITT,doing business as J D BODY SI�OF
<br /> .................................�---.......................-•----------------�---....................--�----�------------........,...,........--�--�--....................,..,.,,.. ,........ .. .
<br /> �ddress: W.Hwy 3q,Box 17�, Alda,NE 68$30
<br /> �o be filed in thc 5t$te 1"ax Lien Rcgister rnaint3ined by the
<br /> N��Y.Seria�No.: LAB-0292-�999 Register of Deeds�a the followin Count�es.
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<br /> .................................................................. ........................ ,..,. ,........_._.._.._.__........,,............._,....._...._.,..,,...,,,.,,....,....,..--�-
<br /> �~ ....�--••-•••-••.............. ; ;
<br /> Dotument Filing No: �Q8 92-1OQ6.4b-� HaU ; : .
<br /> ,.__ ......................�-�-----...,...........�,........-------.....,....,,..,,,.,,,,..,,.-•+-----................._..._..,,.....,........,
<br /> �,'�,IQL Empioyer Acct.No.: 0224118007
<br /> . .
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<br /> .............................•...,..,.......,,..........--�----�-�---�------...............,
<br /> Federal ID No./SSA No.: 47-0527777
<br /> SPECIAL FILING ��ST1tUCTXONS:
<br /> To be f led in UCC reoords-
<br /> X �'o be filed in real esr.at�records of counti�s no�d above_
<br /> This is a�oNTIN�;.���OH of an existing lien and seirves to continue tt�e lien and priority af the Nebrasks pepartment of Labor on the
<br /> affected properxy of thrs employer. This contin�uance is filed pa�auant to.�'eb�,Rev.Stat §4$-657 and the Unifornr�State?ax Lien
<br /> Registratinn&Enforceraent Act(.Neb. �Qev Saa�§77-3941,�r seq.).
<br /> The following lie�Shal)be continued �or a per[pd of ten years.
<br /> CQUNTY: FILYI�IG NO.: DA.xE FII.ED: ADDITIOI�AL INFORM.�►TIU'.v(if xpplacsble): _
<br /> �a�� : 92-iao646 � 1-28-92 � RegistcrofUeeds, 10:5�}a.m.; INCLUDING'THEFROP�;R"I'Y
<br /> ; LOCATED AT:Lots $,9, 10, 11 & 12 in Block 5,�n Brown`s Addi-
<br /> • tion ta �he v'illage of Alda,Hall County.Nebraska
<br /> I certify that the Nebraska Department of Labor has complied with the Empioyment Secvriky La.v of th�State af Nebr�ska in
<br /> the determanation of the amount due,and the employer has failed to pay the amaunt due after demand.
<br /> FE'RN�,NDO x.ECLTONA,XXl
<br /> Commissioner of�.abor
<br /> Date; C7ctobcr 8, z999 BY�
<br /> 3QHN�'�S�IEAFF -o �
<br /> Agency Legal Counsel Coanse4
<br /> NEBR. bEPT.OF LABOR
<br /> �•`�'d Nt7ISIl�IQ J'�'fl WdBE:S�u66 r�i l�c]•#��7�5
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