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08/25/2004 16:09 FAX 14024714429 NEBRASKA_UCC_ <br />2 <br />200408551 <br />@002/002 <br />Tag <br />��Nl� <br />I:55 PM <br />NDOL Office of Legal Counsel <br />STATE TAX LIEN • NEBRASKA DEPARTMENT OF LABOR P.O. Box 94600 <br />Lincoln, NE 68509 -4600 <br />X IgtMIIVATION Telephone - (402) 471 -9912 <br />FAX - (402) 471 -9917 <br />Employer Name: Uary Lemurg Laroia Luc va-b.a _- _,-- -__.__ __..--- .-- •- - - -_ -- ---- - - - - -- - - - - - -- <br />-- Address: -- - -- 205 E. Hwy #2 Cairo NE 68824 — <br />NDOL Employer Acct. No.: 0275191003 <br />_ .. <br />Federal ID No. / SSA No.: 47- 0816224 <br />This TERMINATION serves to remove the lien described below and the priority of the Nebraska Department ofLabor on the affected <br />property of this employer. This Termination is filed pursuantto Neb. Rev. Star. §48 -657, Neb. Rev. Slat. §48- 660.01, and the Uniform <br />State Tax Lien Registration & Enforcement Act QVeb. Rev. Star. §77 -3901, et seq.). <br />LIEN TO BE TERMINATED: <br />✓ FULL Termination PARTIAL Release <br />Property description (ONLY if PARTIAL Release): — <br />n/a <br />NDOL Serial No.: LAB- 0324 -2002 <br />State Tax Lien Document Ike 9902247525�f =�� <br />County: Hall - - <br />County Document Filing No.: 0802013637 <br />Other Filing Information: Org. Filed Co. 12/09/02 @12:12 <br />#200213637 <br />i certify that the Nebraska Department of Labor has complied with the Employment Security Law of the State ofNebraska in <br />the determination of the amount due, and the employer has failed to pay the amount due after demand. <br />Date: August 25, 2004 By: <br />FERNANDO LECUONA, III <br />1 H. ALBIN -or- THOMAS A. UKINSKI <br />Legal Counsel Legal Counsel <br />RETURN FILED COPIES TO: Nebr. Dept. of Labor - LEGAL NEBR. DEPT. OF LABOR <br />P.O. Box 94600 CHARGE ACCT. #14765 <br />