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12/07/2004 10:51 FAX 14024714429 NEBRASKA UCC 1jj002 <br />0 7A <br />200411764 <br />_ -- -.:no PM <br />STATE TAX LIEN DEPARTMENT OF LABOR NDOL Office of Legal Counsel <br />• NEBRASKA P.O. Box 94600 <br />X RELEASE (PARTIAL) Lincoln, NE 68509 -4600 <br />Telephone - (402) 471 -9912 <br />FAX - (402) 471 -9917 <br />Name: <br />Troy Arnold & Bill Diessner d/b /a B & T Concrete & Construction <br />_Employer <br />Address: <br />3842 W. Old Hwy 30, Ste. A Grand Island NE 68803 <br />NDOL Employer Acct. No.: <br />0276635006 <br />Federal ID No. / SSA No.: <br />47- 0819750 <br />This PARTIAL RELEASE serves to remove that portion of the property in the lien described below, but does not alter the <br />lien priority <br />of the Nebraska Department of Labor on the affected property of this employer. This Partial Release is filed <br />pursuant to <br />Neb. Rev. Stat. §48 -657, Neb. Rev. Stat. §48- 660.01, and the Uniform State Tax Lien Registration & Enforcement <br />Act <br />(Neb. Rev. Stat. §77 -3901, et seq.). <br />LIEN TO BE PARTIALLY RELEASED <br />FULL Termination <br />✓ PARTIAL Release <br />NDOL Serial No.: LAB-0018-2001 <br />Property description (ONLYif PARTIAL Release): <br />State Tax Lien Document No.: 990111497 <br />County: Hall <br />Lot One (1) in Bick's Third Subdivision, in the City of Grand <br />Island, Hall County, Nebraska <br />County Document No.: 080100095 <br />Other Filing Information: Org. filed Co. 02/117/01 <br />@4 :17 #0200100950 <br />I certify that the Nebraska Departmentof Labor has complied with the EmploymentSecurity Law of the State of I <br />iebraska in <br />the determination of the amount due, and the employer has failed to pay the amount due after demand. <br />FERNANDO LECUONA, III <br />Cis er of Labor <br />Date: ���% 7 By: <br />JOHN A , -or- THOMAS A <br />SKI <br />gency Legal Counsel Legal Counsel <br />V <br />tETURN FILED <br />OPIES TO: Nebr. Dept. of Labor - LEGAL NEBR D <br />OF LABO <br />P.O. Box 94600 CHARGE <br />CT. #147f <br />T i ... in. W AR' M1 -ArAA <br />R <br />5 <br />