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05/01/2003 09:28 FAX 14024714429 NEBRASKA UCC Z003/005 <br />Or <br />nebr'5kiii <br />dopanmonl <br />of r6y"uv <br />200305436 <br />State Tax Lien Statement of Termination <br />or Certificate of Partial Release or <br />Subordination <br />NE See e1 5448 - UCC Tee <br />Pursuant to the revenue laws of the State of Nebraska, notice is hereby <br />given that the State Tax Lien which has been duly filed by the Nebraska <br />9903272940 -3 Pas; t <br />Department of Revenue against the below -named taxpayer, is <br />MULTI MEDICAL INC <br />terminated, partially released, or subordinated to the extent indicated <br />Filed: 04/30/2003 02;68 PM <br />Or <br />nebr'5kiii <br />dopanmonl <br />of r6y"uv <br />200305436 <br />State Tax Lien Statement of Termination <br />or Certificate of Partial Release or <br />Subordination <br />I Type of Action <br />X-1 TERMINATION OF TAX LIEN, The State Tax Lien is hereby fully terminated. UCC Instrument Number Date Filed- 05/07/199; <br />County Instrument Number 99 -10 <br />TAx YEARS (corporate, individual income, and withholding tax only) <br />❑ PARTIAL RELEASE. The State Tax Lien is ii released as follows: UCC Instrument Number <br />County Instrument Number <br />TAX YEARS (corporate, individual income, and withholding tax only) <br />F1 SUBORDINATION. The State Tax Lien is subordinated as follows. UCC Instrument Number <br />County Instrument Number <br />I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska In <br />determ',n25on of the termination, partial release, or subordination indicated above. <br />sign a Revenue Senior Agent 04/26/2003 308- 385 -6073 <br />here Preparers Sigrat 6 Tito Date Telephone Number <br />0, ,' Revenue Supervisor 04/29/2003 <br />ut: orized n Title Date <br />4.132 -60 Rev. 8 -96 Supersedes 4- 232 -69 Rev, :0-55 <br />4 <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Pursuant to the revenue laws of the State of Nebraska, notice is hereby <br />given that the State Tax Lien which has been duly filed by the Nebraska <br />Department of Revenue against the below -named taxpayer, is <br />terminated, partially released, or subordinated to the extent indicated <br />below. <br />Nebraska Identification Number <br />Tax Category <br />Federal Identification Number Social Security Number <br />7632207 <br />21 <br />47- 0798094 <br />Llen Serial Number <br />Lien filed with <br />Date of Lien ! County <br />9/05/352 <br />X❑ Register of Deeds [] County Cierk <br />05/04/1999 ! Hall <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />Business Name <br />Name <br />MULTI- MEDICAL,LLC <br />Street Address <br />Street or Mailing Address <br />3016 WEST FAIDLEY AVENUE <br />City State Zip Code <br />Gty State Zip Coce <br />GRAND ISLAND NE 68803 <br />I Type of Action <br />X-1 TERMINATION OF TAX LIEN, The State Tax Lien is hereby fully terminated. UCC Instrument Number Date Filed- 05/07/199; <br />County Instrument Number 99 -10 <br />TAx YEARS (corporate, individual income, and withholding tax only) <br />❑ PARTIAL RELEASE. The State Tax Lien is ii released as follows: UCC Instrument Number <br />County Instrument Number <br />TAX YEARS (corporate, individual income, and withholding tax only) <br />F1 SUBORDINATION. The State Tax Lien is subordinated as follows. UCC Instrument Number <br />County Instrument Number <br />I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska In <br />determ',n25on of the termination, partial release, or subordination indicated above. <br />sign a Revenue Senior Agent 04/26/2003 308- 385 -6073 <br />here Preparers Sigrat 6 Tito Date Telephone Number <br />0, ,' Revenue Supervisor 04/29/2003 <br />ut: orized n Title Date <br />4.132 -60 Rev. 8 -96 Supersedes 4- 232 -69 Rev, :0-55 <br />4 <br />