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10 /1.0/ 15:00 FAX 14024714429 NEBRASKA CCC IM 003/004 <br />CIO <br />f. V <br />C <br />� <br />o <br />N <br />a <br />O <br />o <br />� <br />d <br />N <br />d <br />O <br />W <br />u <br />J r <br />Q <br />Y <br />G J <br />J <br />lL <br />� o <br />n T <br />W � <br />� 2 <br />� O <br />N o <br />0 <br />N <br />E <br />rr <br />H <br />N <br />O <br />N. <br />200210931 <br />w. <br />I�11 III�IIS' I I XIYIp I�IIIII li III I IPI II <br />9992279pt �4 -e aa. iI <br />10 <br />F, 0 ®/10l]00] 10 6] p <br />STATE TAX LIEN • NEBRASKA DEPARTMENT OF LABOR `IDOL Legal Division <br />P.O. Boa 94600 <br />Jf REI.B.45E (PARTIAL) Lincoln, NE 685094600 <br />Telephone - (403) 471.9912 <br />FAX- 403 471 -9917 <br />Employer Name: Tri Nebraska LLC d/bla Golden Coral <br />......__.__._.......-_........._ ....... ............._..........I....._ ................. ..., .............................................. - ,.., ....... _. <br />Address: " Tri Golden M ement LLC 2435N. Diets Avenue Grand island NE 68903 <br />NDOL Employer Acct No.: 0270462005 <br />Federal ID No. / SSA No.: 91- 1773485 <br />ThsPARTIAL RELEASE serves to retrieve thatportion oftbe pmperty in the lien described below, but does not alterthe lim priority, of <br />theNebreskaDepsrtmem ofLabor on the affected propertyefthis employer. This Partial Release is filed pursuant toNeb. Rev. SY]t. §48- <br />657, N'ad. Ray. Stmt. §49b60.01, and the Uniform State Tax Lim ReBhtestion & Enferc<mem Act (Nab. Rev. Stet §77-90 1, eteaq.l. <br />LIEN TO BE PARTLU.LY RELEASED: <br />FULL lermuunon PARTIAL Release NDOLSrna1 NO LAB -0133 -2001 <br />Pmpem description (O>JLPifPARIIAL Release} 8rate Tax Gen Document No 99011fi0578 -5 <br />Lot (7) and North One Hundred Thirty -Five (135') Lot Eight (8), County: Hall <br />Meno rd Second Subdivision in the City of Grand Island .............. . ... ..._.......................................... ..... ..... ..... ..........._ ........... ._ <br />HA County, NA k. County Document No.: C801008071 <br />Other oiling 1wormatiun: Org. filed Fell Co, u&ili)Oi <br />I certify that the Nebraska Department of Labor has compiled whh the Employment Security Law of the State of Nebraska <br />in the determination of the amount due, and the employer has failed to pay the amount due after demand. <br />FERNANDO LECUONA, ID <br />Commissi <br />Date October 10, 2002 By: <br />RETURN FILED COPIES TO: Nebr. Dept. of Labor -LEGAL <br />M Bu. "We <br />LlnmlgNE 615094600 <br />NEBR. DEPT. OF LABOR <br />CHARGE ACCT. 414765 <br />