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07/12/2005 16:50 FAX 14024714429 NEBRASKA UCC Q006/006 <br />U� <br />a°O5Q6377 <br />RE! '15 INC. <br />Filed: 07/12/2005 03:41 PM <br />STATE TAX LIEN* NEBRASKA DEPARTMENT OF LABOR NDOL Office of Legal Counsel <br />P.O. Sox 94600 <br />X ORIGINAL Lincoln, NE 68509 -4600 <br />Telephone - (402) 471 -9912 <br />FAX - (402) 471 -9917 <br />Employer Name: Aegis Inc. <br />_ Address: - 819 No. Diers Avenue #1 Grand Island NE 68803 <br />NDOL Serial No.: T LAB -0106 -2005 To be filed with the Register of Deeds in the following Counties: <br />NDOL Employer Acct No.- 0298708003 Hall - -- <br />Federal ID No. / SSA No.: FZ-55-24-0ii- <br />This State Tax Lien is issued for unpaid combined taxes (Neb. Rev. Stat. §48 -657) or payments in lieu of contributions (Neb. Rev. Stat. §4860.01) pursuant <br />to the Uniform State Tax Lien Registration & Enforcement Act (Neb. Rev. Stat. § 77 -3901, et seq.). Notice is given that combined taxes or payments in lieu of <br />contributions, interest (computed at 1.5% per month,), and penalties are due from this employer and remain unpaid after demand. These combined taxes or <br />payments in lieu of contributions constitute a lien for any and all personal property and real property in the county /counties named, belonging to the employer, <br />whethennow owned or hereafter acquired. <br />Interest I <br />J Combined Tax Or Payment In Lieu Penalty Through 1 Subtotal <br />Qtr! / Yr. Date Assessed f Of Contributions Due 1 <br />M 6/15/2005 <br />3/2004 5/31/2005 $866.66 _ $0.00 $96.99 $ 963.65 <br />4/2004 _ 5/31/2005 _ ..-� �T_- _�__ ._$317.39 1 -- $0,00 � - $21_12 _ 3_8.51 4::::�_.A3 <br />$ 0.00 <br />$ <br />0.00 <br />$ 0.00 <br />I � <br />0.00 <br />0.00 <br />-- ___- .___�___._ -- <br />� 0.00 <br />TOTAL Combined Tax or Payment in lieu of Contributions Due (under this lien only): S1,302.I6 <br />I certify that the Nebraska Department of Labor has complied with the Employment Security Law of the State of Nebraska in the <br />determination of the amount due, and the employer has failed to pay the amount due after demand. <br />FERNANDO LECUONA, III <br />Commissioner of Labor <br />Date: July 12, 2005 $y: <br />JOHN H. ALB -or- THOMAS A. UKINSXJ <br />Agency Legal Counsel Legal Counsel <br />RETURN FILED COPIES TO: Nebr. Dept. of Labor - LEGAL NEAR DEPT. LABOR <br />P.U. Box 94600 CHARGE ACCTT. . #147bS <br />Llnenln_ NF 6RAN- 4600 <br />