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<br />~~/06/2Q06 16~45 FAX 14024714429 <br /> <br />NEBRASKA Dee <br /> <br />19j 002/003 <br /> <br />tiJ - <br />,jJ <br /> <br />Ulllllllll' <br /> <br /> <br /> <br />_ Fl.' N INC. PIlS, 1 <br />Flled: 03/02/2006 09:41 AM <br />-' <br /> <br />200601953 <br /> <br />S T A TET AX -LIEN . - NEBRASKA DEPARTMENT OF LABOR <br />~ ORIGINAL <br /> <br />NDOL Office of Legal Counsel <br />P.O. Box 94600 <br />Lincoln, NE 68509-4600 <br />Telephone ~ (402) 471~9912 <br />FAX w (402) 471-9917 <br /> <br />Employer Name: A & N Ine. <br />---- ._-_._-~..........-_. .....-~--------"'"""-- <br />Address: 228 Cherokee Avenue Grand Island NE 68803 <br /> <br />NDOL Serial No.: I LAB-006l-2006 To be filed with the Register of Deeds in the following Counties: <br /> <br />NDOL Emp~oyer Acct ~~665~007 Hal1--:----7-----C __~__ T--====-- <br /> <br />FederaIIDNo./SSANo.:!47.079l041 . I, 1. - - <br /> <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. ~48.660.01) pursuant <br />to the Unifonn 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 />contributioI.1s, interest (computed at 1.5010 per month), and penalties are due from this employer and rcrinain 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 />whether now owned or hereafter acquired. <br /> <br /> I I Interest \ <br />Qtr./ Yr. I Date Assessed Combined Tax Or Payment ~n Lieu '\ Penalty Through Subtotal <br /> Of Contributions Due 2/14/2006 <br /> i <br />1/2005 \ 1/3012006 $46.80 I __ $25.00 L $6.69 ' $ 78.49 <br />--- - --_..........------""~---.....----- <br /> <br />/~ . <br />-~1- ~ 1- ~~:~~ <br /> <br />------ . ------- I --.--.-.------i -------t----._-- $ 0.00 <br />===-~~ <br />~I ~ :~:~: <br /> <br />TQTAL Combined Tax or Payment in Lieu of Contributions.Due (uDder this lien only): $137.74 <br /> <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 oftbe amount due, and the employer has failed to pay tbe amount due after demand. <br />FERNANDO LECUONA, m <br />Commissioner of Labor <br /> <br />D.to: March 1,2006 By' ~ C),y-...-J <br />. OHN H. ALBIN, Agency Le~al Counsel <br />THOMAS A. UKlNSKI, Legal Counsel <br />W. RUSSELL BARGER., Legal Counsel <br /> <br />RETURN FILED COPIES TO: Nebr. Dept. of Labor - LEGAL <br /> <br />P.O. Box 94600 <br />'f .inrA!"_ NJ: AA!'lP....46Ilfl <br /> <br />NEBR. DEPT. OF.LABOR <br />CHARGE ACCT- #t4J'(6~ <br />- '\11 <br />