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<br />03/15/2006 15:21 FAX 14024714429 <br /> <br />NEBRASKA Dee <br /> <br />~ 004/007 <br /> <br />.~..............----' <br /> <br />200602307 <br /> <br /> <br />c% <br /> <br />STATE TAX 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 />Telepbone - (402) 471-9912 <br />FAX - (402) 471-9917 <br /> <br />Employer Name: Aegis Inc. d/b/a Aegis Electric & Plumbing <br />_~_,_,~____,,_,~__.'~'_"_'_'~__"'_"__'~'_."'~Y'."._~"""_._...._,_,._.~~.....__...._..........._..___.---""""_............._---_.-_.~.__.....~..yu..~~__.._.~~_~.n~.....'.-y~._._,.....~~----------~'y-- <br />,..,.....---_._~._.,_'n'___.....,..__".._........_~."'_.~~y~__._....._..,_ <br />Address: 819 N. Diers Ave. #1 Grand Island NE 68803 <br />NDOL Serial No.: I LAB~0075..2006 To be filed with the Register of Deeds in the following Counties: <br /> <br />__.__._____....".,__.._____.'_._._._...._.T_._...._________---..------..-----...-...-.. -...--..--....---.--......--..-..-....,....---...---.--.-.-.------....--....--....---..--.,'"'...--.~,.._.-.... <br />"---.--- <br />NDOL Employer Acct. No.: i 0298708003 Hall i J <br /> <br />__.___..___..._..._.....,.__.._....__....._.....\___.,_____"..-..-.-.-.-.-.--.--.--.-....-----.-... ......--....-----.-.---..-.....t----..--.........-.......-.-.....--.-.. .-......-"""--~----..----.. <br />......._.--..-.- <br />... Federal ID No. / SSA No.: i 71-0924021 . 1 <br />i ! <br />This State Tax Lien is issued for unpaid combined taxes (Neb. Rev. Stat- g48-657) or payments in lieu of contributions (Neb. Rev. Stat. g48-660,QI) pursuant <br />to the Uniform State Tax Lien Registration & Enforcement Act (Neb. Rev. Stat. g 77..390 1, 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 />whether now owned or hereafter acquired. <br /> <br />Interest <br />Through <br />! 3/4/2006 I <br /> <br />_~!!~..~05 .__..._~l--_-~!.2.~-~.?~._--_~i ._..__.__.....___..__.__._....._.______...._..~_!:~~~~~__. _._..__~~~.:.~~- ___.__._,_ $186.~?__L..~.~~-~!~?.:~~-- <br />2/2005 2/17/2006. .' $543.41 I $43_00 . $57.87 I $ 644.28 <br />..__._.~______._,_...__ _.__.__...__...._.....___.__ ..~__________~__.._________........__....__1~____-1.._.........---------r-.---...~.._---.----. <br />3/2005 2/17/2006 r . $10.32 I $0.00 L $0.63 $ 10.95 <br /> <br />==-=i-===-=r- ~--~tT~ E ~~ <br /> <br />I! ] I $ 0.00 <br /> <br />=-~-t===~=-~ <br />---+-----t----+-~-+-+-H%- <br />~~ <br /> <br />TOTAL Combined Tax or Payment in Lieu of Contributions Due (under this lien only): I $2,102.7S <br />, <br /> <br />Qtr./ Yr. <br /> <br />I Date "'.....d I <br /> <br />Combined Tax Or Payment In Lieu <br />Of Contributions Due <br /> <br />Penalty <br /> <br />Subtotal <br /> <br />I certify that the Nebraska Department of Labor has complied with tbe Employment Security Law of the State of Nebraska in the <br />determination of the amount due, and tbe employer has failed to pay the amount due after demand. <br />FERNANDO L eUONA, <br />. fLa <br /> <br />Date: March 14,2006 <br /> <br />B' <br /> <br /> <br />H BIN, gal Counsel <br />S A. UKINSKI, Legal Couusel <br />SSELL BARGER, Legal Counsel <br /> <br />RETURN FILED COPIES TO: Nebr. Dept. of Labor - LEGAL <br /> <br />P.O. Box 94600 <br />I .in..olo. Nl1. {;Jl"Oq~46nO <br /> <br />NEBR. DEPT. OF LABOR <br />. CHARGE ACCT. #14.76~ <br />. 9u <br />