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<br />02/14/2007 17:01 FAX 14024714429 <br /> <br />NEBRASKA Dee <br /> <br />@004/004 <br /> <br />& <br /> <br />NE 5.." .f Stat.. J...... A &ale "UCC Tmg <br /> <br /> <br />200701199 <br /> <br />99074915833-3 Pgs, , <br />H , H CONSTRUCTION <br />Filed: 02/14/2007 ":34 AM <br /> <br />STATE TAX LIEN. NEBRASKADEPARTMENT OF LABOR <br /> <br />NDOL Office of Legal CouDsel <br />P.O. Box 94600 <br />LincolD, NE 68509~4600 <br />Telephone - (402) 471~9912 <br />'FAX- (402) 471-9917 <br /> <br />1 TERMINATION <br /> <br />'Employer Name: H & H Construction <br />_..._'_n~~II_~_.____~_~__~........._~~~-_.~"'''-~I~~- ._______...__-,~_~_~~~~_"r~~n...............~__~_..........._.__~.__ <br />Address: 402 Sunset Doniphan NE 68832 <br />NDOL Employer Acct. No.: 0286391009 <br /> <br />.__.___,..,~._._.~___n_~'~__~~''''''''''''''''_.''_'~______'____'_''''''''''''''''''~.....-,-,---~_.~--~~~~~--_...............--~_...._~_._._-_...............---~ <br />Federal ID No. / SSA No.: ' <br /> <br />1'bis TERMINATION serves to remove the lien described below and the priority of the Nebraska Department Qftabor on the affected <br />property of this emplGyer. This Termination is filed pursuant to Neb. Rev. Stat. ~8"657, Neb. Rev. Stat. !}4S.660.0 1, and the Uniform <br />State Tax Lien Registration & Enforcement Act (Neb. Rev. Stat. 977-3901, et seq.). <br /> <br />'LIEN TO BE TERMINATED: <br /> <br />t/ FULL Termination PARTIAL Release <br />~.~._~__,................r <br />Property description (ONLY if PARTIAL Release): <br /> <br />NDOL Serial No. : LAB~0224"2001 <br />,'"Stateiax~~nDo~entNo. (W01179675-2 J~~-='=--= <br />Cow~: Hill <br />_...............-~~~~~........~---~~......&_-_.--........~--~.....::.,...._.- <br />County Docunient Filing No. : 0801012208 , <br />___________~_~~ ~.__r_"""""""'_.''''''''''''''''''''--.'_''_ <br />Other Filing Infonnation: Org. filed Co. 1l/29/01@1:13 <br />#0200112208 <br /> <br />nfa <br /> <br />I certify that the Nebraska Department of Labor has complied with the Employment Security Law of the State of Nebraska in <br />the determination of the amount due, and the employer has failed to pay the amount due after demand. <br /> <br />Date: February 14, 2007 <br /> <br />By: <br /> <br /> <br />, Agency Legal Counsel <br />MA A. UKINSKI, Legal Counsel <br />U ELL BARGER, Legal Counsel <br /> <br />FERNANDO LECUON <br />Commissioner f or <br /> <br />RETURN Fll.ED COPIES TO: Nebr. Dept. of Labor - LEGAL ' <br />P.O. Box 94600 <br />LincOln. NE 68509-4600 <br /> <br />NEBR. DEPT. OF LABOR <br />CItARGE ACCT. #1476h\ <br />l::i..J <br />