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<br />03/08/2007
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<br />r5. f1T7I44~ - - NEBRAO;KA HCC -------,
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<br />200701809
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<br />ST A TEJ l'AX,' LIEN. NEBRASKA DEP~TMENT OF LABOR ND 'L Office of Legal Counsel
<br />I ' P.O. Box 94'600
<br />: i I' I Lincoln, NE 68509-4600
<br />)( TERMlh,f~ONi telephone - (402) 471-9912
<br />; :: ' I ! FAX-(402)4,71-9917
<br />Employer !NalDe, : I i Tim Chagnon & Chris Tanner ~dJb/a T & C Painting ;, ~ .
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<br />Address: I " !"I ! 2315, West 11 Street Grand Island NE 68803 :
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<br />Tfus T : JNA T ~N sfrver to remove the lien described below and the priority of the Nebraska Depahment of Labor on the affected
<br />. prpperty:ot'this, ' loyer. This Termination is fIled pursuant toNeb. Rev. Stat, ~8.657, Neb. Rev. St t. ~8-660,01, and the Uniform
<br />state TaX UenR 'istrahon & Enforcement Act (Neb_ Rev. Stat. S77-3901, et seq,), i '
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<br />i ! i LIEN TO BE TERMINATED: !
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<br />r/ Futt T~ tioit i PARTIAL Release
<br />'_'__"-'__"'"_'_~___'I-,.,.-,."Lm.____" "_____.__._.._...._,___.__,
<br />:rr~ertyidescr!ipti~n (OmY:ifPARTIAL Release):
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<br />NDOL Serial No, ;j " LAB-0070.2006
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<br />State Tax Lien Do'fWllent No. , 9906443162-6
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<br />County: ' J Hall
<br />'C;-~ty D-;;~~~lir;gNo. r-08060023'O-8'.""'--'~~--'-'-'---''''''-'
<br />-Other Fi~gInfo$ti~~-'-Org. filed~Co. 03/15/0'6@4:0-6--"'~
<br />! Ii'; , #0200602308.1
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<br />I c;ertify ~U)ie ~ebr$ka pepartment of Labor has complied wIth the Employment S,ecnnty La .of the State of Nebraska In
<br />th~ deteTm:in.tio~ of the aIhount due, and the employer has failed to pay the amonnt due after emand.
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<br />, : i " FERNANDO LECUONA, ill
<br />! 'i Comnlissioner of Labor
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<br />l'1~~ 7, 2007 !
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<br />By:
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<br />Nebr. Dept. of Labol - LEGAL
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<br />P.O. &x: 94600
<br />Linco/4. NE 68509-4600
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<br />NEBR.. DEPT. OF LABOR
<br />C~ARGE ACCT. #1476(jJ
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