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a llml=ht r, r wrs.vo . Lien Serial Number Lien Type Date Social Security Number — Additions ED original Xx Renewal $0 04/01/79 thru Lien is an extension of 55- . 000000 v Nebraska I.D. No. County Lien Filed Wltn Spouse's Social Security 10/317 187 5�_.:____ 9.38 2.82 _.. of Deeds Number t_ __ _ Reyenese t A&ent s 3550580 W1 County Clark County Title I I I BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS Business Name Construction Enterprises of G.I., Inc. Name Construction Enterprises of G.I., Inc. Street Address Street or Other Mailing Address 1011 East Bismark Street P.O. Box 1185 City State Zfp Code City State Zip Code Grand Island NE 68801 Grand Island NE 68801 This Notice of State Tax Lien is issued by the Nebraska Department of Revenue for unpaid taxes pursuant to the revenue laws of the state of Nebraska, Notice is hereby given that taxes including penalties and interest, which are shown below, are due from the taxpayer specified above and remain unpaid after demand. These taxes constitute a Tien in the county for real and personal property belonging to the taxpayer or hereafter acquired. Tax Hunter Tax Period Date of Amount of Tax A out Penalty I Interest Additions o Balance f Assessment Due 04/01/79 thru Lien is an extension of �-2 4.44 160.32 07/01/79 thrui +�(14/3n/79 10/317 187 5�_.:____ 9.38 2.82 _.. ! + 199.71 t_ __ _ Reyenese t A&ent s er's, gnature Title I I I i n$� @r _.._._._.___.�___� A orizvo signature Tlti. Date FOR COUNTY OFFICIAL'S USE TOTAL S NEBRASKA DEPARTMENT OF REVENUE Nlttitn and Cioltienrol Copies T AXPAY1.9 P 1l 0lov COUNTY OFF ICI +:.tra +v Crov a.swa." aria, ' n % ,, 4 ,4 1a ase,., - ..w1-, 11 W, iY�. i hereby Certify that the Nebtaska Depart man, of paeenpa nag on,pil" wltn the n"" Ua laws of the State of Nebraska .n the dater - mmation of the amount shown to no clue, and the taxpayer has failed tO pay the amount rtue after lernand. if this NotICa of ,tat@ sax Lien is an extension of an effective lien it serves in continue :rte pnot,tY of the state's 111arast m the 01—ta0 Woparty . "if Ina taxpayer. • %i t_ __ _ Reyenese t A&ent s er's, gnature Title Date i n$� @r _.._._._.___.�___� A orizvo signature Tlti. Date FOR COUNTY OFFICIAL'S USE NEBRASKA DEPARTMENT OF REVENUE Nlttitn and Cioltienrol Copies T AXPAY1.9 P 1l 0lov COUNTY OFF ICI +:.tra +v Crov a.swa." aria, ' n % ,, 4 ,4 1a ase,., - ..w1-, 11 W, iY�.