<br />06/12/2008 THU 14:55 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall
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<br />121003/003
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<br />9908562724-6 Pes: 1
<br />GROUNDS TO GO
<br />Filed: 06/12/2008 11:07 AM
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<br />200805063
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<br />STATE TAX LIEN. NEBRASKA DEPARTMENT OF LABOR
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<br />NDOL Office of Legal Counsel
<br />P.O. Box 94600
<br />Lincoln, NE 68509-4600
<br />Telephone - (402) 471-9912
<br />FAX - (402) 471-9917
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<br />~ TERMINATION
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<br />Employer or
<br />_"_~______.__.~._."._._~iable_~!:~.!!J.!..:.___. Da~!~_!!!.I_2Y-~ f/~L'!_.Qr.~.~~_~_TS'._Q2""_.._"._........._..._,,.._._......._._..............__,,____.__________..._________...__________~_._..,,_.
<br />.........._......._______
<br />Address: 644 S. Locust St. Grand Island NE 68801
<br />NDOL Acet. No.: 0289783002
<br />.~__.~~~~~_.__~~_~_~___~.~,________'..n'n_~_.__M._._.~~_.~_~____u,..~_._..._"_..._._..".__'__'n'_".'_..,_..,_____,___.._.~.~._.._.._._~~___....._.____......_.~_..~_.~...~"".__~_"._~_....~.._...__..."
<br />.....~..........._~_
<br />Federal ill No. / SSA No.: 91-1762829
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<br />This TERMINATION serves to remove the lien described below and the priority of the Nebraska Department of Labor on the affected
<br />property of this employer or person. This Termination is filed pursuant to Neb. Rev. Stat. **48-657,48-660.01,48-664, and the
<br />Uniform State Tax Lien Registration & Enforcement Act (Neb. Rev. Stat. *77-3901, et seq.).
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<br />LIEN TO BE TERMINATED:
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<br />nla
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<br />t/ FULL Termination PARTIAL Release NDOL Serial No. : LAB-0047-2008
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<br />~..... .... '''"''_n._....n._'._._..".~.__..''_n'n'_.._'.._.___~____._.___~_.._"~~"_
<br />Property description (ONLY if PARTIAL Release): State Tax Lien Document No. : 9908551444-9
<br />_._._---_.~~..~~.....~_._.._._~._-_._~...-.~~.....~~.~........,..,.......,.,.....~~--,..~...~~-_.._---~_.._,.__..._-_..~~-"'.._,_._._-_..~-,-_..~~
<br />County: Hall
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<br />County Document Filing No.: 0808002083
<br />.~_~_~_..~.~_,~y~,__.~__._,.._._'u_...~._.~_,,,.,,_.,.....,,',...._......._~._.n...~~_~__~~~_._~_~_~____,,_~,_'V"_V"_~._..~.,_.~
<br />Other Filing Information: Org. filed Co. 03/13/08@9:43
<br />#200802083
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<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 or person has failed to pay the amount due after demand.
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<br />FERNANDO LECUONA, III
<br />Commissioner of Labor
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<br />Date: June 12,2008
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<br />By:
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<br />gency Legal Counsel
<br />UKINSKI, Legal Counsel
<br />L BARGER, Legal Counsel
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<br />T:\DOCUMENTS\FORMS\Liens\T ennination.doc
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<br />RETURN FILED COPIES TO: Nebr. Dept. of Labor - LEGAL
<br />P.O. Box 94600
<br />Lincoln, NE 685094600
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<br />. NEBR. DEPT. OF LABOR
<br />CHARGE ACCT. #14765
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