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<br />06/16/2008 MON 15:21 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall
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<br />121002/002
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<br />200805198
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<br />11I11":~II[ mn 'I
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<br />9908563084....9 PSIS. 1
<br />I'lISS MRXIS INC. .
<br />Filed: 0611612008 11:46 AM
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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 />1 ORIGINAL
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<br />Employer or
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<br />Address: 313 S High St. Cairo NE 68824
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<br />Federal ID No.1 SSA No.: ' 51-0606089
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<br />This State Tax lien is issued for unpaid combined taxes (Neb. Rev. Stat. ~~48-657 and 48-664)01' payments in lieu of contributions (Neb. Rev. Stat. ~48-660.0 I) pursuant to the
<br />Uniform State Tax Lien Registnltion & Enforcement Act (Neb. Rev. Stat. ~77-390 I. et seq,). Notice is given that combined taxes or payments in lieu of contributions, interest
<br />(computed at 1.5% per month), and penalties are due from this employer or person and remain unpaid after demand. These combined taxes or payments in lieu of conbibutions
<br />constitute a lien for any and all personal pl'Operty and real property in the county/counties named, belonging to the employer or person, whether now owned or hereafter acquired.
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<br />I Interest
<br />Qtr.1 Yr. Date Assessed Combined Tax Or Payment In Lieu P lty I Through .1,1 Subtotal
<br />! Of Contributions Due ena I 5/23/2008
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<br />~i~----~~::~-*0i..
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<br />I i I i 1$ 0.00
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<br />, ': $ 0.00
<br />TOTAL Combined Tax or Payment in Lieu of Contributions Due (under this lien only): $ 544.09
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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 the
<br />determination of the amount due, and the employer or person has failed to pay the amount due after demand.
<br />FERNANDO LECUONA, III
<br />'s ione or
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<br />Date: June 16,2008
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<br />By:
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<br />N , Agency Legal Counsel
<br />AS A. UKINSKI, Legal Counsel
<br />SSELL BARGER, Legal Counsel
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<br />T:\DOCUMENTS\FORMS\Liens\Oliginal.doc
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<br />RETURN FILED COPIES TO: Nebr. Dept. of Labor - LEGAL
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<br />P.O. Box 94600
<br />Lincoln, NE 68509-4600
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<br />NEBR. DEPT. OF LABOR
<br />CHARGE ACCT. #14765 Y
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