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82~C~G61.:~ <br />JOiiN R. HANLON, <br />Coisunissioner of Labor <br />vs. <br />David R. Smith, dJb/a <br />SMITH SIGN COMPANY <br />Employer Account <br />#Ot)92518000 <br />TO WHOM IT MAY CONCERN: <br />Certificate of Lien <br />for Delinquent <br />Unemployment Insurance Contributions <br />The undersigned, Paul D. Kratz, attorney for John R. Hanlon, <br />Commissioner of Labor of the State of Nebraska, does hereby certify <br />that David R. Smith, Doing Business as Smith Sign Company, an <br />individual, doing business in Grand Island, Hall County, Nebraska, <br />is indebted to the Unemployment Compensation Fund of the State of <br />Nebraska for contributions due on his employment for the first and <br />third quarters of 1980 and the first, second and third quarters of <br />1981 (the first, second and third quarters of 1981 being assessed} <br />in the sum of $603.86, and interest in the sum of $39.59, with <br />interest at the rate of one percent per month on the sum of $603.86 <br />from February 15, 1982. <br />By reason thereof, said John R. Hanlon, Commissioner of Labor, <br />on behalf of the Unemployment Compensation Fund, hereby claims a <br />lien in the sum of $643.55, with interest at the rate of one percent <br />per month on the sum of $603.86, until paid, upon any and all property, <br />real or personal, of said David R. Smith, doing business as Smith <br />Sign Company, and specifically claims a lien on the following described <br />real estate: <br />Lot Five (5} Ross Heights Sub-division, Hall County, <br />Nebraska, <br />subject only to liens of prior record pursuant to Section 48-657, <br />R.R.S. Nebr. 1943. <br />`---`_ <br />PAUL D. KRAT2, Attorn or <br />John R. Hanlon, Commi sinner of Labor <br />February 17, 1982 <br />STATE OF NEiSRASKA ) <br />) ss. <br />LA'3CASTER COUNTY ) <br />PAUL D. KRATZ, being first duly sworn upon his oath, deposes <br />and says that he is attorney for John R. Hanlon, Commissioner of <br />Labor of the State of Nebraska; that he is authorized to make the <br />above certificate; that the facts set out above are true and correct <br />as he verily believes. <br />PAUL D. KRATZ <br />.SUBSCRIBED in my presence and swam to before me this 17th <br />d4r. ^~ ~^br;:a~y, 1984. <br />~~ ~ ~~ <br />Notary ~~c -'-' <br />SEAL : _._e.....--- 1 <br />cE~~~. zv~s 'W <br />