|
<br />JoH~ R. H~NLO~a, }
<br />Commissioner of Labor }
<br />}
<br />us. )
<br />}
<br />Tho~~as D. Erickson:, d/b/3)
<br />E'~RI{~KSON STiiCCO & }
<br />DRYLdALL CU. , Employer }
<br />Aceaur.r_ X0094703405 }
<br />Certifa.cate of Lien
<br />for Delinquent
<br />Unemployment Insurance Contributions
<br />
<br />~a, S~HQM am ~~ ea~NeER:N
<br />The undersigned, Paul D. Rratz, attorney far John R. Hanlon,
<br />Commissioner of Labor of the State of Nebraska, does hereby certify
<br />that TYaomas D. Erickson, doing business as Erickson Stucco and
<br />Dry4ia3l:Campany, a sole proprietorship, doing business in Grand
<br />ISlaind, Eall County, Nebraska, is indebted to the Unemployment
<br />Compensation Fund. of the State of Nebraska for contributions
<br />due on his employment for the first, second, ~.nd third quarters
<br />of: 3.981 {.second and third quarters being assessed), in the sum
<br />of $2,292.23, and interest in the sum of $93.8, with interest at
<br />the rate of one percent per month on the sum of $2,292.23 from
<br />Dece.~ber 31, 1981.
<br />Sy reason thereof, said John R. Iianlon, Commissioner of Labor,
<br />on k>ehalf of the Unemployment Compensation Fund, hereby claims a
<br />lien. in the sum of $2,385.71, with interest at the rate of one
<br />percent per month on the sum of $2,292.23 until paid, upon any
<br />anal all pro~serty, real or personal, of said. Thomas D. Erickson,
<br />doing business as Erickson Stucco and Drywall Company, and
<br />specifically claims a lien on the following described real estate:
<br />Lot 1, Homestead Subdivision. Hall County, Nebraska,
<br />sub~eet only to liens of prior record pursuant to Seetion 48-657,
<br />R.R.S. Nebr. 2943.
<br />PAU D. KRATZ, or.
<br />,john R. Haman, Commissioner of Labor
<br />Deee,mber 34, 1981
<br />Sfi~'I^E (SF NE$3tAS~.? 3
<br />} ss.
<br />L~i+3CASTER CUUFTTY )
<br />PAttL d3. KRATZ, being first duly sworn urn oatPa, deposers
<br />anc3 says that he is attorney for ;7c*hn R. Hanlon., Commissioner of
<br />Labor of ti^se State of N~uraska; that he is authorized to make the
<br />above certificate; that the facts set out above are true and correct.
<br />as he ae~il°,~ belaeves.
<br />.,
<br />s``-~,
<br />~~-
<br />P,T~UL D. I{RF;TZ
<br />S[1~SCR_IBED in my presence and sworn to before me this 34th
<br />day of ~FCeaober,, 2983,..
<br />r ^'
<br />Notary ~ lzc
<br />SEAL.:
<br />y + ~, ~:-g ~ •~
<br />
|