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06/26/2009 FRI 15:36 FAX 402 471 4429 UCC SECRETARY OF STATE aaa Hall <br /> <br />- .~~ .~ ~.. 20090523 <br />QJ003/003 <br />STATE TAX LIEN ~ NEBRASKA DEPARTMENT OF LABOR NDOL Office of Legal Counsel <br />F.O. Box 94600 <br />Lincoln, NE 6$509-4600 <br />X TERMINATION Telephone - (402) 471-9912 <br />FAX - (402) 471-9917 <br />Employer or <br />Liable Person: Children's First Da care Center <br />Address: 1323 N. Lafayette Ave. Grand Island NE b8803 <br />_ NDOL Acct. Na.: 0263111003 <br />Federal ID No. / SSA No.: 47-079$752 <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.). <br />LIEN TO SE TERMINATED: <br />/ FULL Tem~ination PARTIAL Release NDOL Serial No.: LAB-033&1999 <br />._._~. <br />Property description (ONLY if PARTIAL Release): State Tax Lien Document o.: 9_999928480 _ J <br />Caunty~ Hall ~~ - ~~~~ <br />County Document Filing Na.: 0899111657 <br />n/a Other Filing In#'ormation: Org. filed Co. 12/08/99(a~2:49 <br />#99-111657 and Cont'd UCC 06-15-09Q1:27 <br />#9909599573-0 & Cont'd Co. 6/16/09(x;1:22 #0200904789 <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. <br />CATHERINE D. LANG <br />Commissioner of Labor <br />Date: Tune 26, 2009 gy: <br />T:\L)QCC,IMENTSIFORMSU.ienslTerminatian.dnc <br />RETURN FII.ED COPIES TQ: Nebr. Dept. of Labor -LEGAL <br />P.O. Rox 94600 <br />4incotn, NT b8509-4600 <br />P1Il~Agency Legal Counsel <br />UKINSKI, Legal Counsel <br />V <br />NEBR. DEPT. OF LABOR <br />CHARGE ACCT. #14765 <br />-..uuntryS FIRSt bAYC r~s: t <br />Filsd: 06/26/?009 03~ CENTER <br />tt pM <br />