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SO-~ U {i J c~ J f`~
<br />JOHN R. HANLON, )
<br />Commissioner of Labor, )
<br />vs. )
<br />James A. Welton, d/b/a )
<br />WELTON & SONS MASONRY, )
<br />EA #0061668004 )
<br />TO WHOM IT MAY CONCERN:
<br />Certificate of Lien
<br />for Delinquent
<br />Unemployment Insurance Contributions
<br />The undersigned, Paul R. Skog, attorney for John R.
<br />Hanlon, the duly appointed, qualified and acting Commissioner of
<br />Labor of. the State of Nebraska, does hereby certify that. James A.
<br />Welton, doing business as Welton & Sons Masonry, doing business in
<br />Grand Island, Hall County, Nebraska, is indebted to the Unemployment
<br />Compensation Fund of the State 'of Nebraska for contributions due on
<br />his employment for the third and fourth quarters of 1979 and the
<br />first and second auarters of 198p in the sum of $1660,96, and interest
<br />in the sum of $103.60, with interest at the rate of one percent per
<br />month on the sum of $1660.96, from September 30, 1980.
<br />By reason thereof, said John R. Hanlon, as Commissioner
<br />of Labor, on behalf of the Unemployment Compensation Fund, hereby
<br />claims a lien in the sum of $1764.56, with interest at the rate of
<br />one percent per month on the sum of $1660.96, until paid, upon any
<br />and all property, real or personal, of said James A. Welton, doing
<br />business as Welton & Sons Masonry, and specificially claims a lien
<br />on the following described real estate:
<br />James A. Welton
<br />Lot Six (6} in Block Eighty-Five (85) in
<br />Wheeler and Bennett's Fourth Addition tc
<br />the City of Grand Island, a4 >~.ur<,e},ed,
<br />glatted and recorded,
<br />sug~ect only to hens of grior recUrd ~:urruar2t to Section ;8557,
<br />r't»R. a'. Nebr. i943.
<br />September 25, 1480
<br />STATE OF NEBRASKA
<br />LANCASTER COUNTY
<br />ss.
<br />i '~lf'
<br />_~-_- ,- ~ ti_~,~
<br />A' UAL R' SKOG, Attorne or
<br />Jahn R. Hanlon, Commissioner of Labor
<br />i'au1 R, Skog, beiny first dul~~ sworn upasi his ~.~:7th,
<br />d$poses and says that h€z i.s attorney for John :t, Hanlon, c'c3rr~:~is:;ione.s~
<br />of Labor of the State of Nebraska; that he is authorized to make the.
<br />above certificate; that the facts set rout above are. true. anti correct,
<br />>3>g he verily believes.
<br />i
<br />+.
<br />:,
<br />SEr~SCRIBED in my presence anti sworn to t>eforc~ the this <:~th
<br />day of September, 1980.
<br />7.,
<br />Notary P ~c
<br />I ~ C+rWYCX~ 1
<br />SEAL mar , eco Are, Ts. i;,7~
<br />
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