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<br />JOHN R. I3ANLON,
<br />Commissioner of Labor,
<br />vs.
<br />R. ~I. Hansen, drbJa
<br />HP.NSEN :~,SONRY,
<br />Employer Account
<br />#0049633009.
<br />Tfl WHOdrI IT t9AY CONCERN;
<br />~1~ i)(+t~85~
<br />Certificate of Lien
<br />for Delinquent
<br />Unemployment Insurance Contributions
<br />The undersigned, Paul D. Kratz, attorney for John R. Hanlon,
<br />the duly appointed, qualified, and acting as Commissioner of Labor
<br />for the State of Nebraska, does hereby certify that R. v, Iiansen, --
<br />doing, business as Hansen Masonry, doing business in Grand Island,
<br />idall County, Nebraska, is indebted to the Unemployment Compensation
<br />Fund of the State of Nebraska for contributions due on their employ-
<br />ment for the 1st, 2nd, 3rd and 4th quarters of 2980 {all quarters
<br />being assessed}, in the sum of 51,600.04, and interest in the sum
<br />of 588.00, with interest at the rate of one percent per month on
<br />the sum of 51,600.00 from February 28, 19$1.
<br />fly reason thereof, said John R. Han ion, Commissionerof Labor
<br />on behalf of the Unemployment Compensation Fund, hereby claims a
<br />lien in the sum of 51,688.00, with interest at the rate of one percent
<br />per month on the sum of 51,640.00, until paid, upor. any and all
<br />property, real or personal, of said R. v. Hansen, doing business as _
<br />Hansen ~.asonry, and specifically claims a lien on the following
<br />described real estate;
<br />Robert V. Hansen
<br />Lot 9, Block 8, Bonnie Brae
<br />t3c3dition to the City cf Grand Island,
<br />Hall County cf ~iebraska
<br />subect ar.iy tc li~:r.s wf Yricr record pursuant to ;:ect` i8-657,
<br />c_--'- ~
<br />R.R.S. ?+3ebr. X943.
<br />PAuL D. KRAT'~ tt Y nor
<br />John R. Hanlon, Commissioner of Labor
<br />February 20, I08i
<br />STj~'3`E C?F ?~ER~1SKIa 1
<br />SS.
<br />LANCASTER. COU*3TY i
<br />Paul D. Kratz, being first '.ul~? sworn upon his oath, deposes and
<br />says that t?e is attorney for Sohn R. Hanlor„ Commissioner of Labor
<br />of the State of tiebraskas that he is authorized to make the above
<br />certificate; that the facts set out above are true an~ct as he
<br />verily believes.
<br />s
<br />SL~HSCRIBED in my presence and sworn to before me this 20th day
<br />of February, 1981.
<br />ScAL ~`;.at~'t+et`~, `IQtB£±: P~1i^_
<br />+RMt -t>-~ E.,
<br />'~2
<br />
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