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J4HPI R . HANLC7N , Coa~aissioner of Labor Certificate of Lien far Delinquent ;Jnemployment Insurance Contributions vs, Ronald Riblett, djbja DC'S PLACE & SUPPER CLUB Employer Account X4463164449 TO WHOM IT ivAY CC3NCERN: The undersigned, Paul D. ICratz, attorney for John R. Hanlon, Comstiissioner of Labor of the State of Nebraska, does hereby certify that Ronald Ribiett, doing business as Doc's Place & Supper Club, a so3e proprietorship, doing business in Alda, Hall County, Nebraska, is indebted to the Unemployment Compensation Fund of the State of Tebraska for contributions due on its employment for the third and fourth quarters of 1480, and the first quarter of 1981, ithe third quarter of 1980 being assessed), in the sum of $340.00, and interest in the sum of $38.00, with interest at the rate of one percent per month on the sum of $300.00, from July 31, 1981. By reason thereof, said John R. Hanlon, Commissioner of Labor, on behalf of the Unemployment Compensation Pund, hereby claims a 1 ian ,isn Fhn g,w.m of S"~1 ~, `yl (,~ f uri t-k i ntert?s~t ~t the rate of tine percent per month on the sum of $300.00, until paid, upon any and all property, real or personal, of said Ronald Riblett, doing business as Does Place ~ Supper Club, subject only to liens of prior record pursuant to Section 48-6~7, R.R.S. Nebr. I943. ~ '~g~f~ _ j i PA L D. ,_ Cta or John R. Hanlon, Commissioner of Labor July 24, 1981 STATE OF NEBRA51f,~ ss. LANCASTER COUNTY ) PAUL D. ICRATZ. beinc first duly sworn uaon his oath, deposes and says that he is attorney ¢;~r ,7ohn R. xanlon, Commissioner of Labor cif the State a£ Nebraska: ghat he is authorized to make the above certificate; that the facts set out above are true and correct as hs verily helieves. _ ~ PAUL D. BRAT ~ St7BSC.RIBED in my presence and sworn to before me this 24th day of July, 1981. _._~ -;votary Pun zc ____._ SEAL: