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O1/05/Z0�1 �SD 14:35 FAX �02 471 4429 VCC SECRB�ARY 0� STATE yyw Hdll <br />' , <br />20110U�45 <br />�002/009 <br />NH fac of 6!a#a Jehn q Gelp • UCC T09 <br />9911647250-0 P�s: i <br />7RIPLE C TRANSP017T LLC <br />Flled: 01l06/2011 12:06 PM <br />►7TATE TAX LIEN p N�BRASKA DEPARTMENT OF LABOR NDOL Of�ce of Legal Counsel <br />P.O. Box 94600 <br />Lincoln, NL 68509-4600 <br />� TE1tMINATAON Telephoqe - (402) 471-9912 <br />FAX - (402) 471-9917 <br />k:mployer ar <br />Liable Person: 1 "riple C Transport L�,C <br />Address: 201 N St. Doniphan NE 68$32-1712 —Y �� � <br />NDOL Acct No.: 031510'7000 <br />Fcderal ID No. / SSA No.: 20-4973399 <br />This TERMIIVA'T[oN serves to remove the lien described below and the priority of the Nebraska Depardment of Labor on the <br />affacted property of this employer or person. This Terrnination is filed pursuant to Neb. Rev. S1at. §§48-657, 48-640.01, 48-664, <br />and the Uniform State Tax Lien Registration & Enfpccement Act (Neb. Rev. Stat. §77-3901, et seq.). <br />LIEN TU BE TERMYNATED: <br />y FULL Tetmination ����ARTTAL Aelease <br />Property description (ONLYif k�ARTIAL Release): <br />n/a <br />ND�L Serial No. : LAB-Ol 14-201 p <br />State Tax Lien Document No. : 9910631773-8 <br />County: Hall <br />Co unty Document Fili No . : 08100p4 <br />Other Filing lnformation: Org. filed Co. 07/08/10(a�1:23 <br />#Q2010Q4684 <br />I certify that the Nebraska Department af Labor has complied with the �mployment Security I,aw of the State of <br />Nebraska in the determinatioe of the amount due, a�ud the employer ur persan has failed to pay the amount due a�ter <br />demand. <br />Date: January 5, 201 l <br />T:�DOCUMENTSIFQRMSU.icnslTerminalion.dOCx <br />RETURN �'ILED COPIES TO: Ne6r. Dep� of Labor - LEGAL <br />P.O. Box 94600 <br />Liacoln, KL 6�509-4b00 <br />NESR DEPT. OF LABOR <br />CHARGE ACCT. #14�GS <br />CATHERYNE D. LAHG <br />Commissinner o! Labor <br />