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03/07/2011 MON 14:20 FAX 402 471 4429 UCC SECRETARY OF STATE ��� Hall <br />� <br />� <br />20 1i017g,� <br />STATE TAX LIEN D NEBRASKA DEPARTME1vT OF LABOR <br />• CONTINUATION <br />Employer or <br />Liable Person: Tri Nebraska LLC d/b/a <br />Cotral <br />Ne <br />�002/002 <br />6.�• - ucc uor� <br />99t1653117-8 Pss: t <br />GOLDEN CORRRL <br />Filed: 03/07l2011 11;10 AM <br />NDOL Legal Division <br />P.O. Box 94600 <br />Lincoln, NE 68509-4600 <br />Telephone - (402) 4'I1-9912 <br />FAX - (402) 47]-9917 <br />Address � 2435 N. Diers Ave. Grand Island NE 68803 <br />NDOL Serial No.: <br />DocumenE Filin� No: <br />NDOL Acc� No.: <br />Federal ID No. / SSA No.: <br />LAB-0091-2001 <br />9901151010 <br />0270462005 <br />91-1773485 <br />To be fled in the State Tax Lien Register maintained by the <br />Re�ister of Deeds in the following Counties: <br />Hall <br />This is a CoNT1NUn'r�Orr of an existing [ien and serves to continue the lien and priority of the Nebraska Department of Labor <br />on the affected property of this employer or liable person. This CONTYNUANCE is filed pursuant to Neb. Rev Sta� §§48- <br />657 and 4&664 and the Uniform State Tax Lien Registration & Enforcement Act (Neb. Rev Stat §77-3901, et seq.). <br />The foltowing lien shall be cantinued for a period of ten years. <br />COUNTY: COUNTY FILING NO.: DATE FILED: ADDITIONAL INFORMATION (if applicable): <br />Hall � 0801006173 <br />June 26, 2001 � Org. filed Co. 6/26/O1(a38:42 #0200106173 <br />I certify that the Ne6raska Department of Labor has complied with the Employment Secarity Law of the State of Nebraska in <br />the determination of the amount due, and t6e employer or person has failed to pay the amount due after demand. <br />CATHERINE D. LANG <br />Commissioner of Labor <br />Date: March 7, 2011 <br />�y: <br />�r�N,"Agency Legal Counset <br />A. UKINSKI, Legal Counsel <br />T:IDOCUMENTS\FORMS�I,iens\Continuation.docx <br />RETURN FILED COPIES TO: Nebr. Dept , of Labor-LEGAL NEBR DEPT. OF LABOR <br />Po sox 94600 CHARGE ACCT #1476 <br />Lincoln NE. 68509-4500 <br />