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_ � � :
<br /> � �7s-� v02335 _ _
<br /> GERALD E_ CHIZEX, CC3MMISSIONER )
<br /> OF LABOFc, )
<br /> ) CERTIFTCATE OF LIEN FOR ,.
<br /> r Vu. ) DELINQUENT UNEMPLOYMENT
<br /> i ) INSURANCE CONTRIBUTIONS
<br /> WENDELL BOTTORF'F dba BOTTORFF )
<br /> ERECTION_ )
<br /> r Employer No. 86239-008-1521 )
<br /> TO WHOM =T MAY CONCERN:
<br /> � � ;,�
<br /> The undersigned James R. Jones, attorney for Gerald E.
<br /> Chizek, the duly appointed, qualified, and acting Commissioner
<br />' of Labor of the State of Nebraska, does hereby certi.fy that
<br /> WENDELL BOTTORFE` doing business as BOTTORFF ERECTION doing
<br /> business in Grand Is1and, Ha11 County, Nebraska is indebted to
<br /> the Unemployment Compensation Fund of the State of Nebraska for
<br /> contributions due on riis employment for the second, third and
<br /> fourth quarters of 1976 and the second, third and fourth quarters
<br /> of. 1977, in the sum of $251.07, and interest in the sum of $29.01, � ;'.
<br />; with interest at the rate of one per cent per month on the sum of ' �
<br /> 5251.07, from April 20, 1978. �:
<br /> f By reason thereof, said Gerald E. Chizek, as Commissioner
<br /> of Labor, on behalf of the Unemployment Compensation Fund, hereby
<br /> clai.ms a lien in the sum of $280.08, with interest at the rate of -'
<br /> one per cent per,month on the sum of $251.07 from April 20, 1978, �''
<br /> until paid, upon any and all property, real or personal, of said F,.
<br /> WENDELL BOTTORFF, doing business as BOTTORFF ERECTION, and ��
<br /> specifically c].aims a lien on the following described real estate: � �' :�
<br /> t ''�
<br /> Lot twenty-eight(28) in West Heights Addition ��
<br /> to the city of Grand Island, Ha11 County, �?.
<br /> Nebraska_ �
<br /> ;; , :;„
<br /> sub'ect onl to liens of �
<br /> � y prior record pursuant to Section 48-657, ?; , '
<br /> R. R. S. , Nebr. , 1943. �` `'��
<br /> �:
<br /> � �.
<br /> '��'.�'-Y�G%"�✓ ! �' '�'�'
<br /> cTAMES R. JONES, A ORNEY FOR ' '�
<br /> �GERALD E. CFI2ZEK, COMMISSIONER � `1
<br /> � � � � � OF LABOR � ` `'�
<br /> �:�.
<br />- it �
<br /> April 20, 197&
<br /> STATE OF NEBRASKA )
<br /> ) ss.
<br /> LANCASTER COUNTY )
<br /> Jair+es R. Jones, being first duly sworn upon his oath,
<br /> deposes and says that he is attorney for Gerald E. Chizek,
<br /> Commissioner of Labar of the State of Nebraska; that he is
<br /> authorized to make the above certificate, that the facts set
<br /> out above are true and correct.
<br /> �
<br /> ��,�.�� �� ' Z't��'"� �
<br /> ��
<br /> � James R. Jones�
<br /> SUBSCRIBE� in my presence and sworn to before me this
<br /> _.,.: , �
<br /> 20th day of April, 1975.
<br /> x„�^ . �
<br /> 4 �
<br /> W ��,���1JCL. �;����
<br /> �� Notary Publi� "�'_""'
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<br /> "' ����aFJ1TE.QF NEHRASKA � . � � . i.
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