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<br /> �R��.��:.,., NEBRASKA-CONSTAUCTION L.IEN . .: ,.
<br /> � ,�, g7— 102'�83 :.�°,
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<br /> . �. _� ' (a) The real estate suhject t� the lien, with a descripdon thereof sufficient for P �D _�_�
<br /> Sr,.-� H See i � � R/?�
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<br /> - � idenrification is• B�y �rt�n rv�.� 1 +��.� .r-�-- \ ,...
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<br /> (b) The aame oY the person against whose interest ia►the real eseate a lien is claimed is: _-
<br />_ �..,.� � � i � //�l rce. f� LoNn,��<r�i Dt3a i��/-1 T!'eNCL�i u��e_--' _ _
<br /> • � M�d l nd f')'Jp l��c ls___L��•• _
<br /> i�• (c) The name and address of the claimant�s. ��, a �� �, j�� _ �
<br /> :�' .� .. '�� �i 5 /_3�'�.ur� � o z n`� 4 �w-
<br />� ' �� �?; (d) The name and address �f the p:rson wi�whom the cla�mant�c/n�u�aC�,ted is�'.� y ���£ ���o� �_
<br /> �� � l, .r��� - l�A B�'llarnN !3�_�iL� .;��
<br />_ i; =��� rformed or to ce pe r fonY►e d o r m aterials
<br /> ;;.� ;�;��:�:' (e) A general descripdan of the services pe �...r„�;.,� ste e. � '�� � Rs6esso2�P- �.
<br /> :��: ���:�.; �:�� � �'. . fwrnished or to,be furnishec.l for the is�nprovement is: __
<br />,�:.�::,�,:,,�. ' � TRIm � ' _
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<br /> and the contract price thereof is: S �a a� •�3
<br /> �-'���`"�-'~ � ' (f� The amount unpai�,waetnCr�,�a:�ue. to*h���ai,�nant foz the servicts or materials
<br />---��..s,,,.; . the contract a good faith astimate
<br />__ :;'��.�• .,<i ,J'' ls. �c��.o i . 8 3 or if no amouat is fixed by
<br /> -�"`'�::r%' ,.;{, af the amount designa t e d �s a s i e s ti m a t e is: S �i- i� -9� —
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<br />�--����:.�',�,�r (g) 'T h t t i m e t he las3 services or materials were furnished was:
<br /> _...,:,.rT<<.
<br /> ---n:ic�:'i t1.:�. 4 .
<br /> _--,_,,r;���,�; , a r i f t hat tinae has nnt yet uccurred, an estima t e o f t h e t i m e i s:
<br /> —_:_;:_���A ; , The name given in t he lien i n a c c o r d a n c e w i t h t he r e c�uirement
<br />---.,;;:.;�,ft"a��
<br />__- ._t�,,., .�,�. ; I o f(b) o f t h i s f o r m��n owner s inte est at the ti4ne o f recor d ing t he lie n�f the recor
<br /> "`Y`��' holder of the contra g --
<br /> n.,.,�:>�r � ; 19�L.
<br /> Y.-."`�a�`� �s., �t�, �y of��'� p`r' ,
<br /> ------= Dated this the , —
<br /> - .....�.— � "/ >.�t�/r���1 �J � �,�'�'
<br /> __.. ::��.'�;"� ' � Claim t. .»
<br /> - _:,�;��� � ay
<br /> -�_:�'.`�'-r.�"�, � Signature �
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<br /> -''`°`�"'— STATE OF NEBRASKA,
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<br /> � °��� COUNTY OF
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<br /> =_°::V',�- . ' Snbscribed and swom to before rsae this day of
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