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Release of Construction Lien <br />State of Nebraska) <br />)ss: <br />County of Hall ) <br />�0�������. <br />1. Construction Lien instrument number: �� ���3 � o� � <br />2. <br />3. <br />Construction Lien file date: <br />The real estate project subject to is release of lien is: <br />4. The person against whose interest in the real estate the release of lien is claimed is: <br />5. The name and address of the person with whom the claimant contracted is: <br />. <br />, �� � <br />6. The name and address of the claimant is: <br />s�� ����r�. t,LC <br />I��1� ��;� �i(� ���1��� br r�. t��s�c c�.� <br />7. The general description of the claimant's services performed or the be performed or <br />materials furnished or to be furnished for the improvement of said real estate and <br />the contract price is: <br />8. [Complete one of the following] <br />� The amount of the Construction Lien that was unpaid whether due or not, to <br />the claimant for the services or materials is: ���1��,� Q <br />9. [Complete one of the following] <br />� The date services or material was paid: <br />: �� .• <br />SUSCRIBED AND SWORN to before me this � day o� 2012 <br />�o•'�'SPI�.p'•. <br />F : DALE M. BAKER <br />"���q °�=�'"`) ' MY COMMISSI ES <br />¢ .: <br />p5� t �� Notary Public <br />��,` �� <br />