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. .;r"� .^..�-�-r�[x,:......� _ �..a•.- _ _..... __=__.. _�._.- - . <br /> � .i . _.•.'. T <br /> �t� . � �.�..e.n..:.v,..�.:�_.. .. .. .�.:,q,:.,}gwL�7�'."t1�1'4'JT'-"T�� �L�:`^1'f�!y��it_���_ . ��..a1X <br /> — <br /> - __���._.�A � ._. ._ _ . . . _ •'r^�• ....t <br /> -- — -- _ <br />."%'_n Y T.:J.Til!��t::�-. <br /> • „ _ n � � <br /> cQ <br /> Wl�n ijt �1 z � _ �`Q � C -�i ,� � <br /> MidlRnd IVletalt.Ino. �` c; � r•, •�•� <br /> 1'f1 � �A I ��� lt ... -t Ca 1 �j� <br /> P�U AQ7t�89 � .' ` N C) '�� `�, <br /> O�kaloou►,IA S�S77 I w '�� s- ►-� <br /> . (_ -� ' r <br /> y r� ` , � ` � `U Q M <br /> 1�..� i�, � � � �, � � C.7 <br /> � cy �, �• � � � � <br /> / � � � N � x' <br /> .� <br /> � '�� <br /> rti � � � <br /> 'r'. � � y N ' <br /> W: � c� -r �'''� o <br /> . Whrn Rxtxded� � � n ; � � � n � <br /> 1� � rl•. I �vc • ��� ,. ,, -., CO <br /> � �1 :r m � x ^� '�� <br /> � ; D�Y 7� %� :? � o � y. <br /> Dr�h/�'�� /N %'.,�°�7 y '_' <br /> n � o z 1w N <br /> � zj n w p C7 <br /> � m " 3 r�- n 1y � <br /> � •� <br /> c� : �-+ cn � <br /> ` „G ...L OD � <br /> . F..rb+���� � w �' W x <br /> I pBBItASKA•CONSTRUCTION LIEN � r. <br /> I �..�..�.�_.,., g7_ i(�'783 <br /> ' un thereof sufficient for <br /> � (a) The real estate subject to tl�e lien, with a descripti � ��e �p � <br /> identiftcadon is: ��^+� C�-•.T�!w /a S w /w � 5 ee f �'n N �,1 7�� i�, o <br /> � �l /l uu� � g�p • <br /> " �S. G v� . <br /> �}� ,. oainct wi10SC 1titC�'CSt 1D t�IC I�1 G�tC s lien is claim�d is: <br /> (b)'i"[►e pamc vi �.:�..�1:3�--= �liA ��i"A "-T2F�rr,j�i un. 1�V'� <br /> \_.._i i � Y �I�r E IQ' �.L1A10U�`K! �i �f � r��� T�, /t /l�� . <br /> ;•�• (�)�e�me snd address of thc claimant�s � � p y� �.�J <br /> �.: <br /> /.5 N' <br /> ;� //2 G✓./.�'� � �.����v�Al F G 8$03 <br /> (d) The aame ind sddress of the person with whom the claimant contr�cted is: <br /> ' rfamed or w b� perfom�ed or mat,esials <br /> �; on of the services pe <br /> (e) A general descripd . <br /> '. • furnished or to be furtished fot ttie improvement is: �r1a�1�c�r� Strel sr l�uu � RQ�S�' 'P� <br /> � � . � R � <br /> '* and the contract price thereof is: s �a d I•&'� —• <br /> " (� The amount unpaid,wbe�th f no amount is fixed bY the conva�good fi th estiroste <br /> ' s co�p 1 8 <br /> 1S: ,.__--�- � iS ip1 CSdfIfilC iS: s —' <br /> af the amount desi&ta � 2-��T'G1 /.2-����p <br /> (8)'fhe time the last services or mataials wen fvmished wss: _��.. - D�r� <br /> mr if that tinne has�ot Yet occurred. m esdmau of the am►e is: with ttie rsquireaKnt �� <br /> . The name given in the lfen in�ccord�ce <br /> � of(b)af this form ma9 ovmer's�'�nt est at the time of rx�din8�the�u'en�f the recofd <br /> holder of the contracdng <br /> � ���,� ,.,�.__,�--, 19.�• <br /> . Dated this the �r7v �y �g–''�f_,.� � <br /> ;1n��''�:i��� ��7i D��� ��i�_2_%'a. <br /> Claimat t. <br /> By <br /> ' signature � <br /> , Y <br /> w � <br /> STATE OF NEBRASKA, }�. <br /> COUNTY OF n /� <br /> ' w _ � �6'n "I d�v nf T"�R.� I�� <br /> Subseribed and sworn to bervr� �u� ���� —� -- --�– - <br /> l9�• � <br /> , - Notary Pu ic. <br /> . �or+w <br /> - o�.ww.�'��*�� <br /> — M NG.1 (d1►3�t•10�M <br />_= oaa�n <br />�� <br /> - Stste of Iowa,County of M�lu�k�}w 5ub�aibed�nd�worrn to 6e!'orr nN tbl� '"`�ay of Juw,1997 w�pi1� <br /> wo <br /> hQ-Jl.ff!''2l�lau�t[COZ���l1('r.c% ��10 <br /> ^� NowyPublio: t� �«« � (�.!(l�(e ,.r.l� � � ' __ _ <br /> � � ---L�,�t��et.� cl�E�clluf�r°irt`'e,��;��1rc".'Qtt.�lo� <br /> � _ _ ___ <br />