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<br /> � 97+1��5 CUNSTRUC'1'ION LIEN /��t���� �� .
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<br /> 1. 7he real estste aubjoct ro thi�licn is: ��'s--_�`�T ti'��A+ ""�`"-�: �� r
<br /> 2. '[he person�gdnat whose interest in the ra1 estate dse I{en is clalmed is: /Y1�.,�r.. Z.,�ce v�
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<br /> 3. The nune and addres+af the cl�im�at is: ��� �• l ��T
<br /> �-...i•t..,S.�Tlriz-,�—� 'sf -/h_'� �,e..� LJ.¢t?.x.�._.v"�i�.,/�
<br /> 4. The name and addres.+of the peraon vvith wtsorn the claimaat contncted Is�I'N y,��/••_��
<br /> ./�Z��iC�t 7"QS�d S'.,.. , .�.wJ KG�4ET�G '� 5...:.�L�s•sT, G�Qq,�V,G
<br /> 5. A geaaal description of the cialm�at'a savices pa'fametl w�to be pafomaed or materlats fumished or to be
<br /> s�.,r,� ,
<br /> � fumished for tho improvement u►d the contrict prtce ts:_Fl�l� ei•• � t
<br /> _ 6. (Complete on of tha followiog)
<br /> _�The�mount uapatd,whether due or aob ro the cl�im�at for the services a materials ts S�y�,�i�
<br /> 'I'he unpiid unount is aot fixod by the cantract,but a Bood faith�sdmite in the amount of S _
<br /> � 7. (Complete onc of the following)
<br /> :? � 'I1ie time the I�st savicea or matcrials were fumishsd was��.7' ,
<br /> .�� 'The time the last servias ar macaials wa'e fumishod has iwt yet°cc�ucred but is esti�mated to occur
<br /> .� . '
<br /> '' gignature of Cit�nw►t
<br /> � � t9 q 7 __
<br /> q; Subscribed and swan to befae u�e this �aY�f - �� G '
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<br /> i
<br /> N Public
<br /> � (52•ld�.Soo 52-148 fur ammdmen�52-149 for wi�t;52-13T for r000nlin8dme;52-154 for diecharge or relaae).
<br /> ; paul l�aws SYS��of Lincdn, Inc. ❑ 3300 South bth SUeet Q lirxoln,NE 68502
<br /> � (4pQ)441�6464❑ FAX�(404)441-7B54
<br /> �_ C800)472-460Q
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