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ias _ CnNSTRUCTION LIEN <br />�� <br />- <br />�� <br />�� <br />N � <br />B = <br />e <br />W �� <br />� �� <br />� �� <br />- <br />�� <br />� <br />1. The real estate subject to this lien is: <br />� �� <br />C �� <br />� �� <br />� N � <br />9C = <br />CONSTRUCTION LIEN <br />,�. <br />� S <br />�� �a� , I��',����o� <br />NE 68524 . <br />�r <br />�� <br />c _�_ p l o. 1_`5 ✓7 <br />2. The peraon against whose inter�t in the real e�tate the lien is claimed is: <br />3. The name and addre9s of the claimant is: <br />��- ��X 1 f.�1�2, ��rc`�n� �� <br />4. The name and address of the peraon with whom the claimant contracted is: l�rt I U(�--� �� U � <br />5. A general description of the claimant's services performed to, to be performed or materials furnished or to be I <br />� ' ed for the improvement and the contract price is: <br />U.�" Cl -� r(,S� C �- ' <br />6. (Complete one of the following) - <br />.� The amount unpaid, whether due or not, to the claimant for the aervices or materiala is $���5� �� <br />The unpaid amount is not fu�ed by the contract, but a good faith eatimate in the amount of $ <br />7. (Complete one of the following) <br />� The time the last services or materials were fumished was N���Y� �,s� � 7� .. <br />The time the last services or materials were furnished hae not yet occurred but is estimated to occuri <br />�-�'�� �C� ��c.�sc�, � I <br />Signature of Claimant <br />Subsribed and aworn to before me this ��� day o ,���. <br />�.....� ' <br />�Al �TAIIY-� � � ` <br />���� No Public <br />(52-147. See 52-148 for amendment; 52-149 for asaignment; 52-137 for recording time; 62-154 for diacharge or release). ' <br />� ►� v <br />p U rr Roo �i�� <br />� R �9N9 <br />�vo �-rr� PL�-TT� ��� 9ia3 <br />JDab rth Prli�g Co., Inc.,�n� <br />r -'$ <br />�i <br />���'. .._ � <br />0 <br />c � �"� � z <br />= r►, <br />--�'"� 3� a w <br />�m � r � <br />r n <br />� � � <br />� � �� � <br />n., ,� n <br />� v �� <br />y � N <br />C1) <br />20 1203511 <br />0..�� <br />