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.�� <br />� <br />_� <br />��� <br />- <br />N <br />0 �� <br />� � <br />N �� <br />0 "_� <br />N �� <br />� � <br />�� <br />�� <br />�� <br />� <br />� <br />� <br />Z <br />� �� <br />� i° <br />� � � <br />i � � <br />� � � � <br />� � �I <br />� � <br />V' � <br />� � � <br />G � <br />� <br />q <br />!�1 <br />C <br />c � � <br />1 � � <br />� � <br />i:�; .:1'� <br />:i: ':. <br />�, � <br />,`�! <br />Mechanic's L�en <br />�-,:, <br />� �_� <br />�� <br />x '� <br />D' --, <br />r • <br />r i, I i:; J <br />o r: � <br />'�. W <br />� i'� � U <br />� � <br />-� � <br />e� <br />c.� �, r—+ <br />�, rv <br />r_7 S �. ., <br />� � � <br />�-"�-, �� --L <br />cn <br />c� cn <br />o --� <br />c n <br />Z --i <br />-.� m <br />� o <br />o � <br />� � <br />= r� <br />D m <br />r �s <br />r � <br />cn <br />x <br />D <br />� <br />Cn <br />'`-� r <br />The undersigned Claimant U��p C� , t�� hEteby claims a mechanic's lien <br />on ths following described real property: <br />1 <br />Property Addre.ss: ���,�� ,� � <br />� a <br />Legal Description: �e�iy�_rt }�it. _ 1 � � Q- � '�`�,� m��` �► �1.,�r� '� <br />At th8 request of� or under contract with �� �,� �-�rouQ, t�h 'Cisimant <br />� Aft� r d t�ng all just credits and offsets for the Claimant's wo�d materials, ths sum of $ <br />� ��'� together with i�terest thereon at the rate of % per annum� is due and <br />ovving to th8 Claimant fram this date: s� <br />t <br />Claimant Name: �' <br />Claimant Signature: ' <br />STATE OF � <br />COUNTY OF /��l/ <br />�ate: � � �� �� 1� <br />On this day, �onally appeared before me� � s o N I/�� � S� , to me knawn to be <br />th$ rson(s) d�.scribed in and who enecuted th8 withi� instrument� and acknawledged that <br />h�lsTis s gned the same as his/her voluntary act and deed, for the use,s and purpases therein <br />mention�. �� <br />�trte.ss my hand and official seal heret affixed on this day of 20� <br />��n � <br />Notary's Public <br />My commission expir�.s % "/� <br />N <br />0 <br />t--d <br />i�9 � <br />G� � <br />-- <br />N <br />� <br />tl� � <br />tl� <br />� <br />� j C� <br />GENF.�. NOTARY•Shate of Nehraska <br />CHAD NELSON <br />My Comm. Esp. Sept.18 2014 <br />