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CONSTRUCTION LIEN <br />State of Nebraska <br />County of Hall <br />Subscribed and sworn to before nr this 11th day of July 2013 <br />n <br />4 7 <br />C (J) <br />C b <br />1. The real estate subject to this lien is : Center Township Minor Sub Lot 3 <br />2. The person against whose interest in the real estate the lien is claimed is :Charles Cummings. <br />3. The name and address of the claimant is: PDR of Central Nebraska Inc, D /B /A Paul Davis Restoration, <br />438 Industrial Lane, Ste E Grand Island, NE 68803 <br />4. The name and address of the person with whom the claimant contracted is: Charles Cummings 4353 W <br />Stoney Park Road, Alda, Nebraska 68810 <br />5. A General description of the claimant's services performed to, to be performed or materials furnished <br />or to be furnished for the improvement and the contract price is: Water Mitigation and Restoration <br />Services for a water loss that occurred on April 9, 2013 Contract Price $2492.81 <br />6. The amount unpaid, whether due or not, to the claimant for the services or materials is: $2492.81 <br />7. The time the last services or materials were furnished was : April 18, 2013 <br />PDR of Central Nebraska Inc <br />D /B /A Paul Davis Restoration <br />By Nick Suminski General Manager <br />Signature of Claimant <br />/46///ez=( <br />Notary Public <br />N <br />O M <br />O <br />rn <br />cptn <br />O <br />