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Ai <br />tin <br />N — C <br />e n 2 <br />W <br />M 819 H <br />U1 <br />W <br />W <br />Return to Ganz Law Offices, P.C., L.L.O. <br />PO Box 895, Kearney, NE 68848 <br />is: <br />CONSTRUCTION LIEN <br />1. The real estate subject to this lien is: <br />All of Lot 2 and the West 44 feet of Lot 1, Block 26, Nagy's <br />Addition to Grand Island, Hall County, Nebraska. <br />2. The person against whose interest in the real estate the lien is claimed is: <br />Iglesia Evangelica Bethania Penecostal. <br />3. The name and address of the claimant is: <br />Nebraska Fire Sprinkler Corp., 118 Apollo Avenue, PO Box 186, <br />Alda, NE 68810. <br />4. The name and address of the person with whom the claimant contracted <br />Mr. Pedro Rivera, P. Rivera Construction, 3604 Seedling Mile, <br />Grand Island, Nebraska 68801 <br />5. A general description of the claimant's services performed or materials <br />furnished for the improvement, and the contract price is: <br />Materials and labor for complete wet pipe fire sprinkler system in <br />building located at 515 Oak Street, Grand Island, NE and legally <br />described above; $12,700.00. <br />6. The amount unpaid, whether due or not, to the claimant for the services or <br />materials to date is $1,700.00. <br />7. The time the last services or materials were furnished was April 26, 2013. <br />STATE OF NEBRASKA ) By• l $ <br />ss: Name: y k� <br />COUNTY OF HALL ) Title: <br />The foregoing instrument was subscribed and sworn to before me this 1(v day <br />of July, 2013 by R,� n r� p e t , as G--e ce: S MCLPr∎cty' of <br />Nebraska Fire Sprinkler Corp., a Nebraska Corporation. <br />G_ <br />r <br />1 ' <br />CD <br />Nebraska Fire Sprinkler Corp., a <br />Nebraska Corporation <br />m <br />r <br />