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<br /> : .F.:: : i. TherRal.estatesubjedtothislienis siis� woddridee Blvd.. Grand Is�.and._NE ___
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<br /> � ° t� .;:; � Count Nebras a �'�"
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<br /> ° ��. Z. The person agamst wfiose interest in the real estate the lien is claimed is: � le Leaf �'`
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<br /> Fox Constructio�f Co., Inc. , 3115 � _ � �
<br /> 3. The nazne and addras of theciaimaat i�, . _
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<br /> �°..���.° So. North Road Gia�d Island NE 6SS43 �-�-
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<br /> .`�;� ' ' 4. The name and addtess of the on with w�c�sst the claimant contracted is:�P � rr".Y:
<br /> ...,:;;•;�^.}:�.. Mana�ement �0 3 0 Sth S r�� Gri��t°',a To.,� 41 5 . ._...
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<br /> � � ' �' S. A geaesal descriptinn of the daiman�s services perfomned or to be performed or materials fni- , -s--__-
<br /> _-� �- =_--' - � • nished or w be fur��shed for the impravem�at and the wntract price is: Construet {_--
<br /> � � � Sterlin Ho�ase Job 4310 in Grand Island Np raska . _
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<br />- - - - _ ::`, The tatal wauact prioe is$ . .. . � �:__
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<br /> .�::�+ � 6. (Complete oae of¢�ae follawing) . . .
<br />- . .. . •,.�` . , _�,_The a�ttount unpaid,whether due or not,w the ctaimant for the services os materiais i� _. . •� ---_
<br /> __ . . . ' $ 28 645.�0 — . .. �ti�=.
<br /> _ - � . � , The unpaid amonnt is not fued by the contract,but a good faith estimaie ia t@e amount. . —;�w.,
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<br /> ` . . X �e time the last services or materials were furnished was � .
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<br /> �. � � . �_The time the last services or materials were furnished has aot yet ouuned but is estiatated , ..
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<br /> : � . .. � , • Claim t� x nstru i.�n Co. , Inc. �:`�;.
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<br /> . • � ar es E. Fox
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<br /> . � �. . � I�; President
<br /> i:.� :.. .` .. � �. � Subsrn'bed aud sworn to before me this..�day of NovP;mber_.19 9 7. .
<br /> ��'�� . �• GEHEHAL.NQTAAIISltiedlteb�ul� -- �
<br /> � � � �� SHERHY SA� Notary Puhlic . � �
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