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<br />;=�°s��: CONTRAC'I'iNC3 OWNER OR 9UCCEB30R IN
<br />:y`�:"�;;:;;i` INTERE�3'I':
<br /> . REAL EBTATE: -
<br /> . �:_, -
<br />_",_,*,t.d�,�..� � _.
<br /> ,-�. ,:,: •.. �, .Steve Groeteke
<br /> _.... ....... . ................ ..................._................. Lot 20 c cr
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<br />, .. . fName) ............ .. ... .........k.............e..._......._........................... _
<br /> m s as Su
<br />-::x�:•,;:��; ...........:........................................................................................ �g�AI�a`�'��O��unty.L...NE.............._.......................... ��
<br /> -�;-��.�=���'� .......................................................................................................... ........._....................................................................._.......................... --
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<br /> , .�' C��NT' CLAIMANT CONTRACTED WITH:
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<br /> �j.r�.�_ . .:�' . ............................. ..�. ................
<br /> . .............................................. ..........
<br />:_,�;`• ... ;,ti fr?am�had. J. Gideon a . .........................................................................................
<br /> ,_,.., o �eke
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<br /> iN mei
<br /> u� ................. ... . ... ..................... aneLane
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<br /> .......
<br /> ...................
<br /> •=�: ' . (Addreu) (Addreaa)........L...�:.i.... .......... ..............................................
<br /> ; .............:.....1.1.1�.7.....5.......�.�O�k�...Rd.,..__
<br /> �4.4A.....l.11.�/e ,Do n i phan.r....NE.�.............
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<br /> ,' '' ....L.a.a�a.2....��a,�.-z��.e...........................................
<br />_ ............... ....................�308.�...381.-4856
<br /> ,. (Fhone) (Phone) ..................._.........................
<br /> �;', ^:�.
<br /> , �:
<br /> .��, . ..,l� . 9EAVICE3 OR MATE�IAIS FI1R1vI�FIED BY CLAIMANT:
<br /> • ..
<br />;__�,.,a,�•-���� ................�......9....................... �
<br />-=z�.,.�_,.,. .. ........ .................................... _
<br /> rou rade and f ine rade
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<br /> ... , ��� �tNO���.P.1.�1!.. �✓L
<br /> °-.r-.:�"..�-'' ./���7.. 5...../So��...�......................................................................................................................................................................
<br /> ;�����' .�.��..�op.......�a,�C.....�V..�:........���d3................ .. ... ...............................---........................._......._......_......... ._
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<br /> .... _ .........................................................
<br /> .........................
<br /> ..............................................................
<br />�' '� 500.00 _
<br /> :` ,. "` CONTRACT PRXCE: ;.........................._............................ AMOUNT UNPAID: 3......263_.00 . , -
<br /> ..._. . . .... ....................... --
<br /> ___: _ .
<br /> <:: -. .,.5�"-� ,
<br /> --
<br /> s.�'' ` • TIME LA6T BERVICE9 OR MATERIAJ�9 FURNI3HED: ....................�. . °
<br /> ...........�....... .........................................
<br /> �:
<br />.. = Nebr sk ` � '
<br /> ..."': .... �� Stata of...................�.......?........................... -�
<br /> .�,' 98. ... ...... .............. --—
<br /> �_�.:
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<br /> Ha l l ............................................ __,
<br /> . ........................................................County . 8� ature of Claimant
<br /> 'y�11 �•�<__
<br /> On thie .....�..�...........day of...��M��' ......,19 G�.�,before me a Not Public in � �=
<br /> ........................................ ary and for
<br /> ' r -1 �..
<br /> � � c.h� �. :_
<br /> eaid county. Personul�y came......................._.. 1� l P�t� ................................to mr,known to be the identicsl pereon or .
<br /> pereons who oucuted the foregoing in�trument, aad acknowledged the ea�e to be his, her, or their voluatary act aad
<br /> d ��tISAH�(i N�� ��./
<br /> .
<br /> � �NO�.fyApMl�l001 � � ,��'
<br /> .................................................... .................... .............
<br /> .. ............. ..
<br />.
<br /> �� Notary Public.
<br /> My commiseion expires tha.......' .......�.......day of.......��.�..........................'1D.�f,
<br /> __
<br /> -_ __ ---� ��A�1�� Ur�....................................................................
<br /> �es. Lntered on numerical index and�led for reoord
<br /> County of...................................................................... in tho He�ter of Dec�le Office of seid County the
<br /> �
<br /> I ...................day of........................................, 19............, at... .. . o'clock iind ...................cninutes.._...............M., I
<br /> and recorded in Book.............................of................... ..._nt pnge._ �
<br /> i I ��
<br /> , .....................Reg.of Deede I
<br /> � I I 13y .... ............ ..........DeputY ;
<br /> ' ;I
<br />: � I �
<br /> ' ,I �I I
<br /> _-�Y � Rev.8/95 I� I
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