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m <br />C <br />co II <br />N) nY <br />Return To: <br />BANK OF DONIPHAN <br />P 0 BOX 270 <br />DONIPHAN, NE 68832 -0270 <br />2. General Description of Property: <br />3. Name of Borrower(s): <br />TRAVIS D. FAGAN; TRACI R. FAGAN <br />Address of Borrower(s): <br />9251 W LOUP RIVER RD, DANNEBROG, NE 68831 <br />Notice of Commencement -NE <br />VMP ® Bankers Systems TM <br />Wolters Kluwer Financial Services 0 2005, 2011 <br />A 3r <br />Notice of Commencement <br />4. Borrower(s) Interest in Property: 100% <br />5. Name & Address of Fee Simple Titleholder (if other than Borrower): <br />Builder's Name: PICK CONSTRUCTION LLC <br />Builder's Address: <br />Parcel Identifier Number Permit No: <br />The undersigned, after being first duly sworn, states as follows and verifies that the information set forth in this <br />Notice of Commencement is true to the best of the undersigned's knowledge, information and belief: <br />1. Description of Property (legal and street address): <br />9251 W LOUP RIVER RD DANNEBROG, NE, 68831 LOT ONE (1), WIECK SUBDIVISION, HALL COUNTY, NEBRASKA <br />VMP1310(NE) (11061.00 <br />Page 1 of 4 <br />