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' -, NSTRUCTION LIEN <br />GENERAL NOTARY • State of Nebraska <br />RONDA & WIEGERT <br />'; Comm. Exp. Aug. 6, 2015 <br />rt <br />in toe <br />I M <br />0 <br />CONSTRUCTION LIEN <br />. The name and address of the person with whom the claimant contracted is: <br />n h1 E <br />(//, /fr <br />Signature of Claimant <br />Jacob North Printing Co., Inc., Lincoln, NE 68524 <br />rn <br />r- = _1rn <br />P ,. c> <br />- <br />a: rfl <br />r, e <br />r-.10 <br /><n <br />cc 7 <br />The real estate subject to this lien is km �J � G .2 '4. �£ �h t - 4 S � j J � - � 6 <br />/io C h k ae cry 40o l62..2 / <br />5 <br />2 . The person against whose i n t e r e s t i n t h e real e s t a t e t h e l i e n is claimed is: /1 A ) I D . qL_ <br />N n , l a /d <br />3. The name and address of the claimant is: � k, 3 4- E f e .0 .` - Cc).- Jr v-/ L�l <br />5. A general description of the claimant's services performed to, to be performed or materials furnished or to be <br />furnished for the improvement and the contract price is: <br />SVEl' IC + hors f' q 401 r �£ <br />6. (Complete one of the following) <br />The amount unpaid, whether due or not, to the claimant for the services or materials is $ /0(90 <br />00 <br />The unpaid amount is not fixed by the contract, but a good faith estimate in the amount of $ <br />7 (Complete one of the following) <br />The time the last services or materials were furnished was 9- b 13 <br />The time the last services or materials were furnished has not yet occurred but is estimated to occur <br />Subscribed and sworn to before me this day of NP- C rL °?O / V <br />Notary Public <br />(52 -147. See 52-148 for amendment; 52 -149 for assignment; 52-137 for recording time; 52 -154 for discharge or release). <br />Rev. 9/9 <br />