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Bob Arends <br />Notary Public <br />11� <br />C <br />et a <br />STATE OF NEBRASKA, COUNTY OF HALL ) ss: <br />CONSTRUCTION LIEN <br />LC s+G <br />(Ji N <br />(J) <br />1. The real estate subject to this lien is: Knickrehm Second Addition Subdivision, Block Two, Lot <br />Eight, Grand Island, Nebraska. <br />2. The persons against whose interest in the lien is claimed is: Wendall and Anna Novotny <br />3. The name and address of the claimant is: BAC Roofing, 802 South Locust Street, Grand Island. NE V <br />68801. <br />4. The name and address of the person with whom the claimant contracted is: Wendall and Anna <br />M. Novotny, 112 West 21 Street, Grand Island, NE 68801 <br />5. A general description of the claimant's services performed, to be performed or materials <br />furnished or to be furnished for the improvement and the contract price is: Materials, labor, and <br />expenses to replace a roof. <br />6. The amount unpaid, whether due or not, to the claimant for the services or materials is <br />$6,603.06 plus interest. <br />7. The time the last services or materials were furnished was June 5, 2014. <br />SUBSC IBED ND SWORN to before me this � day of 2014. <br />