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Prepared by and return <br />recorded document to: <br />ALLAN R. POPPER, of Lienguard, Inc., <br />Agent, 1000 Jorie Blvd., Suite 270 <br />Oak Brook, IL 60523 <br />FROM: United Rentals (North America), Inc. <br />6125 Lakeview Road, Ste 300 <br />Charlotte, NC 28269 <br />TO: REGISTER OF DEEDS OF HALL COUNTY <br />CONSTRUCTION LIEN <br />(Neb. Rev. Stat. §: 52-147) <br />PLEASE TAKE NOTICE that Claimant asserts a construction claim as follows: <br />C3 <br />r\.) <br />0 <br />6. The date the last services or materials were furnished was July 11, 2014. <br />Dated: October 2, 2014 United Rentals (North America), Inc. <br />1. Services performed and materials furnished: Rental construction Equipment, related <br />materials and/or labor. The contract price is $22,698.03 <br />2. Parcel No: 400223147, Map Number 3535-08-0-00000-00-0018, consisting of 4.55 acres, <br />Wood River Township Pt Lot 4 8-9-11, see Exhibit "A", Hall County, State of Nebraska. <br />3. The name of the owner is: Pilot Travel Centers LLC, 5508 Lonas Drive, Knoxville, TN 37909 <br />4. The name of the contractor is: Great Western Builders Inc., 165 N. Main Street, Ste 202, <br />Collierville, TN 38017 <br />5. The amount unpaid due to the Claimant for the services and materials is: $22,698.03 <br />Allan R. P r, of Lienguard, Inc., Agent for <br />United <br />6125 La d tIs (North America), Inc. <br />iew Road, Ste 300 <br />Charlotte, NC 28269 <br />