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s•■••• <br />1 N <br />0 <br />sonerissre <br />223 CONSTRUCTION LIEN <br />(Phone) <br />iroxt <br />A <br />S <br />(Name) 22 -u <br />(Address) G V <br />)gig- ci <br />CONTRACTING OWNER OR SUCCESSOR IN <br />INTEREST: <br />61 PtAn4ok <br />(Name) I t,w�'1 RV1�1 Y1 1 rt <br />State of <br />7 /241).A,42, a- 4. <br />County <br />SERVICES OR ATERIALS FURNISHED BY CLAIMANT: <br />Atm <br />PaCiljea (V/ RION Cf. - - the <br />4-ht ftrnam kana cult. <br />co <br />On this / day of LE) <br />said county, personally came _ <br />C <br />My commission expires the S day of <br />STATE OF <br />County of <br />1 85. <br />day of , , at <br />By., <br />n n <br />r i <br />REAL ESTATE: <br />o oC k K Scorici <br />(Legal Description) bat isCbn - ' C, <br />tik1ra <br />CLAIMANT CONTRACTED WITH: <br />eYWYAM AWAYeAkNO\S I <br />b xrl Sire+ <br />(Name) 1 <br />(Address <br />AMOUNT UNPAID: <br />Signature of Claima <br />4V1- -I 4 - 1 <br />ne) <br />Qt, Ck(il <br />ZY hlS no <br />CONTRACT PRICE: $_ 1 i <br />TIME LAST SERVICES OR MATERIALS FURNISHED: ..JU .._....3 Cot 4 <br />11,a, <br />1 <br />NorthMIting Co., (no., vicoln, NE 68524 <br />1- ( ) ' <br />s TI <br />gmr anct Ng L501 <br />, before me a Notary Public in and for <br />to me known to be the identical person or <br />persons who executed the foregoing instrument, and acknowledged the same to be his, her, or their voluntary act and <br />deed. <br />Notary Public. <br />Entered on numerical index and filed for record • <br />in the Register of Deeds Office of said County the <br />o'clock and minutes M., <br />and recorded in Book of at page <br />Reg. of Deeds <br />Deputy <br />