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<br />N <br />is <br />is <br />CJ1 <br />....l. <br />is <br />+:0- <br />N <br />W <br /> <br />c <br />0~3' <br />(...jc;J~ <br />~)\ f <br />~l..r\ <br />~ ttJ __ <br />Dl'j .... -. <br />~U\ ;; <br />o \.Jl <br />~ <br /> <br />;;0 <br />m <br />-n <br />c:: <br />..... Z <br />'i (') 0 <br />1'1" )-" ~ <br />'j CJ"1 <br />__ ::c <br /> <br />no <br />::J:)>- <br />m (/) <br />n:x: <br />" <br /> <br />~".....,~ <br />.{;"," ::,) (") (/, C> ~ <br />~:.::-:::,. 0 --, <br />~J~j <br /> c:: J'" N <br />'~:-') J,,_ -~, <br />':,;'-') -1 r'l~i C> it <br />'-1 -< <br /> ~..,.'.1 c::::> <br />rv (,;,:.) ~ <br /><=> ~"1 - c.n <br /> I--" - <br />::0 r- ::3 <br />::3 . , C)V) <br />r-- ~, r-fo <br /> ({) --C2 <br />c...a 7 N~ <br /> ;> <br />J: ---- ---- <br />rv (fJ w~ <br /> lj) Z <br /> .. <br /> <br />.......~" , <br /> <br />~., <br />~ 200510423 <br />c <br /> <br />\ <br /> <br />,- ' <br />-rj <br /> <br />ONSTRUCTION LIEN <br /> <br />r' <br />~::."J \ <br />u, ~. <br />" <br />('- <br /> <br />DATE: <br /> <br />October E, 2005 <br /> <br />LIEN CLAIMED BY: <br /> <br />Dan Seim d/b/a Seim Irrigation & Well Drilling <br />491 K Road <br />Chapman, Nebraska 68827 <br /> <br />LIEN CLAIMED AGAINST: <br /> <br />Mrs. Jack Niemoth <br />5862 Avenue <br />St. Libory, Nebraska 68872 <br /> <br />/0. 50 <br /> <br />STATEOFNEBRASKA ) <br />) ss: <br />COUNTY OF HALL ) <br /> <br />Dan Seim, owner of Seim Irrigation & Well Drilling, being first duly sworn upon <br />oath deposes and says: <br /> <br />1. I am the owner of Seim Irrigation & Well Drilling, and as such verify this <br />account in writing for and on behalf of Seim Irrigation & Well Drilling. <br /> <br />2. I provided labor and materials on property legally described as follows: <br /> <br />The West Half of the Northwest Quarter (WYzNWY4) <br />of Section Ten (10), Township Twelve (12) North, <br />Range Ten (10) West of the 6th P.M., in Hall County, <br />Nebraska <br /> <br />3. The date that the labor and materials were last furnished to said property at <br />the request of Mrs. Jack Niemoth, the owner of the above property, was on or about July <br />17, 2005, and the price for these materials and services was Nine Thousand Eight <br />Hundred Seventy Six Dollars and Ninety-Four Cents ($9,876.94). I have received no <br />payment from Mrs. Jack Niemoth. <br /> <br />4. Dan Seim, d/b/a Seim Irrigation & Well Drilling, claims a lien on the <br />above-described real estate for the full amount of the contract price of Nine Thousand <br />Nine Hundred Seventy Six Dollars and Seventy-Four Cents ($9,876.94) together with <br />interest thereon and the costs of filing this lien. <br />