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223 CONSTRUCTION IdEN Huffman and Felton&Wolf,Walton,Ne.68461 <br /> � <br /> Q '�� � � � � M '� !> . <br /> � t' � ; � � (�!� � C3r fJ'f ' <br /> j � n � � � �� � � � � <br /> � � x �� � p E � �; rn � z � � � <br /> q � rn �� �. � � � > : <br /> � t � �� � <br /> i � � O � � Q � � <br /> �..� N � � � � <br /> � � rn -� � a�o <br /> � z+, � � r �a <br /> � � • � „ � r^ n► <br /> b� �R � � � � N � <br /> �.1 � � i � <br /> � (,� �..rv <br /> � <br /> V� <br /> � <br /> 20oo�3osC � <br /> CONTRACTING OWNER Oft SUCCESSOR IN <br /> INTEREST: REAL ESTATE: � <br /> � <br /> .._�i..�-�--------L=---`-J-�---`-�---------------------------�-----------�--••----- -------✓-/-�--�------�--�--=�---f---L-----------L�----lr----�-� <br /> (Name) , � � t �� (Legal Description) .1 �. <br /> --------------•�=�-----�---------�----------------��----------------------------------------- --�---- -------- �l;� � <br /> � �-��r--�'S"�-�/-;;�--,'--�;�-;--�-;-,-��i�i--�-�'_;�;,,inl <br /> -------�-�--�-�--�---=--���--/�-^�4�--�---/v-=�-----�------------ <br /> -----���_- -�--T-----�-�-----------------------�-------------------------------- <br /> CLAIMANT: CLAIMANT CONTRACTED WITH: <br /> ------��'-J r��,�-----------� l E' c %_�'� � C .,. i �� < L C7 � u-�---------------------- --------------- ' <br /> - -- --------------- ---- <br /> - -- �'L 1 � �J <br /> ��.`. <br /> ----------`:/-_......--�---------------------------- <br /> �N�ii�� S /��I i l l S � (N��r'�� �" � ,�.'7� <br /> --�---------------------------------------------------•----------------------------------- ----------�-- - -�---------r'---'"`-�-----��--------- ------------------------�-�----�- <br /> ----------�--- <br /> (Addr�esq) � � � Z (A dress) <br /> ---�--- �.1-��`---�=-�-�---'-�-`-----�----------�=��--------�'----��-.� / - �--��-�-�--��--'-�---------�--�---------------------- -------�------- <br /> � t � � � f .. �---�-�--'�..--�---�-='��------�--�--��--2—----- �-------- -—- ! <br /> ------------------�-----.,_--�- <br /> ---=------�- �-�--�-----------------------�-------- �- c � � <br /> (Phone) (Phone) � <br /> � <br /> � SERVICES OR MAT�:RIALS FURNISHED BY CLAIMANT- --------------------------------- ----------------------------�-�-----------------------....------- i I <br /> Q �1. .— • � <br /> ---------l--=-���=-��---`-=-�-�--1------------�---�--�-f--j---��--}---r----���--1--�--------�-�-�J-�-�--�---- -� ���--------- <br /> - --�-----�`----=--�-'--'--. � i ,�--1-•�---------------- <br /> >� � ,�' �� , . � , r-r <br /> /�.� �\ �., �, �'�l � ..-�---�-� _ � r � ' <br /> � , <br /> ----�-...-""""_"-"-"""-'-" "��"''-'-'---'---'-----'-"---"'--'- "'c""-'----- .."",1--�"""'��-\.."'rl,�[1�-�`' " '-"�f�'---.-'-""-""-'---"-_'-"""-" <br /> � <br /> / � . <br /> ----5.._�/�/4l--�--`�`���- -�---------�-�- <br /> CONTRACT PRICE: $--_�_l�I.._...�..C-�-=-�-2-.- AMOUNT UNPAID: $-----�.�-�_�..'.---1-�------------ i <br /> TIME LAST SERVICES OR MATERIALS FURNISHED: ---------�--------- ------�------------------------------------------------------------------------�------- � <br /> State of ....�����`_`��--�,._---------------- ss. _ QlsiJ� � <br /> ---------- - ---- ---------------------------�---------------------------------------------------- i <br /> _________________��C�..�1....._..........._.._..._County Si ature of Claimant � <br /> On this --�-�----�,�---day of-------'�.'�.�:.�1�.�.�`�---'-�-------------------------------- ( <br /> � _.___.. , �9��S�efore me a Notary Public in and for ; <br /> � � I <br /> said county, personally came ..__....���-�'�Z__�Y <br />