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223 CONSTRUCTION LIEN Huffman and Felton &Wolf,Walton,Ne. 68461 <br /> ! � <br /> � ��+�-- <br /> �' � � � � 1 � � <br /> � ��' � n � � ' n = � I <br /> _ � �,� � '� � _,� <br /> � — �, � �., � <br /> � ,v,t ?- � � � ; � � „� rv <br /> r +� � � <br /> - �= C � � V 1� m � "� Q `0 <br /> � � � � <br /> N p '*1 <br /> � � m CI7 '-`� � O 1 <br /> � �1 !J � � T,[. S f�ri 0 � <br /> �i '� D' m <br /> i � � J A � � a o <br /> � � � � N � � <br /> if1 ,' � � ...rv � I <br /> � V� � � <br /> 2�� i�� � � �3 ' <br /> CONTRACTING OWNER OR SUCCESSOR IN j <br /> � INTEREST: REAL ESTATE: I <br /> ' � . <br /> I -------------�NRD GQEcN.--------------------------------------------------- --------,�.�.�l.t.�Cit`---�c'itES.----�/ES-T----------------�--�----------�--' <br /> ------------------ <br /> Name--------------------------------------•-------•---------------------------------------------- ------------------------p------ )- �°-T---�g------------------------------�--------� �' <br /> ( (Legal Descri tion I <br /> I --- - <br /> -------------------�------------------------------- , <br /> I ' <br /> � �---------------------------------------------------------�-----------------�----------------------------- ---------J.��N-S-�-�-T---'�/1�i'�`- I <br /> � <br /> � � <br /> � � <br /> I CLAIMANT: CLAIMANT CONTRACTED WITH: ! <br /> I / ' <br /> � ,L-i�NQ_SG.SPE-----C/N�/�•,/TEd ; <br /> --------------- -------------------------------------------------------- <br /> �/'NiT.vE� QR�E ; <br /> -------- ----- - - --------------------�---------------------------------------------------------- <br /> � (Name)----�//�f7 S. /,��� � . (Name) i <br /> I --------------- ------.._......--•...-----•-•-----------•---------------------------------------- <br /> ----------------�fiiC�t'-- - �'�'�5---1 t/ES-T---------�---------------------- <br /> i (Addreas) � (Address) <br /> I, ..-------------------`.✓..QQG----�I-�4H��--�VE'--------�i ��'��----------- ------------------�o T---�g-----�'f-"-'-�E T----Q�,'.----Qay�P/�(qN_ <br /> � �3a�� ���_6��� � <br /> � N <br /> ---------------- ---------------------------------------------------------------------------------------- ---------------------- --=�-----------------------�-----------------�--------------- --�---------!. <br /> i (Phone) (Phone) <br /> i <br /> ' SERVICES OR MATERIALS FURNISHED BY CLAIMANT: _._./�.ou���___��'�a��6 ��✓o �^�E� V.t'Adin/G i <br /> : -------- -------- -----------------�------------�--------�-------------� <br /> � <br /> ' oF L ' <br /> � ..................9.y.✓..�✓----�-�-------------------------------------------------�------------------------------------------------------------�--------�--------------------------------------------------------�---------------- ' <br /> ; --- <br /> i <br /> � ---------�--------------------------------------------------------------------------------------�--�-------------------...------------------------------------------�-------�---�-----------------�---------�-----------------------------' <br /> ; <br /> ; <br /> � --------------------------------------------------••-•....................--��;----------------------------------------------------------------------------�-------------------------------------------��;-----------�--------------- <br /> ' CONTRACT PRICE: $_.....�.�.�....�......^ �aOQ <br /> ; ....-�---...---�------------- AMOUNT UNPAID: $------------------------------------------�----------- <br /> ��' TIME LAST SERVICES OR MATERIALS FURNISHED: _.../1".�`�_.Z�../9 99 ' <br /> --�----------------------------------------------�------------------------------ <br /> ' �/F��qsKA • <br /> sta�of <br /> . ��/� <br /> � .......................................................... <br /> ----- ---- ----- ----� -----------�-------------.���..✓..._. _ <br /> �j sg. ---------------------- <br /> ! ......------ft''���------------------------------------County Signature of Claimant �-2S-�o <br /> ' On this ..__...s�.�...._._day of.._.......�,�..�.3:Y'.��.�-�:,�..�...................................�9���-�before me a Notary Public in and for <br /> � <br /> '' said county, personally came ..............��-_.,:.�:::'�5:�,....��.��'�,�'�.�............_............_......__._ to me known to be the identical person or I <br /> ', peraons who executed the foregoing inatrument, and acknowledged the same to be his, her, or their voluntary act and <br /> ' deed. <br /> ' (I 6ENERAL NOTARY State of Nebraska - v <br /> ; STACEYA.RUZICKA •---•���.*�.�----�...-1=-'-���z��-��C�`-'=✓-- <br /> .. i�r Comm.E�.May 10.2QQ3 <br /> ,� Notary Public. <br /> � <br /> �; My commisaion expires the...............��..._.__day of..____.��� �j <br /> ---------------------------� �-.c�..._..�..� <br /> ISTATE OF.--�--.......-�----�-��--------------�--��-------------------------- <br /> 8S Entered on numerical index and filed for record <br /> I County of .................................................•---••-----.......... in the Register of Deeds Office of said County the' <br /> ' -�----�-�-��--�--...day of........................................ 19............, at-----------._._.._.......--�----------o'clock and------------------------minutes_....---�-�-------M.,' <br /> ' and recorded in Book.......---�---...--�---------�f-----------------------------at page----------._._..........--�---• <br /> ---�-�---�--�--------------------�-�----......--�-------------------------------Reg. of Deeds'' <br /> � BY------•-•------------------------•---------.......------------------------------------Deputy, <br /> � <br /> I � <br />