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m N- C mV 01- 2 A ® x= G ___ P N CO X 2 —■ LEINS, MECHANICS AND MATEREIL MEN /th/ Claimant Name Kori Walker of A -R Roofing LLC Complete Address 40100 N Hwy 281, Pratt, KS 67124 Claimant Telephone 620 - 672 -2999 Name of Owner Ronald A. Bigger and Ronda A. Bigger Name of Contractor A -R Roofing LLC Name of Claimant Kori Walker of A -R Roofing LLC State of Nebraska, Hall County, ss: My commission expires: - r I p > ARLENE GARLAND Notary Public - State of Kansas My Appt. Expires _ STATEMENT by Any Person Under Contract with the Owner, Etc., for Labor or Material, Etc. Said Contractor and Claimant claims a Lien upon the following- described property, to -wit: Sunset Sub Division Lot Twenty (20), City of Grand Island, Hall County, Nebraska Commonly known as: 2420 N North Road, Grand Island, NE 68803 For that A -R Roofing LLC did under contract with Ronald A. Bigger, owner of the property aforesaid perform labor and furnish material for removal and replacement of roof on house and garage in and upon said property. The amount claimed for said labor and material is $11,654.76 (eleven thousand six hundred fifty -four dollars and seventy-six cents) and said labor and materials and the items thereof, as nearly as practicable, are set forth in the bill of items hereto attached, made a part of this statement. That labor was last performed and material was last furnished under said contract on the 16th day of October, 2014. That all of said material was used and labor performed in the erection and cons ion of said above -named improvements. Subscribed and sworn to before me this j 3 day of 20 15 S. Cpairnant (Kori Walker) ) Notary Public (Arlene Garland) Kori Walker of A -R Roofing LLC, of lawful age, being first duly sworn, upon oath, says: That he is the claimant mentioned in the foregoing Statement of Mechanic's Lien; that he had read said statement and knows the contents therof; that the name of the owner, name of the contractor, the name of the claimant, the description, of the property upon which the lien is claimed, and the items of the account as therin set forth, are just, true, and correct. / G