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223 CONSTRUCTION LIEN <br />V� O <br />03 <br />l , <br />CONTRACTING OWNER OR SUCCESSOR IN <br />INTEREST: <br />--- e" b P 41 - ----- 111r.. �---------- - - - - -- <br />(Name) , <br />. /P -�----- - - - - -- <br />-� <br />CLAIMANT: <br />i-T'7 <br />-----------------•-------------- •---------- - - - - -• ............. --------- - - - - -- <br />P '�� . K - -- <br />--------------- <br />(--- ame- •-- - - -Z -3 5 ��,' <br />(Address) /+ n <br />l r�r /u -r c <br />---------- - - - - -- . -- 3 - - - ? -- Z - - -- - ``' --------------- - -- <br />(Phone) <br />Huffman and Felton & Wolf, Wilton, Ne. 68461 <br />o c� <br />`J O Q <br />\� <br />M <br />m Ts ° <br />1'rt <br />rn r <br />o I-- )> o <br />7Ky <br />x- ° <br />F� v v <br />O (p C J <br />� � 3 <br />200100144 <br />REAL ESTATE: <br />-- -- - - - - -- <br />(Legal Description) <br />--------- - - - - -- ------------------------------------- - - - - -- ------------ - - - - -- - - - - -- <br />s ..t 6 An 2 <br />----------------- - - - - -- ----------------------------------------- - - - - -- -- ........... <br />CLAIMANT CONTRACTED WITH: <br />/ + --------------------------------------- y <br />(Name) <br />7 n C, .. �r f <br />(Address)) Q <br />---- ----- ----- ---- ---- --- -- -- - -- --- -- -- - - -- --- <br />. ------------------- <br />(Phone) <br />SERVICES OR MATERIALS FURNISHED BY CLAIMANT: ........... . .... -- � -. e <br />9 s y �4- <br />.� .............................. ..--- - - -.../ P.`{ P <br />--------------------------------------- - - - - -- - - - - -- <br />------------------------------------------------------------------------------------------------------------------ - - - - -- <br />CONTRACT PRICE: $............ .... ....................... -- - - - - -- <br />-------- - - - - -- ---- - - - - -- ----------------------------------------- <br />AMOUNT <br />- - - - -- ---- <br />UNPAID: $ ...... <br />- - - - -- - - - - - -- ....... <br />?-- �7S----------- <br />TIME LAST SERVICES OR MATERIALS FURNISHED: ...................�---- <br />- -- ' - -_�.- <br />..... .......d..0 ------------------------------------------------- <br />- - - - -- <br />State of ........ N"u---------- •-- •------ - - - - -- <br />? ss. <br />----° ..... .................. ----- ----- �-aZ�` --- •---- <br />............... ...... `----- ....-- - - - - -- County Signature of Claimant <br />On this ....... ... day of ----- - - - - -- ........................ ............................... „2004 before me a Notary Public in and for <br />said county, personally came .. -- 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. I 6EKK NOTARYof Nebraska <br />JOANN MEYER <br />* Cam.1. wy z 2003 - - - 9-V - - - - -- - -- - - - - -- <br />�� Not ry Public. <br />My commission expires the ----------- ------------ - - - - -- -day of. ................................. ................. 19 <br />STATE OF ................. ................... Entered on numerical index and filed for record <br />ss. <br />County of --------------------------------------- ------------------------- - - - - -- in the Register of Deeds Office of said County the <br />.................... day of --------- ------------------------- ------ 19---- ......... at ...................................... o'clock and ........................ minutes .................. M., <br />andrecorded in Book ............................. of .------ ..............---- - - - -at page .............................. <br />By---------------------- ------------------------ ------ <br />......................Reg. of Deeds, <br />....... Deputy <br />