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145 - CONSTOUCTION LIEN <br />Vv 6 <br />7� „ <br />JLJ <br />> <br />1'� <br />C) `- <br />x 1 <br />I <br />M <br />C <br />c_ <br />C7 <br />�s <br />CONSTRUCTION LIEN <br />rl D <br />Jacob North P19g Co., IC", W#Iton NE 6846P <br />C <br />Q <br />r" <br />O <br />Mp <br />n <br />`" z <br />o <br />M <br />C13 r <br />o <br />ni <br />:n <br />YYa <br />w <br />Cf1 <br />(( <br />co <br />1. The real estate subject to this lien is: Lot 3 Elders 2nd Subdivision <br />oaliL'1.�y rb <br />2. The person against whose interest in the real estate the lien is claimed is: <br />William and Mari ITn Elder gr <br />3. The name and address of the claimant is: Michael S McElroy, McElroy Service Co. <br />4. The name and address of the person with whom the claimant contracted is: Bill Elder <br />4350 W Highway 30, CxAncl Tgqlanrl,NP- <br />5. A general description of the claimant's services performed to, to be performed or materials furnished or to be <br />furnished for the improvement and the contract price is: <br />New furnace and coil installation $2424 -00 <br />6. (Complete one of the following) <br />iX The amount unpaid, whether due or not, to the claimant for the services or materials is $ 1924.00 . <br />The unpaid amount is not fined by the contract, but a good faith estimate in the amount of $ <br />7. (Complete one of the following) <br />X The time the last services or materials were furnished was December 22, 1999 <br />The time the last services or materials were furnished has not yet occurred but is estimated to occur <br />I <br />Signature of Claimant <br />f <br />Subsribed and sworn to before me this 47 day of'�� <br />GENERAL NOTARY -State of Neoraska L "� <br />MARY E SYDZYIK Notary IPubiic <br />My Comm. Exp. Feb. ?0. 2002 <br />(52 -147. See 52 -148 for amendment; 52 -149 for assignment; 52 -137 for recording time; 52 -154 for discharge or release). <br />10 <br />