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Claimant Name Complete Address Claimant Telephone Shawna Humble of A -R Exteriors LLC 40100 HWY 281, Pratt, KS 67124 620 -672 -2999 LEINS, MECHANICS AND MATERIEL mentioned Name of Owner Name of Contractor Name of Claimant Newell and Associates LLC A -R Exteriors LLC Shawna Humble of A -R Exteriors LLC Subscribed and sworn to before me this ) / day of My commission expires: - 2 - ( Al ARLENE GARLAND Notary Public - State of Kansas My Appt. Expires — // Said Contractor and Claimant claims a Lien upon the following- described property, to -wit: STATEMENT by Any Person Under Contract with the Owner, Etc., for Labor or Material, Etc. University Place Lot 1 and 3 Block 2 , City of Grand Island, Hall County, Nebraska Commonly known as: 2424 N Howard Ave Grand Island NE 68803 n nY , 20/ ;. That labor was last performed and material was last furnished under said contract on the 14th day of May, 2015. Notary Public (Arlene Garland) For that A -R Exteriors LLC did under contract with Tim Newell, owner of the property aforesaid perform labor and furnish material for removal and replacement of siding and gutters on house in and upon said property. The amount claimed for said labor and material is $2,108.80 (two thousand one hundred eight dollars and eighty 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 all of said material was used and labor performed in the erection and construction of said above -named improvements. �5��' ► UAL Claimant (Shawna Humble of A -R Exteriors) State of Nebraska, Hall County, ss: Shawna Humble of A -R Exteriors LLC, of lawful age, being first duly sworn, upon oath, says: That she is the claimant mentioned in the foregoing Statement of Mechanic's Lien; that she 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.