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Return To: <br />Kim Osborn <br />Weathercraft Co of North Platte <br />PO Box 1949 <br />North Platte, NE 69103 <br />(308) 534 -3480 <br />rn <br />-n <br />G <br />Z <br />tn <br />Construction Lein <br />1. The real estate subject to this lien is: South Loup TWP <br />2. The person against whose interest in the real estate the lien is claimed is: <br />Valarie A Herber <br />3. The name and address of the claimant is: <br />4. The name and address of the person with whom the claimant contracted is: <br />Valarie Herber 8200 N Equus LN Cairo, NE 68824 <br />Replaced roof on house <br />State of Nebraska <br />County of Lincoln <br />Subscribed and sworn to before me this <br />day of <br />N 1/2 S 1/2 W 1/2 SE 1/41 -12 -12 19.83 AC t „ .. Cc,�,ti —1 eko- rank, <br />5. A general description of the claimant's services performed to, materials furnished for the <br />improvement and the contract price is: <br />6. (Complete one of the following) <br />X The amount unpaid, whether due or not, to the claimant for the services or materials is <br />The unpaid amount is not fixed 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: 4/30/15 <br />Signature of Claimant <br />Weathercraft Co of North Platte <br />Notary Public <br />ry <br />CID <br />rTl <br />-A <br />C7 <br />Weathercraft Co Of North Platte DBA Duff Roofing, PO Box 1949, North Platte, Nebraska 69103 <br />The time the last services or materials were furnished has not yet occurred but is estimated to occur: <br />6629.07 <br />0 <br />N <br />CD <br />Cn <br />CD <br />Cr) <br />N <br />Ca <br />C/7) <br />