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M tf, <br />z _ <br />C7 C/) O <br />t o --1 <br />\' CJ z --4 N <br />C, r o <br />CO <br />t-' <br />Y f'ri <br />o � =1 � � O <br />CD <br />J 4, 001007 " CONSTRUCTION LIEN `D Cn <br />1. Real estate subject to this lien is Lot 4, 5 and 6 of Renting's First Subdivision, Grand <br />Island, Hall County, Nebraska. .S <br />a <br />2. Person against whose interest in the real estate the lien is claimed is Debra Keller, Doug <br />Keller, and Eustis Body Shop. <br />3. Name and address of the claimant is Mortimer Construction, PO Box 141, Ord, Nebraska <br />68862. <br />4. The name and address of the person with whom the claimant contracted is Eustis Body Shop, <br />3740 W. Old Highway 30, Grand Island, Nebraska 68802. <br />5. A general description of the claimant's services performed or to be performed or materials <br />furnished is construction of additional office space, including but not limited to, framing <br />walls, pouring concrete floors, painting, staining, installing carpet and title, plumbing for <br />bathrooms, and replacing windows and doors. <br />6. The total contract price: $75,440.00. <br />a. The amount unpaid, whether due or not, to the claimant for the services or materials is: <br />$41,425.43. <br />7. The time the last services or materials were furnished was December 22, 2000. <br />Clai . Mortim nst ction <br />By: - <br />Tom Mortimer <br />Its: <br />Subscribed and sworn to before me this day of January, 2001. <br />GEKM NOUN- -State of Nebraska <br />DAVID D. MART <br />Como. W Oct 10, 2004 471 Notary pub <br />I:\ data \wp50 \TMS\DDZ\Mortimer \Construction Lien.wpd <br />