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G^ <br />M <br />C? 0 X <br />r-n <br />o D <br />M <br />n Z <br />rn N a <br />M <br />o <br />200001523 <br />Ti <br />U0 <br />�e <br />m <br />6- t1`r <br />(nn <br />F-. <br />> <br />pa <br />f- A <br />Y <br />CONSTRUCTION LIEN <br />Cn <br />ono <br />Cn <br />P <br />�d <br />C <br />1. The real estate subject to this lien is: Lots One (1) and Two (2), Martin's Subdivision <br />in the City <br />of Grand Island, Hall County, Nebraska. <br />2. The business against whose interest in the real estate the lien is claimed is: Northcott Company <br />3. The name and address of the claimant is: Shaw Plumbing, Inc., 4375 N. 60th Road, Grand Island, <br />NE 68803. <br />4. The name and address of the business with whom the claimant contracted is: Northcott Company, <br />18202 Minnetonka Blvd., Deep Haven, MN 55391. <br />5. A general description of the claimant's services performed from August 5, 1999 through January <br />26, 2000. <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 />$18,065.74. <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 January 26, 2000. <br />occur <br />The time the last services or materials were furnished has not yet occurred but is estimated to <br />, - � f,z � J,41- <br />Russell D. Shaw, President of Shaw Plumbing, Inc. <br />Subscribed and sworn to before me this 3S day of February, 2000. <br />GENERAL NOTARY-State of Nebraska <br />III COURTNEY L. SCARBOROUGH owvn�4& Ccj,\ <br />My Comm. Exp.lune 10,1000 <br />Notary Publi <br />rn <br />o a' <br />© N <br />to <br />Gfl <br />N CCD <br />C4 <br />Z <br />0 <br />