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CN <br />h-� <br />V I p <br />N <br />STATE OF NEBRASKA <br />COUNTY OF HALL <br />ss. <br />The undersigned being the duly appointed Clerk for the Village of Cairo, Hall County, Nebraska, <br />states that: <br />1. The real estate subject to this lien is : <br />Lot Three (3) in Block Seventeen (17), in the Original Town of Cairo, <br />Hall County, Nebraska. <br />2. The person against whose interest in the real estate, the lien is claimed to : <br />George Cervino- Hernandeat, 406 Thebe Street, P0. Box 452, Cairo, Nebraska 68824. <br />3. The name and address of the claimant and lien holder is: <br />Village of Cairo, P.O. Box 456, Cairo, NE 68824. <br />4. The undersigned hereby certifies that the foregoing described real estate is subject <br />to a lien for the Village of Cairo garbage, water and sewer service provided to said premise in <br />the amount of $258.94 by August 20, 2015, as shown on the attached billing statement, <br />Exhibit "A ". Interest will accrue at the rate provided by law until paid or otherwise <br />discharged. <br />SUBSCRIBED and sworn to before me this <br />2 day of � , 2015. <br />m <br />c <br />z <br />= n ° <br />1 <br />nn <br />171 4/1 <br />LIEN FOR WATER AND SEWER <br />otary Public <br />Susan Kluthe, Village of Cairo <br />C ) <br />