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201506850
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Last modified
11/5/2015 9:11:33 PM
Creation date
10/5/2015 2:14:00 PM
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DEEDS
Inst Number
201506850
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immemilom <br />CO <br />01 <br />m <br />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 />Construction Lein <br />1. The real estate subject to this lien is: College add to west lawn <br />LT 11 Blk 18 Hall County NE <br />2. The person against whose interest in the real estate the lien is claimed is: <br />James P & Geraldine K Ogden <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 />James Ogden 2104 W Prospect Grand Island , NE <br />Replaced roof on house <br />State of Nebraska <br />County. of Lincoln <br />Subscribed and sworn to before me this <br />5. A general description of the claimant's services performed to, materials furnished for the <br />improvement and the contract price is: <br />Signature of Claimant <br />Weathercraft Co of North Platte <br />(.0 <br />r ,n <br />Weathercraft Co Of North Platte DBA Duff Roofing, PO Box 1949, North Platte, Nebraska 69103 <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: $ 4470.40 <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: 8/11/15 <br />The time the last services or materials were furnished has not yet occurred but is estimated to occur: <br />0 <br />1 <br />CD <br />CO <br />C) <br />Q <br />
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