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STATE OF NEBRASKA ) <br />) ss: <br />COUNTY OF HALL ) <br />4. The name and address of the claimant is: <br />Greg Glaze, Manager <br />Mead Lumber — Grand Island, NE <br />P.OBox310 <br />Grand Island, NE 68802 -0310 <br />7. The time the last services or materials were furnished was: <br />June 23, 2015 <br />BY: <br />GENERAL. NOTARY • Lie of Nebraska <br />RALPH A. BRADLEY <br />My Carat. Exp. March 28, 2018 <br />m <br />-n <br />Z <br />tn <br />7C 2 <br />CONSTRUCTION LIEN <br />Notary Public <br />m <br />d <br />1. The real estate subject to this lien is: <br />2807 W. Faidley, Grand Island, Hall County, Nebraska <br />more particularly described as: <br />Lot 1, Dau Subdivision, City of Grand Island, Hall County, Nebraska. <br />2. The persons against whose interest in the real estate the lien is claimed are: <br />Lutheran Homes, Inc. <br />c/o Duane A. Burns, Registered Agent <br />308 N. Locust Street, Suite 306 <br />Grand Island, NE 68801 <br />3. The name and address of the person with whom the claimant contracted is: <br />Lynn Allen Wiley <br />1624 N. Kruse Ave. <br />Grand Island, NE 68803 <br />Return to: Ralph A. Bradley, Bradley Law Office, P.O. Box 639, Grand Island, NE 68802 -0639 <br />5. The general description of the claimant's services performed or to be performed or materials <br />furnished or to be furnished for the construction of said real estate and the contract price is: <br />Construction, design and/or remodel of building structure located on real property <br />described herein including labor and materials furnished <br />6. The amount unpaid, whether due or not, to the claimant for the services or materials is Eighty - <br />Five Thousand Four Hundred Fifty Two and 78/100 Dollars ($85,452.78). <br />Greg G , Manage on behalf of <br />Mead L tuber— Grand Island, Claimant <br />SUBSCRIBED AND SWORN to before me t ' Ali day of ?�6'I�U� <br />C�I-, 2015. <br />c: L' <br />r-t <br />c> <br />