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201507275
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10/23/2015 11:37:03 AM
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10/23/2015 11:37:03 AM
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DEEDS
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201507275
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5. A general description of the services performed by claimant <br />for the improvement of or on the real estate is: Furnishing of <br />building materials for construction purposes on the subject <br />premises (including, but not limited to, framing materials, <br />walls, flooring, and trusses). <br />6. The contract price for the services performed for the <br />improvement is: $25,841.72. <br />STATE OF NEBRASKA ) <br />) SS: <br />COUNTY OF BUFFALO ) <br />2015072 7 <br />7. The amount unpaid, whether or not due, to the claimant for the <br />services is: $25,841.72. <br />8. The time the last services were furnished was: June 26, 2015. <br />Date: October 23, 2015. <br />GENERAL NOTARY - State of Nebraska <br />MATT D. HARSH <br />My Comm. Exp. January 1, 2019 <br />BUILDERS WAREHOUSE, INC., Claimant <br />By <br />Michael Gayeski, Chief Financial <br />Officer of Builders Warehouse, <br />Inc. <br />The foregoing instrument was acknowledged before me this <br />day of October, 2015, by Michael Gayeski, CFO for BUILDERS <br />WAREHOUSE, INC., a Nebraska corporation, on behalf of the <br />corporation. <br />Notary Public <br />2 <br />2 3 <br />
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