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n�) x in <br /> n0 iI. C <br /> EIMINIMINI '; 7P C9 ---"- _ <br /> ■ /- .r F 7 „,„ <br /> g- I (� Cl I _ Ut , <br /> -,1 INIIIIIIIIIM■ <br /> C) {-tT_ -7 r..,. <br /> 1I -1 C 7 - <br /> p(� -J ;4J <br /> - , , C77 C w <br /> CONSTRUCTION LIEN r., — _`� -J r; <br /> DATE: November 5, 2015 <br /> 0 <br /> + �6 <br /> LIEN CLAIMED BY: Jack and Sherry Tourtillott d/b/a Pebble Creek ` <br /> Construction <br /> P.O. Box 60 <br /> Chapman, NE 68827 <br /> LIEN CLAIMED AGAINST: Lila George, Trustee <br /> 1541 Newborough Dr. <br /> Sacramento, CA 95833 <br /> Monica Carr <br /> 4005 Indianhead Drive <br /> Grand Island, NE 68803 <br /> STATE OF NEBRASKA] <br /> ]ss <br /> COUNTY OF HALL ] <br /> Jack and Sherry Tourtillott, d/b/a Pebble Creek Construction, being duly sworn <br /> upon oath, deposes and says: <br /> 1. Sherry Tourtillot, as co-owner of Pebble Creek Construction, verifies this <br /> account in writing for and on behalf of Pebble Creek Construction. <br /> 2. Jack and Sherry Tourtillott, d/b/a Pebble Creek Construction, provided <br /> materials and labor for work done on property located at 4005 Indianhead Drive, Grand <br /> 1 Island, Hall County, Nebraska, legally described as follows: <br /> Indianhead Seventh Subdivision, Lot Twelve (12), in the City <br /> of Grand Island, Hall County, Nebraska. <br /> 3. Labor and materials were furnished and used in the course of remodeling <br /> the basement in said home located on the above-described property at the request of <br /> Monica Carr, with the last date of materials and/or labor being provided being on <br /> September 30, 2015, and the balance remaining due for said labor and materials is the <br /> sum of Seven Hundred Ninety One Dollars and Fifty-seven Cents ($791.57). <br />