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11 <br />11 <br />145 - CONSTRUCTION LIEN Jacob North Printing Co., Inc., Walton NE 68461 <br />rn <br />C m v o o - <br />-1 <br />W C = D 0 cA-1 <br />rn �' Z M <br />' <br />�. <br />r� � �o <br />n' <br />C,o� o <br />`r <br />a -n n <br />LA � ` r : <br />2 <br />Q ; 3 r- v <br />CD <br />GJ1 <br />CbNTRC ION LIEN ~ Cn <br />N <br />200002-099 <br />1. The real estate subject to this lien is: Give (Xickc.�ect 60) -Vor cornnOde d escrr'p4 v�� <br />so <br />ocAaMt W aSO Se-J,on\ - 19 N- RIOW 71o,11 Lcux� <br />,�e�ricsFg <br />2. The person against whose interest in the real estate the claimed is: MaA �Y►awTr1A3 <br />t`lien ++is <br />�urs� — QVV1 V 0. 6,,ts -L4f Acu, desc.,,1 � prcp'r <br />j �1a�1�na�Ar�enc U, <br />j <br />3. The name and address of the claimant is: DAVIS SLIRUjEY/ IVG — k u e cL BeLVI au+ s <br />Q03 i e(S%,k �„�ke Rcrckd — Do r\ N� 1 32 <br />4. The name and address of the person with whom the claimant contracted is: �� a' N F ,1 Tres} <br />1 ''A 1 M k i iij a3�o �P�� NE ,� <br />Meer ,ho � ene arS -a►.� �0.�1 �e�hs 4r4�t cxUCUF U1PSCt� c�OflCD r 11 �n� � w� <br />5. A general description of the claimant's services performed to, to be performed or materials furnished or to be <br />furnished for the improvement and the is: <br />(contract )price <br />j <br />tAnf� sawy�Av1Q � Ike labc�p d scs, EiYC) r 04 �I[Q iF� !I'PS� cry' <br />AA Tv <br />6. (Complete one of the following) I <br />!� The amount unpaid, whether due or not, to the claimant for the services or materials is $ 5, 9 99, 0 (V . <br />The unpaid amount is not fined by the contract, but a good faith estimate in the amount of $ <br />7. (Complete one of the following) <br />//11 <br />The time the last services or materials were furnished was <br />The time the last services or materials were furnished has not yet occurred but is estimated to occur <br />Sign re of Claimant <br />Subsribed and sworn to before me this day of 1q- or 4-/_ <br />GENERAL NOTARY-state of uebraskz 6+ y id <br />DIANE ENGLAND Notary Public <br />My Comm. Exp. April 26, 2000 <br />(52 -147. See 52 -148 for amendment; 52 -149 for assignment; 52 -137 for recording time; 52 -154 for discharge or release). <br />