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145 - CONSTRUCTION LIEN tai i Jacob North Printing Co., Inc., Walton NE 68461 <br />` n n z <br />M <br />CD o —{ C=) <br />3 N <br />p -?t Q <br />o `s` = z Q <br />o <br />rn 3 r <br />O .0 <br />CONSTRUCTION LIEN <br />C m 0) ry <br />� <br />�Py� <br />1. The real estate subject to this lien is: <br />t <br />i <br />2. The person against whose interest in the real estate the lien is claimed is:, `r ! R I SFF CuAgA v <br />3. The name and address of the claimant is: & 5c,14w t [rgM V Z A, Zb v, M I �� <br />iYa f N. R Pest s %. ae_,4wa Zi clwo f Ne-- 6 ? ®o 3 <br />4. The name and address of the person with whom the claimant contracted is: 1SyAY -I- %XLSff Cit R N <br />3005 S • L0CL&ST- ST. 6:�O - -Q-LA` ,0 Afa-. (9 HO 1 <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 contract price is: G0'7110C,+C Cew-,e.4c-�.n,c Q2_ TiY#-G AA*,U <br />Au&;eA*-L C *r6% . Ove K Sez /tic..1/ex*- Tc AL - -Adyvc S?A-cr ro FrAy - a vrx"F -Cr Fielcx <br />6C Tim GrZ-; e.977,0*i v A*110u,v7 -�6 /, 3/. °• <br />6. (Complete one of the following) <br />The amount unpaid, whether due or not, to the claimant for the services or materials is $ <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 />The time the last services or materials were furnished was NAY <br />The time the last services or materials were furnished has not yet occurred but is estimated to occur <br />ignature of aimant <br />'U I <br />9 <br />Subsribed and sworn to before me this day of , . <br />RIIL troTARYY tIe d aeol>lallaf <br />LINDA NIELSEN Notary Public <br />MY Comm. El. May 19, 2002 <br />I <br />i <br />I <br />I <br />I <br />I <br />(52 -147. See 52 -148 for amendment; 52 -149 for assignment; 52 -137 for recording time; 52 -154 for discharge or release). <br />I <br />i <br />i <br />i <br />i <br />I <br />