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P 00 "� cQ Q O n rn !'1 X T n D z t1 n = D r ay o n cn 200102810 CONSTRUCTION LIEN 1. The real estate subject to this lien is: Please see attached legal description. 2. The business against whose interest in the real estate the lien is claimed is: Omaha Paper Stock Company. 3. The name and address of the claimant is: Shaw Plumbing, Inc., 4375 N. 60th Road, Grand Island, NE 68803. 4. The name and address of the business with whom the claimant contracted is: Omaha Paper Stock Company, 1215 E. Hwy 30, Grand Island, NE 68801. 5. A general description of the claimant's services performed from September 25, 2000 through December 28, 2000. 6. (Complete one of the following) X The amount unpaid, whether due or not, to the claimant for the services or materials is $3,500.00. The unpaid amount is not fixed by the contract, but a good faith estimate in the amount of 7. (Complete one of the following) X The time the last services or materials were furnished was December 28, 2000. occur The time the last services or materials were furnished has not yet occurred but is estimated to Russel D. Shaw, President of Shaw Plumbing, Inc. J Subscribed and sworn to before me thi . ` day of April, 2001. AL GENERAL NOTARY- State"Nebraska III COURTNEY L. SCARBOROUGH Eba My Comm. Exp. June 10, 2004 % Notary Public �� So r ay o n cn � CD --i o 0.1 C D M N CD �. °' o -., ° z F- + to rn D W ° .ft ►*� � r z C r a N N C)O co O N cc Cn 1. The real estate subject to this lien is: Please see attached legal description. 2. The business against whose interest in the real estate the lien is claimed is: Omaha Paper Stock Company. 3. The name and address of the claimant is: Shaw Plumbing, Inc., 4375 N. 60th Road, Grand Island, NE 68803. 4. The name and address of the business with whom the claimant contracted is: Omaha Paper Stock Company, 1215 E. Hwy 30, Grand Island, NE 68801. 5. A general description of the claimant's services performed from September 25, 2000 through December 28, 2000. 6. (Complete one of the following) X The amount unpaid, whether due or not, to the claimant for the services or materials is $3,500.00. The unpaid amount is not fixed by the contract, but a good faith estimate in the amount of 7. (Complete one of the following) X The time the last services or materials were furnished was December 28, 2000. occur The time the last services or materials were furnished has not yet occurred but is estimated to Russel D. Shaw, President of Shaw Plumbing, Inc. J Subscribed and sworn to before me thi . ` day of April, 2001. AL GENERAL NOTARY- State"Nebraska III COURTNEY L. SCARBOROUGH Eba My Comm. Exp. June 10, 2004 % Notary Public �� So