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n 0 <br />M _ <br />Z D !_ <br />200102821 <br />CONSTRUCTION LIEN <br />Lol Six (W Kiv k- po-4' -14 d1l <br />1. The real estate subject to this lien is: Subdivision in the City of <br />Grand Island, Hall County, Nebraska. <br />2. The business against whose interest in the real estate the lien is claimed is: Taco Johns <br />3. The name and address of the claimant is: Shaw Plumbing, Inc., 4375 N. 60th Road, Grand Island, <br />NE 68803. <br />4. The name and address of the business with whom the claimant contracted is: Jim Narber Inc., <br />2627 W. Hwy 30, Grand Island, NE 68801. <br />5. A general description of the claimant's services performed from August 16, 2000 through March <br />15, 2001. <br />6. (Complete one of the following) <br />X The amount unpaid, whether due or not, to the claimant for the services or materials is <br />cS <br />The unpaid amount is not fixed by the contract, but a good faith estimate in the amount of <br />7. (Complete one of the following) <br />X The time the last services or materials were furnished was March 15, 2001. <br />occur <br />The time the last services or materials were furnished has not yet occurred but is estimated to <br />"u, ' haw Plumbing, Inc. <br />Subscribed and sworn to before me this.?P�l day of April, 2001. <br />III GENERAL NOTARY -State of Nebraska t' c <br />COURTNEY L. SCARBOROUGH Wl, V <br />My Comm. Exp. June 10, zooa Notary Publi <br />'-o Sp <br />R'1 <br />O <br />ca c. <br />=r• <br />F- ► <br />C) -4 <br />CD <br />op <br />c D <br />Z rn <br />N <br />rn <br />f.'"' . <br />0 <br />0 <br />o <br />o <br />ca <br />o -*� <br />o <br />C01> <br />~ <br />rn t" <br />Z <br />z ri <br />D tz� <br />o <br />en <br />M <br />CD <br />r <br />N <br />C.0 <br />o <br />e `� <br />f-' <br />Cn <br />k-+ <br />Cn <br />O <br />n <br />y, <br />Lol Six (W Kiv k- po-4' -14 d1l <br />1. The real estate subject to this lien is: Subdivision in the City of <br />Grand Island, Hall County, Nebraska. <br />2. The business against whose interest in the real estate the lien is claimed is: Taco Johns <br />3. The name and address of the claimant is: Shaw Plumbing, Inc., 4375 N. 60th Road, Grand Island, <br />NE 68803. <br />4. The name and address of the business with whom the claimant contracted is: Jim Narber Inc., <br />2627 W. Hwy 30, Grand Island, NE 68801. <br />5. A general description of the claimant's services performed from August 16, 2000 through March <br />15, 2001. <br />6. (Complete one of the following) <br />X The amount unpaid, whether due or not, to the claimant for the services or materials is <br />cS <br />The unpaid amount is not fixed by the contract, but a good faith estimate in the amount of <br />7. (Complete one of the following) <br />X The time the last services or materials were furnished was March 15, 2001. <br />occur <br />The time the last services or materials were furnished has not yet occurred but is estimated to <br />"u, ' haw Plumbing, Inc. <br />Subscribed and sworn to before me this.?P�l day of April, 2001. <br />III GENERAL NOTARY -State of Nebraska t' c <br />COURTNEY L. SCARBOROUGH Wl, V <br />My Comm. Exp. June 10, zooa Notary Publi <br />'-o Sp <br />