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rx'1 <br /> VIMIIIIPINIWIIIMI <br /> nowommeimecon A <br /> mimpopm. 2F*1 ri g A <br /> ____,......... <br /> ^ Z A= Cr7 <br /> N� =nD o� y <br /> B � n " T c_ N r <br /> 11S1 r Iv <br /> CO :i CO K^ ...q <br /> N) co <br /> CO <n Cip <br /> CONSTRUCTION LIEN / '' Ud <br /> CONTRACTING OWNER OR SUCCESSOR IN <br /> INTEREST: <br /> . . REAL ESTATE: <br /> Egp/ fib& 4t___ __se( __..‘C_I i, <br /> -1..4_71 9_7__..___..._.._. <br /> (Name) (Legal Description) w.,t,.o 1 ts 546 <br /> _____.___ _., 0..._2_` 5 . .�. _ ___ _. __ <br /> Nall Czur4 NE <br /> CLAIMANT: CLAIMANT CONTRACTED WIT <br /> Lid _7r'pis 6'0.4%0 II..,9/ Qi i #.5;4,11;" <br /> (Name) "A 250X t5V..3.Z (Name) ,?!QS Lfia.Yftw.y <br /> (Address) (Address) x <br /> _ ,'OGF J.9- /4P-f- <br /> _— <br /> (Phone) (Phone) <br /> SERVICES OR MATERIALS FURNISHED BY CLAIMANT:A /+ <br /> •• a► <br /> CONTRACT PRICE: $ jimP.'. AMOUNT UNPAID: $ /NW, <br /> TIME LAST SERVICES OR MATERIALS FURNISHED: __ CI 17 41•14A J7• .?4/4 <br /> State of 1 t .p'^" <br /> On .,,,�,, County}SS. ignature o `: .. . ,t: .__. <br /> On this �O T''day of `' , go 1 before me a Notary Public in and for <br /> said county,personally came _r fh SOIA,kil f to me known to be the Identical person or <br /> persons who executed the fore oin in,,y_. . . .owledged the same to be his,her,or their voluntary act and <br /> deed. JUDITH A WAHDYN <br /> a .•. <br /> _____Iisobjk <br /> MyCommIsslon Expires 11)(02 <br /> wtur OCiOberfi,2017 <br /> "'�17 ' Notary b e <br /> My commission expires the 4 day of 0 C►!(t , 240. <br /> STATE OF 1 Entered on numerical index and filed for record <br /> }88. <br /> County of — JJJ in the Register of Deeds Office of said County the <br /> day of , , at o'clock and minutes M., <br /> and recorded in Book of at page— . <br /> Reg.of Deeds <br /> By Deputy <br /> 1 <br />