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4 <br /> ..s=.1 om! _ r e'=n Tr , <br /> tP r) F _ ,_, <br /> coo °- .� / ; -. VI <br /> W `j ; CO°° Cr) <br /> t'� c r c ' ,1 t:**); 73 <br /> II■umm.11 0) .7 r-- 1 w ...0 <br /> C. -Q -a <br /> C,) N x„„ <br /> . <br /> _ —1 <br /> CONSTRUCTION LIEN " C° CI <br /> �0 <br /> CONTRACTING OWNER OR SUCCESSOR IN 10 <br /> INTEREST: REAL ESTATE: <br /> may► <br /> (Name) (Legal Description) 1/ <br /> aze.._v'_ (_/ya'__.__. ll Couna), NE <br /> ✓ CLAIMANT: CLAIMANT CONTRACTED WITH: <br /> ..___.S a _ .'i_ #*d a y ..ac..._._. k n p Cr .moo•�-��, <br /> (Name) o'� i..G7t;�.i. (Name) _ <br /> (Address) D --- (Address) / <br /> /•c.'„ DX s i°,2 6Aw",..7lr�✓Mr le/ !�(/ IIIQ a (‘AA. /.* '/frowe*e <br /> <ti. UP <br /> ,_aY•$21. //.4e <br /> (Phone) (Phone) <br /> SERVICES OR MATERIALS FURNISHED BY CLAIMANT: <br /> �_, " -1/ I yO 10%t 1 4. . R'�W N�eYrr <br /> w__... _ie."wlni .)2,.....4,011P WI L ' A.b Lis..�•�,.....¢ 44s.'9 _._.0 40 Irmo <br /> CONTRACT PRICE: $ 15-a. — AMOUNT UNPAID: $'ITO. <br /> TIME LAST SERVICES OR MATERIALS FURNISHED: .2/" _Peg <br /> state o SAY!1J.S_^" _ /as. <br /> County Signature of nt: <br /> • On this Dr day of , t D b,before me a Notary Public in and for <br /> said county,personally came 1'o SOUkt49 to me known to be the identical person or <br /> persons who executed the foregoing instrument;and acknowledged the same to be his,her,or their voluntary act and <br /> deed. i} A •JUDITH A WARDYN "V� <br /> 1 <br /> a.M <br /> •i .» . My Commission Espies <br /> " Oc ■er 5,2017 I ; Notary blic <br /> My commission expires the 5 - day of 0 C ,.Sal • <br /> STATE OF Entered on numerical index and filed for reoesd <br /> }SS. <br /> County of 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 />