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201605089
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Last modified
7/3/2017 5:40:25 PM
Creation date
8/8/2016 1:44:16 PM
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DEEDS
Inst Number
201605089
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`'oak.. N <br />.-H 9 ) <br />r <br />fst <br />N �. <br />cy ) ▪ - t <br />01 lql s <br />CO <br />CD r L <br />el <br />.. 0 <br />State of Nebraska <br />County of Hall <br />CONSTRUCTION LIEN <br />Subscribed and sworn to before me this y +h day of P u9us- ,2016 <br />co <br />1. The real estate subject to this lien is : VALLEY VIEW SUB LOT TEN (10) BLOCK FOUR (4) -Grand Island <br />v O <br />Hall County, Nebraska <br />2. The person against whose interest in the real estate the lien is claimed is :Brian & Diane Whelan <br />3. The name and rgiumadtiresiofthe claimant is PDR of Central Nebraska Inc, D /B /A Paul Davis <br />Restoration, 438 Industrial Lane, Ste E Grand Island, NE 68803 <br />4. The name and address of the person with whom the claimant contracted is: Brian & Diane Whelan 924 <br />S Cherry St, Grand Island, NE 68801. <br />5. A General description of the claimant's services performed to, to be performed or materials furnished <br />or to be furnished for the improvement and the contract price it: Fire restoration repairs to structure <br />and cleaning and inventory services to property /contents due to 04/7/2016. <br />6. The amount unpaid, whether due or not, to the claimant for the services or materials is: $29,950.21 <br />7. The time the last services or materials were furnished. was : 05/26/2016 <br />PDR of Central Nebraska Inc <br />D /B /A Paul Davis Restoration <br />By Nick Suminski /General Manager <br />S y <br />Signature of Claimant <br />Notary Public <br />
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