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provided to the Owner itemizing cost of materials and labor with a request for final payment. Furthermore, <br />2 months have elapsed since the Owner was provided with the final balance due. <br />The Lien Claimant hereby states and affirms that there is a total outstanding balance of $40,446.39 in <br />which the aforementioned party has neglected and, after repeated collection attempts, refuses to submit <br />payment. It is due to the Owner's breach of contract that the Claimant is entitled to have imposed a lien on <br />the aforementioned and herein described property, along with any and all improvements located on the <br />premises for the total outstanding sum owed, in addition to any interest and collection costs allowable by <br />law pursuant to the State of Nebraska Statutes. <br />Jeremy Jakubowski <br />3112 Brentwood Circle <br />Grand Island Nebraska 68801 <br />(Date) <br />201605865 <br />