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I°v <br />145 - CONSTRUCTION LIEN <br />Jacob North Printing Co., Inc., Lincoln, NE 68524 <br />200103777 <br />I. The real estate subject to this lien is: L� L0G%e Cfi.4J <br />2. The person against whose interest in the real estate the lien is claimed is: D j�? i-) f) UE' !` 1 )-16 <br />3. The name and address of the claimant is: L)C,',)AJI S CU qL --> �b 4S i) <br />VG (- AJ2(/JG <br />G. <br />4. The name and address of the person with whom the claimant contracted is: TD J (57,%' /ti` e,� <br />18a I P; PE2 —<7—, U C 62q(90 t <br />5. A general description of the claimant's services performed to, to be performed or materials furnished or to be <br />furnished for the improvement and the contract price is: _gym /�A7E/� G95� rc�o21� <br />V-n�-- AV(7(' S. 0 -'� �I cr, <br />6. (Complete one of the following) <br />The amount unpaid, whether due or not, to the claimant for the services or materials is $ F7 ' 3- <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 />The time the last services or materials were furnished was �?� �/b /O f <br />The time the last services or materials were furnished has not yet occurred but is estimated to occur <br />Subsribed and sworn to before me this <br />GENERAL NOTARY Sto of Nebraska <br />PATSY A KALKOWSKI <br />Idly Comm. EW A" 24.2003 <br />Signature of Claimant <br />1 Y" <br />dayo �il�'.F'� G' <br />r <br />Public <br />(52 -147. See 52 -148 for amendment; 52 -149 for assignment; 52 -137 for recording time; 52 -154 for discharge or release). <br />a <br />C <br />z <br />S <br />m <br />N N <br />ca o7 <br />C-- <br />r <br />M <br />`U <br />ti <br />v <br />rn <br />M <br />< <br />P_ <br />rn <br />rn <br />=D <br />D CU <br />to <br />CD <br />CONSTRUCTION LIEN <br />cn <br />200103777 <br />I. The real estate subject to this lien is: L� L0G%e Cfi.4J <br />2. The person against whose interest in the real estate the lien is claimed is: D j�? i-) f) UE' !` 1 )-16 <br />3. The name and address of the claimant is: L)C,',)AJI S CU qL --> �b 4S i) <br />VG (- AJ2(/JG <br />G. <br />4. The name and address of the person with whom the claimant contracted is: TD J (57,%' /ti` e,� <br />18a I P; PE2 —<7—, U C 62q(90 t <br />5. A general description of the claimant's services performed to, to be performed or materials furnished or to be <br />furnished for the improvement and the contract price is: _gym /�A7E/� G95� rc�o21� <br />V-n�-- AV(7(' S. 0 -'� �I cr, <br />6. (Complete one of the following) <br />The amount unpaid, whether due or not, to the claimant for the services or materials is $ F7 ' 3- <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 />The time the last services or materials were furnished was �?� �/b /O f <br />The time the last services or materials were furnished has not yet occurred but is estimated to occur <br />Subsribed and sworn to before me this <br />GENERAL NOTARY Sto of Nebraska <br />PATSY A KALKOWSKI <br />Idly Comm. EW A" 24.2003 <br />Signature of Claimant <br />1 Y" <br />dayo �il�'.F'� G' <br />r <br />Public <br />(52 -147. See 52 -148 for amendment; 52 -149 for assignment; 52 -137 for recording time; 52 -154 for discharge or release). <br />a <br />C <br />