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223 CONSTRUCTION LIEN <br />C-> (f) <br />�a <br />0 ...1 <br />T <br />= D <br />Z <br />`1 <br />Y D <br />Zn <br />CA <br />C) <br />n <br />i <br />j <br />M <br />c <br />CONTRACTING OWNER OR SUCCESSOR IN <br />INTEREST: <br />Game) \ <br />........... ----- - - - - -- <br />COWAILTA/A►YW <br />Jacob North Printing Co., Inc., Lincoln, NE 68524 <br />REAL ESTATE: <br />(Legal Description) <br />CLAIMANT CONTRACTED WITH: <br />t (Name) \ (Name) <br />-------------------------------------------- - - - - -� C�- ._A_c�s� <br />--------------------------------------------------- <br />I - 9 <br />Wdress) Address) <br />----------------------------------------------- --------------------------------------- -------------------------------------- <br />(Phone) (Phone) i <br />J <br />SERVICES OR MATERIALS FURNISHED BY CLAIMANT:. c. 4. _- _`'_�s�,_- j- G__ss�:�_.�.��___ <br />�c''`c`i�'�- r_s�. -'. :y- , X q -'� C.► ���5: 5, � �`- , Q��+------------------------------ - - - - -- <br />- �a.�..:a- t1�c -c ----- -------------------------------------------------- --------------- ._- ...... <br />j <br />CONTRACT PRICE: $_- _3C� -___ ._- __-- _- _- _- ___ - -_ -- AMOUNT UNPAID: $__4 �C�_ ___---._..-___..._.. - <br />TIME LAST SERVICES OR MATERIALS FURNISHED: -------------------------------------- ............... ----------- <br />State of --------- - - - - -- <br />0 , --____ ____ _________ ______._- ___ - -___- County Signature o ' aimant <br />On this __ day of _. - -.. _ ...... ...... ...... _-- _- ______- _ - - - -_- , . before me a Notary Public in and fo� <br />said county, personally ca+ zC_Y - ---- - - - - -- to me known to be the identical person ox�i <br />persons who executed the foregoing instrument, and acknowledged the same to be his, her, or their voluntary act anc <br />deed. <br />GERM WTARY•SWe of Nebraska <br />CAROL A. NESISA r` i 1 / = ............ I <br />rb Cam, EV. Nov. 21. 2004 Notary Public. <br />My commission expires the------- - - - - -- R-- ' ...... day - - - - -liG <br />STATE OF .................. ..... .... .... .. ... .. ..... .... .. ................. ss. Entered on numerical index and filed for record <br />County of ....................................... ........ .. ..................... I in the Register of Deeds Office of said County th(I <br />dayof ........................... ------ - - - - -> ------- - - - - -, at ---------- - - - - -- ------------- - - - - -. o'clock and------------------ - - - - -- minutes - -- ---------- - - - -M. <br />and recorded in Book ------------------------- - - - - of .............. -- ............. at page.. - - - - - -- <br />-------- ----- ------ - - - - -- - --------- ---- --------------------- - - - - -- Reg. of Deeds <br />By----------------------- - - - - -- -------------------------------------------------- -- - - -- Deputy <br />C-> (f) <br />�a <br />0 ...1 <br />C <br />`1 <br />C' <br />....t M <br />M <br />". <br />M <br />1.7 �. <br />'rat <br />.... <br />o' <br />Co <br />0111 <br />REAL ESTATE: <br />(Legal Description) <br />CLAIMANT CONTRACTED WITH: <br />t (Name) \ (Name) <br />-------------------------------------------- - - - - -� C�- ._A_c�s� <br />--------------------------------------------------- <br />I - 9 <br />Wdress) Address) <br />----------------------------------------------- --------------------------------------- -------------------------------------- <br />(Phone) (Phone) i <br />J <br />SERVICES OR MATERIALS FURNISHED BY CLAIMANT:. c. 4. _- _`'_�s�,_- j- G__ss�:�_.�.��___ <br />�c''`c`i�'�- r_s�. -'. :y- , X q -'� C.► ���5: 5, � �`- , Q��+------------------------------ - - - - -- <br />- �a.�..:a- t1�c -c ----- -------------------------------------------------- --------------- ._- ...... <br />j <br />CONTRACT PRICE: $_- _3C� -___ ._- __-- _- _- _- ___ - -_ -- AMOUNT UNPAID: $__4 �C�_ ___---._..-___..._.. - <br />TIME LAST SERVICES OR MATERIALS FURNISHED: -------------------------------------- ............... ----------- <br />State of --------- - - - - -- <br />0 , --____ ____ _________ ______._- ___ - -___- County Signature o ' aimant <br />On this __ day of _. - -.. _ ...... ...... ...... _-- _- ______- _ - - - -_- , . before me a Notary Public in and fo� <br />said county, personally ca+ zC_Y - ---- - - - - -- to me known to be the identical person ox�i <br />persons who executed the foregoing instrument, and acknowledged the same to be his, her, or their voluntary act anc <br />deed. <br />GERM WTARY•SWe of Nebraska <br />CAROL A. NESISA r` i 1 / = ............ I <br />rb Cam, EV. Nov. 21. 2004 Notary Public. <br />My commission expires the------- - - - - -- R-- ' ...... day - - - - -liG <br />STATE OF .................. ..... .... .... .. ... .. ..... .... .. ................. ss. Entered on numerical index and filed for record <br />County of ....................................... ........ .. ..................... I in the Register of Deeds Office of said County th(I <br />dayof ........................... ------ - - - - -> ------- - - - - -, at ---------- - - - - -- ------------- - - - - -. o'clock and------------------ - - - - -- minutes - -- ---------- - - - -M. <br />and recorded in Book ------------------------- - - - - of .............. -- ............. at page.. - - - - - -- <br />-------- ----- ------ - - - - -- - --------- ---- --------------------- - - - - -- Reg. of Deeds <br />By----------------------- - - - - -- -------------------------------------------------- -- - - -- Deputy <br />