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145 - CANSTRUCTION LIEN '� r' I I I v, Jacob North Printing Co., Inc., Walton NE 68461
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<br />1. The real estaAe subject to this lien is:
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<br />2. The person,against whose interest in the real estate the lien is claimed is:
<br />3. The name and address of the claimant is: o Le `k ", e `,4
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<br />4. The name and address of the person with whom the claimant contracted is: Ly it-.
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<br />5. A general description of the claimant's services performed to, te- #jepe� or rnaterial� trm'phed or to be
<br />furnish for the improvement and the contract rice is: I��'�= ✓ �� "'� r e,{ t > �e 6
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<br />Tom' ri�zP ` d'2C -�, '?1i �' i<+%'l� 71EZ!l�!> ,�•lc,�,�j'�C£,�17'�.'��yt.ri� i tC�j ✓4!(/i � %r:XE' �4.�'✓l
<br />The amount unpaid, whether due or riot, to the services or materials is $
<br />The unpaid amount is not fixed by the contract, but a good faith estimate in the amount of $ 3e I U
<br />7. (Complete one of the following)
<br />The time the last services or materials were furnished was JU
<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 />W AINO SIN""
<br />AMV-
<br />rpblel�.
<br />QJ)T &I ---
<br />Signature of Claimant
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<br />day of rg2nC�C5
<br />(52 -147. See 52 -148 for amendment; 52 -149 for assignment; 52 -137 for recording time; 52 -154 for discharge or release).
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<br />CONSTRUCTION LIEN
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<br />1. The real estaAe subject to this lien is:
<br />,-) !1W <,-_ ,L,
<br />z4�- I, QIaCG 3 we
<br />2. The person,against whose interest in the real estate the lien is claimed is:
<br />3. The name and address of the claimant is: o Le `k ", e `,4
<br />r',
<br />(. —•-yam, T 1, s-,S , ./t i'/ - 6 C`-V.,3
<br />4. The name and address of the person with whom the claimant contracted is: Ly it-.
<br />3,Q))� L "j, (its S1
<br />5. A general description of the claimant's services performed to, te- #jepe� or rnaterial� trm'phed or to be
<br />furnish for the improvement and the contract rice is: I��'�= ✓ �� "'� r e,{ t > �e 6
<br />f
<br />a WI ; L � 7 °�� ✓<t�
<br />Tom' ri�zP ` d'2C -�, '?1i �' i<+%'l� 71EZ!l�!> ,�•lc,�,�j'�C£,�17'�.'��yt.ri� i tC�j ✓4!(/i � %r:XE' �4.�'✓l
<br />The amount unpaid, whether due or riot, to the services or materials is $
<br />The unpaid amount is not fixed by the contract, but a good faith estimate in the amount of $ 3e I U
<br />7. (Complete one of the following)
<br />The time the last services or materials were furnished was JU
<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 />W AINO SIN""
<br />AMV-
<br />rpblel�.
<br />QJ)T &I ---
<br />Signature of Claimant
<br />N
<br />day of rg2nC�C5
<br />(52 -147. See 52 -148 for amendment; 52 -149 for assignment; 52 -137 for recording time; 52 -154 for discharge or release).
<br />
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