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� l?� 223 CONSTRUCTION LIEN t� rn n In 30000'359 rn 7 D r� CONTRACTING OWNER OR SUCCESSOR IN INTEREST: ------------------- -------------------- - (Name) , CLAIMANT: ...................................................... -...................................... - ............ 1 tl- - - - - -- ------------------------- - - - - -- (Address)..3 , ..---- -• -• -- (Phone) ( ' ?) 6) 3 �l s — 3 Z.g D rn N ,) z x I 6j Huffman and Felton & Wolf, Walton, Ne. 68461 m m REAL ESTATE: .� n U, CD o —1 cn^r 1.. r- , r x� CJ G' 0 N O CZ) O O W ------ - - -13� - - -- r ---- - - - --- ---------- - - - - -a (Legal Description) l !f o/t '7� / nc - ��i4nc��. ------ -1..a0y CLAIMANT CONTRACTED WITH: ( Name) l o k (Address) %� 71-4 k/f J ------ - - - - -- - - -- N - t 4,a� -�1a� [� g�� (Phone) %(}g�..ti._..�J� SERVICES OR MATERIALS FURNISHED BY CLAIMANT�: - ----------------------------------------------------------------------------------------------------------------------------------------- - - - - -- ------------ - - - - -- --------------------------------------- ----- --------- - - - - -- - - -• -- ------------------- --------------------------------------- -------- ------ ---------------- ------------ --------------- - - - - -- ------------------------------------------------------------------------------------------ ------- CONTRACT PRICE: ... e.0......................... AMOUNT UNPAID: $...... ................ -- TIME LAST SERVICES OR MATERIALS FURNISHED: ............0 U v U Stateof .......................................................... ------------------------------- - - - - -- -------------- - - - - -- County ignature of Claimant On this .................... day of .... K.1- ........................... 1Qv ,before me a Notary Public in and for said county, personally came .................................. ............................... ...... to me known to be the identical person -or' persons who executed the foregoing instrument, and acknowledged the Zme to b is, her, r their lunta act and!. deed. _ tooa'a�A�wdx3•wwo�A�r � /� 3003711:10W T NOSVr �j G �IsvjQaN to ale1S-AHVION IW3N39 - -- -- -• - - - -- Notary Public. My commission expires the .............................. day of .................................................. 19------- -..... STATEOF .........................•-----...... .......----- •------------ - - -• -• sa Entered on numerical index and filed for record. County of ....................................... ............................... in the Register of Deeds Office of said County the ...................day of....... ...•----- ........------ •- ••. - -- 19............, at ...................................... o'clock and ........................ minutes .................. M., and recorded in Book. ............................. of ............................. at page .............................. -------------•--••--------------------------.... ..----------------------- - -• -•- -Reg. of Deeds By...................................................................................... Deputy; J �J t� rn n In 30000'359 rn 7 D r� CONTRACTING OWNER OR SUCCESSOR IN INTEREST: ------------------- -------------------- - (Name) , CLAIMANT: ...................................................... -...................................... - ............ 1 tl- - - - - -- ------------------------- - - - - -- (Address)..3 , ..---- -• -• -- (Phone) ( ' ?) 6) 3 �l s — 3 Z.g D rn N ,) z x I 6j Huffman and Felton & Wolf, Walton, Ne. 68461 m m REAL ESTATE: .� n U, CD o —1 cn^r 1.. r- , r x� CJ G' 0 N O CZ) O O W ------ - - -13� - - -- r ---- - - - --- ---------- - - - - -a (Legal Description) l !f o/t '7� / nc - ��i4nc��. ------ -1..a0y CLAIMANT CONTRACTED WITH: ( Name) l o k (Address) %� 71-4 k/f J ------ - - - - -- - - -- N - t 4,a� -�1a� [� g�� (Phone) %(}g�..ti._..�J� SERVICES OR MATERIALS FURNISHED BY CLAIMANT�: - ----------------------------------------------------------------------------------------------------------------------------------------- - - - - -- ------------ - - - - -- --------------------------------------- ----- --------- - - - - -- - - -• -- ------------------- --------------------------------------- -------- ------ ---------------- ------------ --------------- - - - - -- ------------------------------------------------------------------------------------------ ------- CONTRACT PRICE: ... e.0......................... AMOUNT UNPAID: $...... ................ -- TIME LAST SERVICES OR MATERIALS FURNISHED: ............0 U v U Stateof .......................................................... ------------------------------- - - - - -- -------------- - - - - -- County ignature of Claimant On this .................... day of .... K.1- ........................... 1Qv ,before me a Notary Public in and for said county, personally came .................................. ............................... ...... to me known to be the identical person -or' persons who executed the foregoing instrument, and acknowledged the Zme to b is, her, r their lunta act and!. deed. _ tooa'a�A�wdx3•wwo�A�r � /� 3003711:10W T NOSVr �j G �IsvjQaN to ale1S-AHVION IW3N39 - -- -- -• - - - -- Notary Public. My commission expires the .............................. day of .................................................. 19------- -..... STATEOF .........................•-----...... .......----- •------------ - - -• -• sa Entered on numerical index and filed for record. County of ....................................... ............................... in the Register of Deeds Office of said County the ...................day of....... ...•----- ........------ •- ••. - -- 19............, at ...................................... o'clock and ........................ minutes .................. M., and recorded in Book. ............................. of ............................. at page .............................. -------------•--••--------------------------.... ..----------------------- - -• -•- -Reg. of Deeds By...................................................................................... Deputy;