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m <br />w <br />®imo <br />State of Nebraska <br />County of Hall �� <br />Subscribed and sworn to before me this 1. day of DeAUit a ,2017 <br />GENERAL AN M State Ft1 Nebraska <br />My Comm. Bp. May 26, 2019 <br />CONSTRUCTION LIEN <br />r s. <br />Q7 <br />x7 <br />cD <br />6. <br />7. The amount unpaid, whether due or not, to the claimant for the services or materials is: $1,547.84 <br />8. The time the last services or materials were furnished was : 08/22/2017 <br />1. The real estate subject to this lien is : Part of the Northeast Quarter of the Southeast Quarter (NE1 /4 SE1/4) of Section <br />Thirteen (13), in Township Eleven (11) North, Range Ten (10) West of the 6 P.M., Hall County, Nebraska, more particularly <br />described as follows, viz: Commencing at the Northeast corner of the Northeast Quarter of the Southeast Quarter (NE1 /4 <br />SE1 /4) of said Section, running thence South along the East line of said Section for a distance of 148.5 feet, running thence <br />West at right angles for a distance of 290.0 feet, running thence North at right angles for a distance of 152.0 feet to the <br />North line of said Southeast Quarter (5E1/4) of said Section, and running thence East along the North line of said Southeast <br />Quarter (5E1/4), for a distance of 290.0 feet to the place of beginning, all in Hall County, Nebraska, EXCEPTING a certain <br />tract more particularly described in Warranty Deed recorded as Document No. 94- 108121. <br />2. The person against whose interest in the real estate the lien is claimed is :Island View Dental <br />3. The name and return address of the claimant is PDR of Central Nebraska Inc, D /B /A Paul Davis Restoration, 438 Industrial <br />Lane, Ste E Grand Island, NE 68803 <br />4. The name and address of the person with whom the claimant contracted is: Tammy Purdy of Island View Dental, 638 N <br />Webb Rd, Grand Island, NE 68803 <br />S. A General description of the claimant's services performed to, to be performed or materials furnished or to be furnished for <br />the improvement and the contract price is: Water mitigation services due to water damage that occurred 06/08/2017. <br />PDR of Central Nebraska Inc <br />D /B /A Paul Davis Restoration <br />By Nick Suminski /General Manager <br />Signature of Claimant <br />Notary Public <br />