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Return recorded document to: <br />Blauhorn Law P.C. <br />/ P.O. Box 231 <br />V <br />Palmer NE 68864 <br />CLAIMANT: XYZ EXTERMINATING <br />BY: Brad Henke <br />STATE OF NEBRASKA <br />COUNTY OF MERRICK <br />:ss <br />• <br />X = <br />CONSTRUCTION LIEN <br />1. The real estate subject to this lien: 203 Sunny Dr, Doniphan NE 68832 <br />Notary Public <br />Lot Ten (10) White Sunny Slopes Subdivision, Part of the Northwest Quarter (NW 'h) of <br />Section Twelve (12) Township Nine (9) North Range Ten (10) West of the 6 PM, Hall <br />County, NE <br />2. The person against whose interest in the real estate lien is claimed Is: Laura Downing <br />3. The name and address of claimant: XYZ Exterminating, Inc. PO Box 1643 Grand Island NE <br />68802 <br />4. The name and address of the person with whom the claimant contracted is: Laura Downing 203 <br />Sunny Dr, Doniphan NE 68832 <br />5. A general description of the claimant's services performed: removal of bedbugs and mold control. <br />The total contract price is $6,634.00 <br />6. The amount unpaid, whether due or not, to the claimant for the services or materials is $6,634.00 <br />7. The time the last services or materials were finished was February 13, 2018. <br />Executed: Mar& V, 018 <br />GENB1At. -State el Nebraska <br />RENE BIA April MYOW p <br />On this Q 1 day of Mgteh 2018, before me, the undersigned Notary Public, qualified for said County, <br />personally came Brad Henke, to me known to be the identical persons whose names are affixed to the foregoing <br />instrument and acknowledged the same to be their voluntary act and deed. <br />Witness my hand and notarial seal the day and year last above written. <br />