Laserfiche WebLink
N' <br />nn <br />m m411 <br />n Z <br />rn>N <br />n=•• <br />0 <br />Requested by: Mike Hansen <br />When Recorded Mail to: <br />Name: White Castle Roofing Phone number: 402-423-1796 <br />Address: P.9. Box 22133, Lincoln, NE 68542 <br />Claim of Construction Lien <br />State of Nebraska <br />County of Hall <br />C3LD <br />O <br />Co <br />fM <br />r <br />I, Mike Hansen, being duly sworn, state the following: <br />In accordance with an agreement to provide labor and/or material, I did furnish the following labor <br />and/or materials: Roofing &gutter materials and labor on the following described real property located <br />in Hall County, State of Nebraska, commonly known as: 1216 S Eddy, Grand Island, NE 68801 , and <br />legally described as: PLEASANT HOME SUB N 70' OF S 140' OF E 1/2 BLK 2 which property is owned by <br />David Bernal , whose address is 1216 S Eddy, Grand Island, NE 68801, of a total value of <br />$ 3,935.59 , of which there remains unpaid $ 1,362.38 , and I further state that I furnished the first of <br />the items on the date of July 2, 2018 , and the last of the items on the date of July 2, 2018. <br />I hereby, under the laws of the State of Nebraska, claim a lien against the above-described property in <br />the aount of money, stated above, which remains unpaid to me. <br />Prtst o,h. <br />Signature of Person Claiming Lien Name of Person Claiming Lien <br />Subscribed and sworn before me this a Kd day of Ott .2ev , 0418 <br />Seal <br />jtsGENAL NOTARY -State of Nebraska <br />NICOLE CLARKE <br />MY Comm. Exp. August 22, 2022 <br />Notary Signature <br />