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C!) <br />�) <br />71 <br />cJ1 <br />C.7 <br />C) r- <br />rPV (.0 <br />CV <br />C.� <br />Return to: Arend R. Baack <br />104 N. Wheeler Avenue <br />Grand Island, NE 68801 <br />NOTICE OF ASSESSMENT LIEN <br />Having first made written demand upon the hereinafter identified Defaulting Owner more than <br />ten (10) days prior to the recording of this Notice of Assessment Lien pursuant to the <br />requirements of covenants of record affecting the real estate hereafter identified, COPPER <br />CREEK ESTATES COMMUNITY ASSOCIATION, INC. hereby gives notice of its lien for the <br />unpaid assessments due it as to the following: <br />NAME OF OWNER: Joel D. Smith and Tisha M. Smith, Husband and Wife <br />LEGAL DESCRIPTION OF PROPERTY TO WHICH LIEN IS APPLICABLE: <br />Lot Ten (10), Copper Creek Estates Third Subdivision, in the City <br />of Grand Island, Hall County, Nebraska <br />AMOUNT OF ASSESSMENT DUE: $900.00 <br />COLLECTION COSTS AND LIEN FEES: $10.00 <br />TOTAL DUE TO THE DATE OF THIS NOTICE: $910.00 <br />Dated this day of January, 2019. <br />COPPER CREEK ESTATES COMMUNITY <br />ASSOCIATION, INC. <br />By: <br />STATE OF NEBRASKA) <br />(ss: <br />COUNTY OF HALL ) <br />The foregoing Notice of Assessment Lien was acknowledged before me this o? i day of <br />January, 2019, by Sean P. O'Connor, President of Copper Creek Estates Community <br />Association, Inc., a Nebraska nonprofit corporation, on behalf of such corporation. <br />GENERAL NOTARY - State of Nebraska <br />AREND R BAACK <br />My Comm. Exp. June 29, 2021 <br />My Commission Expires: <br />5404-5739610 <br />ary Public <br />)2._/ <br />ENTERED AS INSTRUMENT NO c) <br />