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OWNER: <br />John D. and Barbara A. Franke <br />7567 S Schauppsville Road <br />Wood River, NE 68883 <br />CLAIMANT: <br />Consolidated Concrete Co. <br />3440 W Old Highway <br />Grand Island, NE 68803 <br />= D <br />.T.I <br />CD <br />r- <br />c.� <br />N <br />OD <br />CONSTRUCTION LIEN <br />REAL ESTATE: <br />See attached legal description <br />CLAIMANT CONTRACTED WITH: <br />John Franke <br />7567 S Schauppsville Road <br />Wood River, NE 68883 <br />MATERIALS PROVIDED BY CLAIMANT: Aggregate materials <br />CONTRACT PRICE: $ 2,167.74 <br />AMOUNT UNPAID: $ 2,167.74 <br />DATE OF LAST SERVICES OR MATERIALS FURNISHED: November 30, 2018 <br />STATE OF: NEBRASKA ) <br />) SS. <br />COUNTY OF: ADAMS <br />CONSOLIDATED CONCRETE CO. <br />Claimant <br />By �i) 2 . <br />Lisa A. Bell, Controller <br />Before me personally appeared Lisa A. Bell, Controller for Consolidated Concrete Co., to <br />me well known and known to me to be the person described in and who executed the <br />foregoing instrument, and acknowledged to and before me that he executed said instrument <br />for the purpose therein expressed. <br />Witness my hand and official seal, this en day of M Qr^ Ch 2019. <br />A GENERAL NOTARY - State of Nebraska <br />IN JOAN R. KUDRNA <br />��1 7^0 My Comm. Exp. May 23, 2020 <br />nKIJA,f-it- <br />Notary Public <br />Return Address: Consolidated Concrete, P.O. Box 7, Hastings, NE 68902-0007 <br />1�O <br />