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c-n <br />mD <br />N N <br />is <br />n= <br />1•S <br />CD <br />c <br />77. <br />;:J <br />(') <br />c-, <br />) <br />I• <br />Return to: Copper Creek Estates Community Association, Inc <br />PO Box 5916 <br />Grand Island, NE 68802-5916 <br />NOTICE OF ASSESSMENT LIEN <br />Having first made written demand upon the hereinafter identified Defaulting Owner more than ten (10) days prior <br />to the recording of this Notice of Assessment Lien pursuant to the requirements of covenants of record affecting <br />the real estate hereafter identified, COPPER CREEK ESTATES COMMUNITY ASSOCIATION, INC. hereby gives notice <br />of its lien for the unpaid assessments due it as to the following: <br />NAME OF OWNER: Andrew Daniel Mayer and Brittany Langan <br />LEGAL DESCRIPTION OF PROPERTY TO WHICH LIEN IS APPLICABLE: <br />Lot Fifteen (15). Copper Creek Estates Third Subdivision. in the <br />City of Grand Island. Hall County, Nebraska <br />AMOUNT OF ASSESSMENT DUE: $ 150.00 <br />COLLECTION COSTS AND LIEN FEES: $ 10.00 <br />TOTAL DUE TO THE DATE OF THIS NOTICE: $ <br />160.00 <br />Dated this /Qday of June , 2019. <br />STATE OF NEBRASKA) <br />(ss: <br />COUNTY OF HALL ) <br />COPPER CREEK ESTATES COMMUNITY ASSOCIATION, INC. <br />By: <br />or, President <br />c <br />TheCC�foregoing Notice of Assessment Lien was acknowledged before me this I t day of ^.r <br />>-r <br />20A, by 54:-� U c.,,�,N,,; , frts.L�, }" of Copper Creek Estates Community Association, Inc., a Nebraska <br />nonprofit corporation, on behalf of such corporation. <br />GENERAL NOTARY - State of Nebraska <br />HEATH REINDERS 4..- /1/01. 0 <br />My Comm. Exp. March 12, 2021 Notary Public <br />Idly Commission txpires: %'(..t,,h i% 2- —1 <br />