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145 - CONSTRUCTION LIEN <br />-1141 <br />r <br />(7q UCH <br />C*,- <br />1�1) N <br />N <br />'; <br />2 D <br />--M� <br />rn CA <br />Jacob North Printing Co., <br />Inc., Uncol", NE <br />rl -M-- <br />> <br />C' <br />—{ rn <br />• <br />.6D <br />CD <br />riq <br />r10 <br />CD <br />CONSTRUCTION LIEN <br />200108549 <br />1. The real estate subject to this hen is: LtV c; (A b Ind, <br />2. The person against whose interest in the real estate the lien is claimed is: ILf �tl If( 111 1-1 <br />3. The name and address of the claimant is: V--*k -q� /-O <br />0 12XX �)Y�2-9 071-(&)(� T5/0iy4, AIE <br />4. The name and address of the person with whom the claimant contracted is: AQ1AW- <br />5. A general description of the claimant's services performed to to be performpd or material furnished or to be <br />furnished for the improvement and the contract price is: 1, Et 110 -b I,, <br />kb I(', Y 1'W10 <br />6. (Complete one of the following) <br />—)� The amount unpaid, whether due or not, to the claimant for the services or materials is $ <br />The unpaid amount is not fixed by the contract, but a good faith estimate in the amount of $ <br />7. (Complete one of the following) <br />--k The time the last services or materials were furnished was junt:� L V`M <br />The time the last services or materials were furnished has not yet occurred but is estimated to occur <br />Oda Signature of Claimak <br />Subsribed and sworn to before me this �A -f- 1A day of <br />No/ta fry Public <br />147. See 52-148 for amendment; 52-149 for assignment; 52-137 for recording time; 52-154 for discharge or release). <br />