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k--c.' --- - - <br />tiNc*- E <br />Ncs <br />� li q �,ryry .• -‘. ''- <br />§- <br />CONSTRUCTION LIEN <br />nn <br />" <br />c r7 <br />1. The real estate subject to this lien is Lot Sixteen (16), BLock "A" Park -view Subdivision . in the City of <br />Grand Island. Hall County. Nebraska <br />2. The person against whose interest in the real estate the lien is claimed is : Kevin Boltz. 2405 Pioneer <br />Blvd, Grand Island. Nebraska 68801 <br />3. The name and return address of the claimant is: PDR of Central Nebraska Inc. D/B/A Paul Davis <br />Restoration, 438 Industrial Lane, Ste E Grand Island, NE 68803 <br />4. The name and address of the person with whom the claimant contracted is: Kevin Boltz, 2405 Pioneer <br />Blvd. Grand Island, Nebraska 68801 <br />5. A General description of the claimant's services performed to, to be performed or materials furnished <br />or to be furnished for the improvement and the contract price is: Restoration Services $39,579.61 <br />6. The amount unpaid, whether due or not, to the claimant for the services or materials is: $16,209.72 <br />7. The time the last services or materials were furnished was : 10-22-2019 <br />PDR of Central Nebraska Inc <br />D/B/A Paul Davis Restoration <br />By Raul Funes /Owner <br />Signature of Claimant <br />State of Nebraska <br />County of Hall <br />Subscribed and sworn to before me this 10 day of)1 <br />L2020. <br />otary P•lic <br />rn <br />Len <br />rn <br />(P <br />