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<l <br />M 1 z <br />n <br />� rn <br />D <br />n 2 p <br />x <br />� <br />2 <br />s <br />J <br />CS <br />F_" <br />c a cn <br />O <br />Pr7 <br />STATE OF NEBRASKA <br />C7 ­4 <br />COUNTY OF HALL <br /><l <br />D <br />2 <br />CS <br />F_" <br />c a cn <br />O <br />Pr7 <br />C7 ­4 <br />C!) <br />C D <br />(v <br />CD <br />C3 <br />-�� <br />O <br />>�. <br />►—' <br />.: <br />co <br />-ten <br />y <br />_C=) <br />CONSTRUCTION LIEN <br />3 <br />o <br />Ln <br />i <br />ca <br />co <br />SS. 200109475 <br />a <br />w, <br />`A <br />cn <br />•-i. <br />d <br />Ted Franssen , owner and President of ABC Seamless <br />a Nebraska Corporation, being first duly sworn on oath, deposes and says that the <br />itemized accounting attached hereto is for labor and materials and is a true and correct <br />accounting of the materials and labor furnished by ABC Seamless , a <br />Nebraska Corporation, to Gail Broxterman of Grand Island Hall <br />County, Nebraska, for property owned by Gail Broxterman <br />on property legally described as: <br />Lot 4, Block 9, Voitles Addition <br />703 E. 8th Str. <br />Grand Island, NE 68801 <br />That at the time the said materials and labor were furnished and delivered to <br />Gail Broxterman , said Gail Broxterman was <br />the owner of the property described; that the labor and materials were furnished for and <br />delivered at and used in said construction on said property, the last item being furnished <br />on or about the 1.,t- day of July , 2001-. <br />Affiant further states thatABC Seamless does hereby <br />claim a lien on said real estate for the full amount of the balance of the account, to -wit: <br />The sum of Seven thousand five hundred ($7500)', 14�gpther <br />with interest hereinafter as provided by law. <br />FURTHER AFFIANT SAITH NOT. <br />SUB CRIBED in my presence and sworn to before me this day of <br />2001. <br />INIYKAT,f PUBLI <br />III GENERAL NOTARY -State of Nebraska <br />DIXIE A. McCORD <br />My Comm. Exp. Dec. 16, 2002 <br />