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rn <br />-n <br />C <br />Z <br />=no <br />n=•• <br />CONSTRUCTION LIEN <br />= D <br />C) <br />J <br />CD <br />r. n <br />C,J <br />_1 r <br />. _ CD ---I <br />1. The real estate subject to this lien is Lot Four (4) and the Westerly Nine (9) feet of Lot Three (3), in <br />Block "B" , Boehm's Subdivision, to the City of Grand Island, Hall County. Nebraska. <br />2. The person against whose interest in the real estate the lien is claimed is : Carrie Hansen, 1021 W <br />Charles Street. Grand Island, Nebraska 68803 <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: Carrie Hansen. 1021 W <br />Charles Street. Grand Island, Nebraska 68803 <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 $998.85 <br />6. The amount unpaid, whether due or not, to the claimant for the services or materials is: $998.85 <br />7. The time the last services or materials were furnished was : 07/19/2021 <br />uo C <br />/0 <br />PDR of Central Nebraska Inc <br />D/B/A Paul Davis Restoration <br />By Raul Funes/President of PDR of Central Nebraska DBA Paul Davis Restoration <br />Raul Funes/ President of PDR of Central <br />Nebraska DBA Paul Davis Restoration <br />State of Nebraska <br />County of Hall <br />Subscribed and sworn to before me this / Mday of0ejekk,U 12021. By Raul Funes/President of PDR of <br />Central Nebraska DBA Paul Davis Restoration <br />itaka 1/1614/0 <br />Notar Public <br />GENERAL 1497, 0R"• &Me et Nebraska <br />fisetar Hfipenksmp <br />fly Comm Exp. Now 2,„ 7021 <br />Up <br />