Laserfiche WebLink
145 - CONSTRUCTION LIEN Jacob North Printing Co., Inc., Lincoln, NE 68524 <br />�.��� <br />-1. <br />...s'� <br />c <br />a `�' 9 <br />61(75— <br />CONSTRUCTION <br />1. The real estate subject to this lien is: J <br />- <br />- <br />U OR <br />�n <br />-Ti <br />LIEN <br />A- <br />n <br />LA7' <br />_ <br />� . r) <br />,rte . •. Cn ' - 1. <br />~ 1-'4 <br />N <br />C <br />e <br />C <br />c' ,\ <br />O) tet�-(�, 'ron{ Si- ., <br />rn <br />rn <br />'Z <br />z <br />v <br />N <br />Z <br />p <br />wcS{ ,2' ck t1,e �_zv�- Lokd i IN ocK la i n /4rnoil a Agw;rrsgc►d;h�r. <br />Gf AAD y../ N (2— 4o O.j--K off' ( Cxni} I>1cv, yy M12L(..ou n )--ti N ebru< <br />, <br />2. The against whose interest in the real estate the lien is claimed is V • C9 1.\(\ -61). ►) <br />person <br />e m; k -Icki o c{ v,c Sr v. <br />3. The name and address of the claimant is• ----''t L) > (()-) el { <br />an S/a,, AIS- C7k&� <br />1Log to /3 os I- s))POFr ,Z � � <br />4. The /name and address of the with whom the claimant contracted is- 'VC,I hGz.t 044c0," er <br />person <br />() ( KA- 5ALXN FCC) d"V-' +- O- C TSIG 16 e__ <br />5. A general description of the claimant's services performed to, to be performed or materials furnished or to be <br />furnished for the improvement and the contract price is. <br />1 <br />J P�._7 ( ) ii . ( 3 C u c co_ �v 0 cU 12,ci-�,1 I� ?j qg , -i_ ` ) cx c <br />�Qs+ LA --4 kC 1- c�oAf 5f- , l <br />6. (Complete one of the following) <br />\/ The amount unpaid, whether due or not, to the claimant for the services or materials is $ 11 •e2) <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 />The time the last services or materials were furnished was i- JO& 1 <br />The time the last services or materials were furnished has not yet occurred but is estimated to occur <br />C/T <br />tom, v! ij � ' <br />Si a of Claimant <br />Subscribed and sworn to before me this 3o' day of `-V\tn^ -U_' aoal <br />, <br />GENERAL NOTARY • State of Nebraskaii <br />���� <br />ROBYN R. MAYS <br />My Comm. Exp. April 3, 2022 <br />Notary Public <br />(52-147. See 52-148 for amendment; 52-149 for assignment; 52-137 for recording time; 52-154 for discharge or release). <br />Rev. 9/95 <br />