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cn <br />8 <br />co <br />C.� <br />Cr) <br />STATE OF NEBRASKA <br />COUNTY OF HALL <br />SPACE ABOVE THIS LINE FOR RECORDER'S USE <br />MECHANIC'S LIEN <br />) <br />1. Dana Hansen (the "Claimant"), located at PO Box 751, Grand Island, Nebraska 68802, <br />claims a mechanics lien for the labor or services or equipment or materials described herein, <br />furnished for a work of improvement on that certain real property located in the County of <br />Hall, in the State of Nebraska. The complete address of the real property on which this <br />mechanics lien is claimed is: 2022 W 4th St, Grand Island, Nebraska 68803 (the "Property"). <br />The permanent index identification number of the Property is: 400069555. The legal <br />description of the Property is: <br />Lot Ten (10), Block Eleven (11), Packer and Barr's Addition, City of Grand Island, Nebraska <br />2. The labor or services or equipment or materials were furnished by Claimant at the request <br />of: Poul F Galda, located at 2022 W 4th St, Grand Island, Nebraska 68803. <br />3. The owner of the Property is: Poul F Galda, located at 2022 W 4th St, Grand Island, <br />Nebraska 68803. <br />4. On 05/10/2021, the Claimant entered into an oral contract to clean inside of house, repair <br />front door. pick up trash in yard and haul to dump. on said Property (the "Contract") for the <br />original total sum of $5,850.00, which became due and payable on 10/29/2021, the date of <br />completion of the build and/or project services. <br />fV <br />CD <br />r� <br />CD <br />CA) <br />O <br />N <br />