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223 CONSTRUCTION LIEN Huffman and Felton & Wolf, Walton, Ne. 68461 <br />y <br />n z _ <br />M CA n Zn p <br />R C= fU t <br />o O <br />1 rn r p <br />f" Imo' <br />N _ O 71, O <br />O <br />O Cn <br />w <br />01K-1 2O001006' <br />CONTRACTING OWNER OR SUCCESSOR IN <br />INTEREST: <br />Graves Construction <br />------------------------------•--••---------•-•--•-•---------------- •-- ••-- ••--------------- - - - - -. ....... <br />(Name) P.O. Box 365 <br />.................................... - ..................................................................... <br />Aurora, Ne 68818 <br />--•--------------------------------------------------•---------------...... ..----------------------- -• -• -- <br />CLAIMANT: <br />... .Haia__ Plumb- ing------•------------------------- ------------------------ - - - - - -- <br />(Name) P.O. Box 1038 <br />(Address) Grand Island, Ne 68802 <br />---------------------------------------------------------------------------------------------------------- <br />308- 382 -0765 <br />---------------------------------------------------------------------------------------------•------------ <br />(Phone) <br />REAL ESTATE: <br />Lot 6 Indian Head 3rd <br />--- - - - - -- ----- - ....... ------------ - - - - -- ....... <br />(Legal Description) <br />------------------------------•------- ..... .................... ---- ...--- - - - - -- -------- - - - - -- - -- <br />4204 Indian Head Rd G.I. <br />--------------- ---------- ---- ............. -------------- -• - -•• -- •----------------------- - - - - -- -- - - - - -- <br />CLAIMANT CONTRACTED WITH: <br />Dee Graves <br />---- - - - - -- -------------------- ------- ........................................................... <br />(Name) P.O. Box 365 <br />---------------------------------- ------------------------ • -• - - -- ------------------ - - - - -• --- ---- - - - - -- <br />(Address) Aurora, Ne 68818 <br />---- - - - - -- --------------------------------•---------------------------------------------•--•------------- <br />402- 694 -3017 <br />................................................ ......................................................... <br />(Phone) <br />SERVICES OR MATERIALS FURNISHED BY CLAIMANT: - - - - -- P lumb ing .................................................................................... <br />-•--•-•-----------------•-•...------------..........------------......-----------•------............---•--•---•---------------------------------...........-•----------------------....--------------------------------------------- - - - - -- <br />CONTRACT PRICE: $ ........................ ................. .......... . . .. AMOUNT UNPAID: $- - - - - -. . -------- - - - - -- --- - - - - -- <br />TIME LAST SERVICES OR MATERIALS FURNISHED : .............8� ?4/00 <br />..... .... -- _---------------------- - -------------------------------------------- --------------- - - -• -- <br />State of - •------------ --- ------------ - -• - -- <br />/� ss. - -- �. : • L-K r�------------------------------------------------------ - - - - -- <br />---------------------- --- --- --lh+ County Sign a of Claimant <br />On this .......... /- -y ....... day of ----------- --- �.------------------------ ....... , ..... , before me a Notary Public in and for <br />said county, personally came ............... �'...j, C< F. a�. .............-- ..-- ......... - -. to me known to be the identical person or <br />- fir- k -- -• - - -- <br />.. <br />persons who executed the foregoing instrument, and acknowledged the same to be his, her, or their voluntary act and <br />deed. <br />i. - ------------------- - - - - -- ---- -St.- .......... 4. /Ucx ""�"- ............. <br />l 6,4 Notary Public. <br />My commission expires the ........... Rj ---------- day o£....... .�-e- 1A .............. .......... Y9•-.. -a11.0 y <br />STATE OF -------------------------------------------------------------- - - - - -- 188. Entered on numerical index and filed for record <br />County of ----------------------------------------------------------- ----- - - - - -- in the Register of Deeds Office of said County the <br />--------- - - - - -- - ---- day of ---------------------------------- - - - - -- 19........... -, at ...................................... o'clock and ------------------------ minutes ---------- ---- - -.M., <br />and recorded in Book ............................. o£ ............................. at page ......................... <br />------------------------------------ - ------------------------------------ - - - - -- - Reg. of Deeds <br />By- ................................................................................. - Deputy <br />,O <br />