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AM FormSwift : Create your mechanics -lien -v2! <br />Recording requested by (name): <br />C n = <br />=nz \ <br />Q <br />When recorded, mail to (name and address): <br />VAG RD(A <br />cis0./ s - Io thst <br />Cl rand l sta rU, N4._ 016 1 <br />r•, <br />--7 <br />STATE OF NEBRASKA <br />COUNTY OF HALL <br />SPACE ABOVE THIS LINE FOR RECORDER'S US <br />MECHANIC'S LIEN <br />) <br />) <br />) <br />1. ZB Roofing LLC (the "Claimant"), located at 116 W 17th St, Grand Island, Nebraska <br />68801, claims a mechanics lien for the labor or services or equipment or materials described <br />herein, furnished for a work of improvement on that certain real property located in the <br />County of Hall, in the State of Nebraska. The complete address of the real property on which <br />this mechanics lien is claimed is: 208 Cherokee Ave S, Grand Island, Nebraska 68803 (the <br />"Property"). The permanent index identification number of the Property is: 400436574. The <br />legal description of the Property is: <br />Copper Creek Estates Fourth Sub Lt 2 <br />L6k Z p Ccitt C A. Ge e,'cc•••N...s�.54:V.",�... z— C3,1 .< ..a s.,.l, s,'4.-'\ c�.,.t,w*„.�� <br />2. The labor or services or equipment or materials were furnished by Claimant at the <br />request of: Kelsey Vanis, located at 208 Cherokee Ave S, Grand Island, Nebraska 68803.. <br />3. The owner of the Property is: Duane & Gloria Parr, located at 208 Cherokee Ave S, <br />Grand Island, Nebraska 68803. <br />4. On 08/16/2021, the Claimant entered into an oral contract to remodel kitchen, <br />bathroom, living room, bedrooms, additional bath (entire 1st floor) on said Property (the <br />"Contract") for the original total sum of $10,000.00, which became due and payable on <br />02/09/2022, the date of completion of the build and/or project services. <br />https://formswift.com/builder.php?member=1 &documentType=mechanics-lien-v2&ses=495f3215452bc2e0576373f2d5176ac4&key=322979012#16 1/3 <br />