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6/8/22, 10:53 AM FormSwift : Create your mechanics -Tien -v2! <br />202205036 <br />Upon request, the Claimant purchased and provided additional materials and labor for <br />requested changes and/or upgrades at the total cost of $1,500.00, which became due and <br />payable on 02/09/2022, the date of completion of the build and/or project services. <br />5. After deducting all just credits and offsets, the sum of $11,500.00 is due to Claimant <br />for the labor or services or equipment or materials provided. The amount due to Claimant is <br />subject to an interest rate of 10 per annum from . <br />ZB Roofing LLC <br />116 W 17th St <br />Grand Island Nebraska 68801 <br />Zane Brown <br />Owner <br />(Date) <br />`7 - dv2 <br />https://formswift.com/builder.php?member=1 &documentType=mechanics-lien-v2&ses=495f3215452bc2e0576373f2d5176ac4&key=322979012#16 2/3 <br />