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45 - CONSTRUCTION, LlEN <br />..._ . ._ Jacob North PrintIn Co. Inc. Lincoln NE 68524 <br />6-. <br />. <br />min <br />- <br />.... <br />immm '''' t'it <br />Nom <br />imm• '')' <br />..... (...--, <br />mg <br />..... ......c,.%". <br />....,---J- <br />ommi <br />... <br />CONSTRUCTION <br />I <br />.. The real estate subject.to this lien is: .1/a6 A/..y <br />Cl <br />rn <br />c.-) <br />> <br />u", <br />-n <br />c <br />ti-, <br />• • <br />LIEN <br />r <br />igi.--ised:4/7 <br />m <br />•-. , <br />, .., <br />•_-_-. N.) <br />1- — <br />CD <br />ro <br />. _ . r...) <br />: • ,-.,-, co <br />, - . <br />. (xi <br />,...0 -z <br />r•.) f --k <br />c..ri <br />A Cd9 <br />3 Fist- .4LL6 1-770 <br />. <br />mai In/ qcone S <br />,,z_K_ lo ri 1! __... 1 I 41 ri. / 1 JL, i Ii/ ..../ a . 'i' .,:i if/ <br />1 Tbe person against whose interest in the real estate the lien is claimed is • d'-'ee6 • g S <br />t:.3. <br />. The nal e and address of the claimant is. \..I ?I-2 RintaiS i(i-e- j gdN./lied4-4/1.11-: <br />614471e( 1441/dr7eti Alt &MI <br />4. The name and address of the person with whom the claimant contracted is. J,308 etniliS LIZ <br />J/I Al illdg'oftJ7 Ifielfid tgadand. NI- mew <br />5. A general description, of the claimant's services performed to, ti )127b p rformed or maVifflls furnished or to be <br />furnished for the improvement and the contract price is. -.1j. /NM, , f i—W..4.0-, ‘,/,' <br />Zak, - : lid/A/air ay2d <br />6. (Complete one of the following) <br />The amount unpaid, whether due or not, to the claimant for the services or materials is $ / 3 5?. 00 <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 />yThe time the last services or materials were furnished was 7/1 /6209<2.' <br />The time the last services or materials were furnished has not yet occurred but is estimated to occur <br />Signature of Clai ant <br />Subscribed and sworn to before me this day of IC-)-- <br />, <br />Cs <br />'''''N <br />40: ERAL NOTARY - State of Nebraska <br />CAROL E. NUNNENKAMP <br />0 _...1,.- <br />ary Pubfic <br />My COMM 60. January 13, 2025 <br />(52447. 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 />