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requested by (name): ) INST 1013 00188 ) ) orded, mail to (name and address): f{T t1:) )Van laposen(Plumbing, t,l.0 t/ igls isi*h Ave .1 Central C itt j, IJebras4e (0 t2(o ) ) CASH CHECK 22 REFUNDS: CASH ry HALL Cc,i INTY NE 1013 JAN 12 P 1: 25 r RISTJ WOW REGISTER OF DEEDS SPACE ABOVE THIS UNE FOR RECORDERS USE MECHANIC'S LIEN STATE OF NEBRASKA COUNTY OF HALL 22 .00 1. Van Hoosen Plumbing, LLC (the "Claimant"), located at 1915 15th Ave, Central City, Nebraska 68826, claims a mechanics lien for the labor or services or equipment or materials described herein, furnished for a work of improvement on that certain real property located in the County of Hall, in the State of Nebraska. The complete address of the real property on which this mechanics lien is claimed is: 1020/1022 Rylie Way, Grand Island, Nebraska 68803 (the "Property"). The permanent index identification number of the Property is: 400201163. The legal description of the Property is: Lot Thr e CSI, .6lock.Three LS), Clli ton 'nte Subdi vision, an Addition to {re eihjo cifafti l%tot d, Hatt county, Oebr KS. 2. The labor or services or equipment or materials were furnished by Claimant at the request of:Trent Huff, Perseverance LLC, located at 4801 W Chapman Rd, Grand Island, Nebraska 68803. 3. The owner of the Property is: Trent Huff, Perseverance LLC, located at 4801 W Chapman Rd, Grand Island, Nebraska 68803. 4. On , the Claimant entered into an oral contract to installing new water and sewer services from taps to inside of home. on said Property (the "Contract") for the original total sum of $2,090.00, which became due and payable on 11/10/2022, the date of completion of the build and/or project services. Upon request, the Claimant purchased and provided additional materials and labor for requested changes and/or upgrades at the total cost of $150.00, which became due and payable on 11/10/2022, the date of completion of the build and/or project services. 5. After deducting all just credits and offsets, the sum of $2,240.00 is due to Claimant for the labor or services or equipment or materials provided. Van Hoosen Plumbing, LLC 1915 15th Ave Central City Nebraska 68826 (Signature)