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- <br />xs: c-,- c it U) <br />1'.) ,, <br />co <br />e z <br />w M .�- <br />tNST <br />g t <br />173 <br />00318 <br />CONSTRUCTION LIEN <br />CASH <br />CHECK lb,°O <br />REFUNDS: <br />CASH <br />CHECK <br />RECORDED <br />HALL Ci s'T Y NE <br />2.023 JAN':.; ,,Fs2b <br />W. -,LD <br />REGISTER OF DEEDS <br />Return to: <br />10° <br />1. The real estate subject to this lien is <br />/Y� to th 0/ <br />'9/8 /✓, G'��r� S �•u,. T <br />2. The person against whose interest in the real estate the lien is claimed is <br />3. The name and address of the claimant is:, E e/pr73e5 J Z'c_ %,,�� �..��.�✓ s <br />//-7- 4._ 4- A - /tel ,L%u %30?��„ J 4,,d/ - ,04›.7 <br />4. The name and address of the person with whom the claimant contracted JOvdAvA,1�COCQ <br />alhott <br />5. A general description of the claimant's services performed or to be performed or materials furnished or to be <br />furnished for the improvement of ,eeray0 e' �icG. /�pvcc , ree‘ia <br />Gbpc Sa�e�r� <br />6. The total contract price is: $ 1' % 7 / <br />7. The amount unpaid, whether due or not, to the claimant for services or materials is $ 214/ 1/ <br />8. The date the last services or materials were furnished was B <br />Claimant: <br />State of Nebraska, County of 1-1A�� . The foregoing instrument was acknowledged before me this a� day <br />of SlJJ4A.% 20e by k 4 In off' LLkvgl^-k <br />Notary Publi Signature <br />GENERAL NOTARY State of Nebraska <br />DAN WASICI( <br />My Comm. Exp. Marc, 28, 2029 <br />Printed Notary Name <br />My Commission Expires: <br />State of Nebraska, County of . The foregoing instrument was acknowledged before me this day <br />of <br />20 , by <br />of a corporation, on behalf of said corporation. <br />Notary Public Signature Printed Notary Name <br />My Commission Expires: <br />Is /4./42 (of) l/� w sem. 6d, /`s/�.� ill <br />nOC G.6� GOL.- y - 4/4 5/74. <br />