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M x D <br />j G' fR G) <br />O <br />�j Z rn O <br />CL <br />O •mss <br />m <br />CIO <br />COO ' /� Q� a L� Co <br />OQ C N ....D N <br />C> N C <br />111 <br />TC CONSTRUCTION LIEN <br />�.N <br />V! <br />DATE: December �, 2000 <br />LIEN CLAIMED BY: GRAND ISLAND WINNELSON CO., INC. <br />3200 West 2nd <br />Grand Island, NE 68803 <br />LIEN CLAIMED AGAINST: Douglas and Leslie Brunk <br />P.O. Box 430 <br />Grand Island, NE 68802 -0430 <br />STATE OF NEBRASKA] <br />]ss <br />COUNTY OF HALL ] <br />Jeff Wagner, duly elected President of Grand Island Winnelson <br />Co., Inc., being duly sworn upon oath, deposes and says: <br />1. He is the duly elected President of Grand Island <br />Winnelson Co., Inc., and as said President, verifies this account <br />in writing for and on behalf of Grand Island Winnelson Co., Inc. <br />2. Grand Island Winnelson Co., Inc., by and through its duly <br />authorized officers and agents, provided goods and materials for <br />work done on property located at 1009 E. Stolley Park Road, Grand <br />Island, Hall County, Nebraska, legally described as follows: <br />Part of Lot Three (3), Mainland, Section <br />Twenty -seven (27), Township Eleven (11), Range <br />9, Hall County, Nebraska. S E E gkOl a c'T ,4. W-Trtiztflf-/) <br />3. Goods and materials were furnished to said property at <br />the request of Douglas Brunk's and Leslie Brunk's agent, to -wit: <br />Shaw Plumbing, 4375 N. 60th Rd., Grand Island, Nebraska 68803 -9442; <br />between the dates of May 2, 2000 and September 27, 2000, in the <br />total amount of Five Thousand Six Hundred Thirty One Dollars and <br />Sixty Nine Cents ($5,631.39), none of which has been paid. <br />4. Grand Island Winnelson Co., Inc. claims a lien on the <br />above - described real estate in the amount of Five Thousand Six <br />Hundred Thirty One Dollars and Sixty Nine Cents ($5,631.69), <br />together with interest thereon at the legal rate. <br />ry <br />