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'1 145 - CONSTRUCTrON LIEN Huffman and Felton & Wolf, Walton NE 68461 II CONSTRUCTION LIEN 200110423 1. The real estate subject to this lien is: Lot One (1), Super Bowl Subdivision, City of Grand Island, Hall County, Nebraska 2. The person against whose interest in the real estate the lien is claimed is: G o s a n , Inc. 3. The name and address of the claimant is: Gal van Construction, Inc., 563 East Capital, Grand Island, NE 68801 4. The name and address of the person with whom the claimant contracted is: George Overstreet, Registered Agent, Gosan, Inc., 1010 E. Bismark, Grand Island, NE 68801 5. A general description of the claimant's services performed to, to be performed or materials furnished or to be furnished for the improvement and the contract price is: Materials and Labor provided from June 25, 2001 through July 19, 2001 6. (Complete one of the following) X The amount unpaid, whether due or not, to the claimant for the services or materials is $ 20,374.00 The unpaid amount is not fixed by the contract, but a good faith estimate in the amount of $ 7. (Complete one of the following) X The time the last services or materials were furnished was July 19 , 2001 The time the last services or materials were furnished has not yet occurred but is estimated to occur ;i Si ature of Claimant Subsribed and sworn to before me this OrtnhPr 10, 2001 I" GENERAL NOTARY -State of Nebraska ARD E COCL 2 � My Public y Comm. (52 -147. See 52 -148 for amendment; 52 -149 for assignment; 52 -137 for recording time; 52 -154 for discharge or release).