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145 - CONSTRUCTION LIEN Jacob North Printing Co., Inc., Walton NE 68461 <br />M <br />CD C) <br />CD C) <br />M <br />C73 <br />ciT <br />Fn -< <br />C) C:) <br />z C�, <br />� <br />M 0 , <br />Fri <br />I,-A <br />01" r .� � Cn (M <br />X ;K <br />C) 3> <br />C) <br />CONSTRUCTION LIEN <br />en CA <br />200011005 <br />Cn <br />1. The real estate subject to this hen is: 1118 W. Third St <br />Grand Island NE 68801 <br />2. The person against whose interest in the real estate the hen is claimed is: <br />Mr and Mrs Frank Palomar- <br />3. The name and address of the claimant is: James A - Rasp <br />225 S. Vine St Grand Island NF. 68801 <br />4. The name and address of the person with whom the claimant contracted is: <br />Frank Palomares 1118 W Third st Grand Island NR 68801 <br />5. A general description of the claimant's services performed to, to be performed or materials furnished or to be <br />furnished for the improvement and the contract price is: <br />Removed old wall 9 Plaster, applied insulation to inside & <br />nut.sido walls, sheetror-keA1st & 2nd floor, tape mud & finish <br />6. (Complete one of the following) <br />X The amount unpaid, whether due or not, to the claimant for the services or materials is $ 6, 3 4 9 3 4 <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 />X The time the last services or materials were furnished was pt-c- 18F 2000 <br />The time the last services or materials were furnished has not yet occurred but is estimated to occur <br />Si4ture of Claimant <br />Subsribed and sworn to before me this Of 4 <br />GENERAL NOTARY State of Nebraska K <br />PATRICIA ATRICiA S5CMil,41 N&diS� Public <br />JX,1_t:T,-m <br />My Com, 0. May. <br />VyComm.Exp-May5, <br />(52-147. See 52-148 for amendment; 52-149 for assignment; 52-137 for recording time; 52-154 for discharge or release). <br />0 Y1 <br />L <br />Bloch 13 <br />_F0 A In P- Lk <br />ra V1 C� is ICAV\ t <br />