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a_-- P <br />_ - <br />-o <br />.rte -%. <br />CD ft <br />CASH <br />CHECK 16 oci <br />REFUNDS: <br />CASH <br />CHECK <br />FIALL NE <br />IST 1013 00041 1013 ► 53 <br />R`GISTAEF' OF SEEDS <br />CONSTRUCTION LIEN <br />Retum to: <br />1. The real estate subject to this lien is <br />2. The person against whose interest in the real estate the lien is claimed is <br />Enturprts s, ak -v -atv\ 1 -teat -An Oj - 'NW <br />3. The name and address of the claimant is: tf P( Yt �4� TY1 C)'J 11fLtt n9 if FW' <br />D,0 , Pox ��f32 era.rict (Slant , /UE (peg 02- J <br />4. The name and address of the person with whom the claimant contracted <br />clac/d Gamer. X032 Cosy . Grand Isl 1 (0M <br />5. A general description of the claimant's services performed�for to be performed or materials furnished or to be <br />furnished for the improvement of ref la l e JOU apo taior co i <br />The total contract.price is: $ 'Age .3Z <br />The amount unpaid, whother'due or not, to the claimant for services or materials is $ <br />. The date the last servicesor materials were furnished was 5-0 .20 2/:•) <br />`I4 693 2 - <br />Claimant: Qt,,LC�'f'{ f.(�0 J rt a -/.GC, 1-/-u si bLC.i <br />State of Neb ska, County of 4o I( .Ce foregoing instrument was acknowledged before me this gillday <br />f t „A , 20 23, by <br />ot.'.IL <br />• Stab d Nebraska <br />REBECCA 1 . I OBENWND <br />*Comm.31,E <br />Printed Notary Name . <br />My Commission Expires: Jain 3 2e2,7 <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 <br />Printed Notary Name <br />My Commission Expires: <br />Loi- 25 Grand W Qs*.f--t-h S be oh \ n Gty <br />Crond Marlai {--Hc\1 coutiPthi <br />