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50Li0EZ0Z <br />CASH <br />CHECK 10 00 <br />REFUNDS: <br />CASH <br />CHECK <br />RECORDED <br />HALL COUNTY NE <br />INST 2013 0 4 1 0 5 2013 SEP 1 1 A 11: 48 <br />CONSTRUCTION LIEN <br />KR1STI WOLD <br />REGISTER OF DEEDS <br />Return to: <br />1. The real estate subject to this lien is ./ 1 �' S fv wcv4: cF. <br />, t nSr3 3Czj <br />2. The person against whose interest in the real estate the lien is claimed is <br /><- <br />3. <br />.3. The name and address of the claimant is: �R� Cunc a'ri dj.sr% <br />3 2 y tJoo.-r 4 R, c <br />4. The name and address of the person with whom the claimant contracted <br />ST h c� pJ.1e. �,a,.a. (Vp A tNt t=ac{tn �R. \k ST alaE,.xxJt. 4.0 'J� 6$ <br />5. A general description of the claimant's services performed or to be performed or materials furnished or to be <br />fumished for the improvement of LL, nc_crr- ecr <br />6. The total contract price is: $ t 6,20 <br />7. The amount unpaid, whether due or not, to the claimant for services or materials is $ S t i `l -C> <br />8. The date the last services or materials were furnished was S.,.IY (9'� <br />Claimant. � , /_ ��%�� _ u do.% u1 e%k&- <br />State ofNebra ska, County of I -k0 I ( . The foregoing instrument was acknowledged before me this 1 (' ay <br />f <br />C�UU► �Lw-v1i /l H S lh l -e e �'V1-e iP v'- <br />Notary P., Vic S�g�at� ire Printed Notary Name <br />Gbe <br />ENERAL NOTARY- State of Nebraska c <br />ASHLEE M MEYER My Commission Expires: 5 <br />pY t 1 , 3 -061 - <br />My Comm. Exp. April 5,2027 <br />20 'IS , by -lMe e ( e. -3t v <br />State of Nebraska, County of . The foregoing instrument was acknowledged before me this day <br />of 20 , by <br />of a corporation, on behalf of said corporation. <br />Notary Public Signature Printed Notary Name <br />1.,e3a‘ rbellOAC)Pi: <br />—� ly Commission Expires: <br />LST c;4 - Sct.) <br />CA -1 dC , Flo a4 C rte- � - , <br />