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ZEE00i7Z@Z INST 21 00332 Requested by: Dane Hansen When Recorded Mail to: Name: White Castle Roofing & Contracting, Inc. Address: PO Box 22405, Lincoln, NE 68542 Phone number: 402-423-1796 Claim of Construction Lien State of Nebraska County of Hall CASH REFUNDCS: CHECK RECORDED HALL COUNTY NE Z024JAN 21 A 10 tiq KRISTt WOLD REGISTER OF DEEDS I, Dane Hansen, of White Castle Roofing & Contracting, Inc., being duly sworn, state the following: In accordance with an agreement with Claudia V Philbeck, to provide labor and/or material, I did furnish the following labor and/or materials: Roofing materials and labor on the following described real property located in Hall County, State of Nebraska , commonly known as: 1829 W 11th Ave, Grand Island, NE 68803 , and legally described as: In Hall County, Nebraska: Lot Eight (8) in Block Seven (7) in Boggs and Hill's Addition to the City of Grand Island, Hall County, Nebraska which property is now owned by Brent M & Claudia V Philbeck , whose address is 1829 W 11th Ave, Grand Island, NE 68803, of a total value of $10,345.00 of which there remains unpaid balance of $1,845.00 , and I further state that I furnished the first of the items on the date of October 27, 2023 , and the last of the items on the date of October 27, 2023. I, on behalf of White Castle Roofing & Contracting, Inc., hereby, under the laws of the State of Nebraska, claim a lien against the above-described property for the amount of money stated above, which remains unpaid to White Castle Roofing & Contra ' ing, Inc. Authorized Representative of White Castle Roofing & Contracting, Inc. Claiming Lien Dane Hansen, CEO of White Castle Roofing & Contracting, Inc. Name & Title of Person Claiming Lien Subscribed and sworn before me this ' 6 ( day of Gabby Mr6lina, Notary Public Commission Expires (q) 01 Seal: GABBY MOLINA General Notary State of Nebraska I My Commission Expires Aua st 1.2027.