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I i i i�' 14G - CONSTRUCTION LIEN RE REMUEp Huffman and Felton &Wolf, Walton NE 68461 20011131(o 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: Gosan, Inc. 3. The name and address of the claimant is: Gal van Construction, Inc., 563 East Capital, Grand Island, NE 68801 George 0yerfi ld 4. The name and address of the person with whom the claimant contracted is: Zfnoea tuo=Mpet, 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 Si ature of Claimant Subsribed and sworn to before me this Octohpr 10, 2091 X)f X� III aN NOTARY -State of Nebraska AROITH C. MAY Notary Public My Comm. Exp. Oct 27, 2003 (52 -147. See 52 -148 for amendment; 52 -149 for assignment; 52 -137 for recording time; 52 -154 for discharge or release). 9