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CASH <br />CHECK I(,40 <br />£86ti017Z0Z <br />Iasi `O2'' 0ise;33 <br />REFUNDS: <br />CASH <br />CHECK <br />i-t <br />``6f DED <br />HALLi '_ NE <br />2O2 ID 33 <br />a'+ L <br />REG!STE OF DEEDS <br />10 00 <br />Return Address: PDR of Central Nebraska inc., DBA Paul Davis Restoration,820 Bronze Rd., Grand Island, Ne 68803. <br />CONSTRUCTION LIEN <br />1. The real estate subject to this lien is Lot Fifteen (15), Buenavista Subdivision, an Addition <br />to the City of Grand Island, Hall County. Nebraska. <br />2. The person against whose interest in the real estate the lien is claimed is: Jamie L. <br />Simmons. 416 Dodge St.. Grand Island. NE 68801 <br />3. The name and return address of the claimant is: PDR of Central Nebraska Inc, D/B/A Paul <br />Davis Restoration, 820 Bronze Rd. Grand Island, NE 68803. <br />4. The name and address of the person with whom the claimant contracted is: Jamie L. <br />Simmons, 416 Dodge St., Grand Island, NE 68801 <br />5. A general description of the claimant's services performed to, to be performed or <br />materials furnished or to be furnished for the improvement and the contract price is: <br />Restoration Services $1,189.01 <br />6. The amount unpaid, whether due or not, to the claimant for the services or materials is: <br />S1,189.01 <br />7. The time the last services or materials were furnished was: 07/29/2024 <br />PDR of Central Nebraska Inc <br />D/B/A Paul Davis Restoration <br />By Angela Funes/President of PDR of Central Nebraska Inc. DBA Paul Davis <br />Restoration <br />Angela Funes/ President of <br />PDR of Central Nebraska Inc. <br />DBA Paul Davis Restoration <br />State of Nebraska <br />County of Hall <br />Subscribed and sworn to before me this day of Se 'I/16:r,2024. By Angela Funes <br />/President of PDR of Central Nebraska Inc. DBA Paul Davis Restoration <br />Notary Public <br />GENERAL NOTARYELIMA OUState ofERRERO Ne t <br />My Comm. Exp. April 28, 2020 <br />