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CASH <br />CHECK 10.00 <br />99E90tZ0Z <br />RETURN TO: <br />Vincent Mendez, III <br />140 N Phillips <br />Lawrence, NE 68957 <br />IN S T 1O1'I O b 3 b b <br />CONSTRUCTION LIEN <br />REFUNDS: <br />CASH <br />CHECK <br />RECORDED <br />HALL CC4.1NITY NE <br />2C2 DEC i b A II: IN <br />Kl~d & 3 /OLD <br />REGISTER OF DEEDS <br />1. The real estate subject to this lien is: <br />Lots 1 and 4, Hummel Subdivision in the City of Grand Island, Hall County, Nebraska <br />2. The persons against whose interest in the real estate the lien is claimed against are: <br />Shannon Burks <br />3. The name and address of the claimant is: <br />Vincent Mendez, III <br />140 N Phillips <br />Lawrence, NE 68957 <br />4. The name and address of the person with whom the claimant contracted is: <br />Vincent Mendez, III <br />140 N Phillips <br />Lawrence, NE 68957 <br />5. A general description of the claimant's services performed or to be performed; <br />Bobcat rental, delivery and use of truck and trailer. <br />Labor for cleanup <br />Moving and hauling metal and debris. <br />7. The amount unpaid, whether due or not, to the claimant for labor is $20,000.00. <br />8. The last time services or materials were furnished was <br />On or abound October 15th, 2024 <br />STATE OF NEBRASKA ) <br />) SS <br />COUNTY OF Hall ) <br />cent Mendez, III, Claimant, <br />Subscribed and sworn before me this day by Vincent Mendez, II6th day D- ember, 2024. <br />