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G <br />200400953 <br />CONSTRUCTION LIEN <br />1. THE REAL ESTATE SUBJECT TO THIS LIEN IS: �E d�- �'�I�Jyt 5 L; ,, �� 6� �� / ✓/ S r '� L <br />2. THE PERSON AGAINST WHOSE INTEREST IN THE REAL ESTATE THE LIEN IS CLAIMED ARE: <br />6hb�, A <br />3. THE NAME OF THE CLAIMANT IS: <br />BUILDERS WAREHOUSE <br />PO BOX 1447 <br />GRAND ISLAND NE 68802 <br />4. THE NAME AND ADDRESS OF THE PERSON WITH WHOM THE CLAIMANT CONTRACTED IS: <br />C5 1 pJC l - V 6 A / <br />5. A GENERAL DESCRIPTION OF THE CLAIMANTS MATERIALS FURNISHED FOR THE IMPROVEMENT <br />AND THE UNPAID AMOUNT IS: <br />BUILDING MATERIALS <br />6. THE AMOUNT UNPAID TO THE CLAIMANT FOR MATERIALS IS: l\S/ S / o I <br />7. THE DATE THE LAST MATERIALS WERE FURNISHED WAS: � l� y <br />SUBSCRIBE AND SWORN TO BEFORE ME <br />THIS ,Jn ,/ DAY OF �e A 200'/ <br />I"', 41 0 4,a,-/ <br />NOTARY PUBLIC <br />X NERAL NOTARY - State of Nebraska <br />MICHAEL P CARRAHER <br />My Comm. EXP. Nov. 20, 2005 <br />l <br />Z <br />X <br />c <br />_ <br />n <br />0 <br />CD <br />CD <br />CD <br />—4 <br />( <br />LJ <br />M <br />tJr' <br />= <br />co <br />--q <br />CIO <br />.. , <br />p <br />p Cl. <br />C <br />� <br />a <br />r <br />r+ <br />W <br />7c <br />Co <br />CD <br />n. <br />Ul <br />(D <br />c <br />z <br />0 <br />G <br />200400953 <br />CONSTRUCTION LIEN <br />1. THE REAL ESTATE SUBJECT TO THIS LIEN IS: �E d�- �'�I�Jyt 5 L; ,, �� 6� �� / ✓/ S r '� L <br />2. THE PERSON AGAINST WHOSE INTEREST IN THE REAL ESTATE THE LIEN IS CLAIMED ARE: <br />6hb�, A <br />3. THE NAME OF THE CLAIMANT IS: <br />BUILDERS WAREHOUSE <br />PO BOX 1447 <br />GRAND ISLAND NE 68802 <br />4. THE NAME AND ADDRESS OF THE PERSON WITH WHOM THE CLAIMANT CONTRACTED IS: <br />C5 1 pJC l - V 6 A / <br />5. A GENERAL DESCRIPTION OF THE CLAIMANTS MATERIALS FURNISHED FOR THE IMPROVEMENT <br />AND THE UNPAID AMOUNT IS: <br />BUILDING MATERIALS <br />6. THE AMOUNT UNPAID TO THE CLAIMANT FOR MATERIALS IS: l\S/ S / o I <br />7. THE DATE THE LAST MATERIALS WERE FURNISHED WAS: � l� y <br />SUBSCRIBE AND SWORN TO BEFORE ME <br />THIS ,Jn ,/ DAY OF �e A 200'/ <br />I"', 41 0 4,a,-/ <br />NOTARY PUBLIC <br />X NERAL NOTARY - State of Nebraska <br />MICHAEL P CARRAHER <br />My Comm. EXP. Nov. 20, 2005 <br />l <br />