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i <br />22i CONSTRUCTION LIEN Huffman and Felton & Wolf, Walton, Ne. 68461 <br />o C> Cn <br />© ! r) �' <br />e.ry <br />z <br />{ C --I <br />lair �`' m m <br />_ <br />S� <br />�� z m <br />~' n <br />Eil <br />CID <br />e2 <br />200112138 <br />CONTRACTING OWNER OR SUCCESSOR IN <br />INTEREST: REAL ESTATE: <br />7a <br />pL f <br />. - - - -- . - - -- - -- . - ------- - - - - -- .------------------------------------- <br />(Name) __.. (Legal Description) <br />---------- - - - - -- --- - - - - -- ---- - - - - -- ------------------- --- ------------------ - --------------- - - - - -- ...... - - -- <br />o.! �% uQ� <br />. ...................... -- - - - - -- - - - -- - -- -------- -- ------------------------------------------------------------ - - - - - - .............. -- <br />CLAIMANT: CLAIMANT CONTRACTED WITH: <br />- <59aAT7...4 Y4- S- ez0., ° - - -- A - X-------- - - - - -- �R .v 40 NSr, -- <br />(Name) (Name) <br />- - - -- 3 ` No.. .....W..._.."40----- l�w�r - - - --3 ..... --------- ... -�a' 3.--- - - - - -` 139 <br />(Address)/ (Address)% <br />---- ---- -- - ----- )---- -- - -- SAN. - ------ /Yaagnsx4 ................... 1. <br />305-- --Y'�3 <br />............................. .............. - <br />(Phone) (Phone) <br />C /// 61!1-v. fE <br />SERVICES OR MATERIALS FURNISHED BY CLAIMANT: .-- - - -_ -- -------- - - - - -- X11- ....- .----7 <br />- ------ - - - - -- <br />. <br />/f TES __ee1X <br />, <br />.......................... ---- - - - - -- --------------- - - - - -- ------------ --------------- - - - - -- ------------------------ - --------------- - - - - -- -------- - - - - -- - -- ------------- - - - - -- ............ ---------------------- <br />------------------ - ------ ---- --------------- - - - - -- ------------------------- - ----------- - ------------ - ---------------- - - - - -- ----------------------------------- - - - - -- -------- - - - - -- --------------------------------------- <br />S3 <br />CONTRACT PRICE: $..... AMOUNT UNPAID: $ )`rz f-- ----------- - - - - -- -- - - - - -- <br />TIME LAST SERVICES OR MATERIALS FURNISHED: ...13�toy. '".......- �------ ,.7 ®�.�- <br />State of - - -J 2 , r <br />)= �= County ignature of Ch an <br />On this ....c�As ........ day of ......_ y'- L >-- U- Q -rY�r ? .......................... ----- - - ---- IV .._... > before me a Notary Public in and for <br />said county, personally came .....? -r -.. -.. � !.N -. 1 ...... ................___-- _......... to me known to be the identical person or <br />persons who executed the foregoing instrument, and acknowledged the same to be his, her, or their voluntary act and <br />deed. GENERAL NOTARY -State of Nebraska <br />KAREN NAGEL <br />MY Comm. Fxp. Jan 28, 2004 - - - -- -- - - -� ---- �------ - - - - -- - - - -- ----------------- - - - - -- -- - - - - -- <br />�__ _ Notary Public. <br />My commission expires the ------------ --- ------ -- - - -- -- day oi- - - - - -- ................... ....... .............. 19---- - - - - -- <br />STATE OF ....... ............................. --- --------- --- ... . . ..... ss. Entered on numerical index and filed for record <br />County of ....................................... ............................... in the Register of Deeds Office of said County the <br />------------- - - - - -- -day of. - - -- - - - - -- ............................ 19------- - - - - -, at-------- - - - - -- ----------------- - - - - -- o'clock and ------------------------ minutes ............... . -.M., <br />and recorded in Book-- - - - - -- ---- - - - - -- ----- o£- .--................... - - - - -at page ....................... --- <br />-- - - - - -- ------- - - - - -- ---- - - - - -- ---- - - - - -- ---------------- - - - - -- ----- - - - - -- -Reg. of Deeds <br />By--------- - - - - -- ------------------------------- - - - - -- -- - - - - -- ................. - - - -- Deputy <br />