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223 CONSTRUCTION LIEN Jwob North Printing Co, Inc, UncoK NE 69524 <br />> <br />z <br />> C=) <br />M <br />n <br />CD <br />rn -< O <br />-n <br />rn <br />MM 3 F- <br />14, <br />Ul <br />Cil <br />Cn <br />C11 <br />CONTRACTING OWNER OR SUCCESSOR IN <br />IN71"EREST: REAL ESTATE: <br />...................................... <br />(Name) <br />...................... <br />IN� ................. I ..... ............. <br />CLAIMANT: <br />t <br />JU.V/A ... 4.12 .._.e—.,t ✓. ........... <br />(Name) <br />.. ................................. . <br />(Ad,dress) <br />............. <br />. ........................................................................................... <br />(Phone) <br />..... .4 jP.7 - <br />�t.1 .. . ...... -/- <br />............. ...... .................................. <br />(Legal Description) <br />CLAIMANT CONTRACTED WITH: <br />:7 ............... <br />.....(� .. . '; . :-!A <br />(Name) <br />.......................... ..... ................... ................................................... <br />(Address) <br />.............................. ............................... <br />(Phone) <br />MATERIALS FURNISHED BY CLAIMANT: .... <br />SERVICES OR MATE .... . <br />-- ................................................ ............. .. I ...................... ..................... ................................................................................................................... <br />....................... . ......................................... . ..................... - .................................................................................... ........................................................ <br />. ...... : ................ ..................................... ................................ ** ...... ***** ......... **'*** ....... ***** ... ­­­* ...... ........ **­­­­ ....... <br />CONTRACT PRICE: $ ........................ ............................... AMOUNT UNPAID: $ ..... /I <br />-? .2 <br />............................. <br />TIME LAST SERVICES OR MATERIALS FURNISHED: ......... j..I..Ata.m.Az ......... <br />............................................. <br />State of ... D.QP1'O-SVN.cx . ................... <br />ss. <br />.................... . . .....County aimant <br />�-6;r;e 46E <br />On this ..... day of ........ .................................... before me a Notary Public in and for <br />... .. ....... <br />said county, personally came ...... 1� ...... .......................... to me known to be the identical person or <br />persons who executed the foregoing instrument, and acknowledged the same to be his, r her their voluntary act anc <br />her r <br />deed. <br />6EMM NOURY40 of k9b2W <br />8TEPKAME LKJENTHAL ......... 7 ........ ... ................ <br />lax *1 Corns. E* A* 14, 2061 C)OL Notary Public. <br />My commissior expires the......A.LkAl/ .......... d a y o f.. <br />...A.- ... ......... ...... ............ <br />STATEOF .......................................................... I ......... <br />Countyof .. ... . .. . ....... ......................... .. . . . ............ <br />Entered on numerical index and filed for re( <br />in the Register of Deeds Office of said County <br />...... I .. ....... .. day of.......... ............................... ....... I .... I at ...................................... o'clock and ............. ... ...... minutes ............... .. M <br />and recorded in Book .............................. of ............................. at paga ..... ........................ <br />.............. I .............................................. ............. Reg. of <br />By................................................................. ........ ........... <br />Rev. <br />