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200113014
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Last modified
10/14/2011 2:11:32 PM
Creation date
10/20/2005 11:46:19 PM
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DEEDS
Inst Number
200113014
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v <br />145 - CONSTRUCTION LIEN <br />CONSTRUCTION LIEN <br />Huffman and Felton & Wolf, Walton NE 68461 <br />200113014 <br />Mq <br />1. The real estate subject to this lien is: `� �/" �5 �� — L� t c1 alO <br />z2llJ ,f,), 10I r7 — OClL 11 Bakers tfdl1<% Par --Lo �'rzcctFeci fit.�CE'c.1 <br />2. The person against whose interest in the real estate the lien is claimed is: Ke <br />3. The narne and <br />of the claimant is: __' <br />plarSf - GZ,NeI <br />4. The name and address of <br />e- I ' ,. <br />person with whom the claimant contracted is: <br />5. A general description of the claimant's services performed to, to be performed or materials furnished or to be <br />furnished for the improvement and the contract price is: <br />6. (Complete one of the following) <br />*33 ID c� <br />The amount unpaid, whether due or not, to the claimant for the services or materials is $ <br />The unpaid amount is not fixed by the contract, but a good faith estimate in the amount of $ . <br />7. (Complete one of the following) <br />The time the last services or materials were furnished was <br />The time the last services or materials were furnished has not yet occurred but is estimated to occur <br />, � � M "7 <br />Signature of Claimant <br />Subsribed and sworn to before me this <br />JL gf laa NOTARY- SUN Id Ndmsly <br />DEWAYNET. <br />C'. Notary <br />my .Exo. <br />day of <br />��oo� <br />rn <br />nr) <br />C <br />= <br />n <br />D <br />7_ <br />� <br />o <br />� <br />o <br />CD <br />M <br />c� <br />► -� <br />- -1 <br />0 <br />2 <br />z3> <br />7C <br />r� <br />-4o <br />o <br />o -r, <br />o <br />— <br />o <br />tCO <br />Iy <br />m <br />� <br />r <br />o <br />r D <br />CA3 <br />cc <br />Cn <br />U-1 <br />C <br />Cif <br />CONSTRUCTION LIEN <br />Huffman and Felton & Wolf, Walton NE 68461 <br />200113014 <br />Mq <br />1. The real estate subject to this lien is: `� �/" �5 �� — L� t c1 alO <br />z2llJ ,f,), 10I r7 — OClL 11 Bakers tfdl1<% Par --Lo �'rzcctFeci fit.�CE'c.1 <br />2. The person against whose interest in the real estate the lien is claimed is: Ke <br />3. The narne and <br />of the claimant is: __' <br />plarSf - GZ,NeI <br />4. The name and address of <br />e- I ' ,. <br />person with whom the claimant contracted is: <br />5. A general description of the claimant's services performed to, to be performed or materials furnished or to be <br />furnished for the improvement and the contract price is: <br />6. (Complete one of the following) <br />*33 ID c� <br />The amount unpaid, whether due or not, to the claimant for the services or materials is $ <br />The unpaid amount is not fixed by the contract, but a good faith estimate in the amount of $ . <br />7. (Complete one of the following) <br />The time the last services or materials were furnished was <br />The time the last services or materials were furnished has not yet occurred but is estimated to occur <br />, � � M "7 <br />Signature of Claimant <br />Subsribed and sworn to before me this <br />JL gf laa NOTARY- SUN Id Ndmsly <br />DEWAYNET. <br />C'. Notary <br />my .Exo. <br />day of <br />��oo� <br />
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