Laserfiche WebLink
i <br /> 145-CONSTRUCTION LIEN � A � Jacob North Pri�Co.,In�WMton NE 68461 <br /> � � n � � n i � � � � <br /> 9� x r ;-, '� �� r' .� �, ' <br /> S � � n �`? �'� ° t--+ -�+� � 1 <br /> �-, � -n <br /> � , y,,� � <br /> � � r-°ri L'�,.� � A . <br /> � " t.- F— <br /> �', � C v> 3 ~ i� <br /> J' ,� , +—' `''�v <br /> i <br /> � ' = W .....�..i <br /> � , � � <br /> � fo � ' ' � <br /> °Q � CONSTR,UCTION LIEN a� a�. 1. Q s Fj `�� <br /> 00 7U <br /> �' � �o <br /> � <br /> 1. The real estate subject to this lien is: �Q�'� p� �S�c,nc�, �.o�s oZ¢'j/, �����o� 1�-T►Qn -R9�.*�o-L �-��c <br /> �t P�f�1 ��I�►��, I�!'� mere �av��culot�� t.��scr��,ec� ;n �l.�e o,cce►-►�c•a ,'�nu aea� t�a�;�a � <br /> � <br /> 2. The person against whose interest in the real estate the lien is claimed is: ��m F��'er-a nu�c�� � �rs <br /> � C <br /> �c��e a��,�e desc�r:�ed� ��oe u <br /> 3. 'I'he name and address of the claimant is: �Ci V�s S«r t9 v,�n s -- �u�e �- C�a+'.��n v�`s <br /> ao� 1�.e;s�are �e R«�d� ���.���.a� {�E� C��8 3� <br /> 4. The name and address of the person with whom the claimant contracted is: � �� ����e�' <br /> 1q� �Us� ����.1�-�. ��.d_,_�-L�,1�<nQ��� <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 /> �o.-r �LaY t3�.�11a o't a�o�1P �e� ri bec,� a�rt1 fle r � 'tb�^ �u��O�r��. a� <br /> _� <br /> S�, 1`�110. `7�Y��P Q r l��t� 'N� <br /> 6. (Complete one of the following) <br /> �The amount unpaid, whether due or not, to the claimant for the services or materials is $ 3� ��� ��� . <br /> The unpaid amount is not fi�ced 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 ��n� a��, 1999 <br /> The time the last services or materials were furnished has not yet occurred but is estimated to occur <br /> �� �� <br /> Signature of Claimant <br /> Subsribed and sworn to before me this o�Q'�� day of J��^ e- , 19 _LL. <br /> ;,�ti:T€:p�:•,; LEE JACOBSEN <br /> z:oE�Eq��:: MY COMMISSION EXPIRES otary Public <br /> �ti �.. •R� <br /> - �.•"°T""": February 18,2003 <br /> •.�BRAS�P�` <br /> (52-147. See 52-148 for amendment;52-149 for assignment;52-137 for recording time;52-154 for discharge or release). <br /> i <br /> I <br /> . <br />