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HN -' X iA <br />rk <br />n � <br />rn CA N _ <br />- <br />w a �v <br />W <br />0 <br />20040391. <br />CONSTRUCTION LIEN <br />S So <br />1. The real estate subject to this lien is: 1 0 hQ{`[Q r- (-r-, A be-r\ f\PA a n <br />o cad 141 vin , �C-+ N K to `I <br />2. The person against whose interest in the real estate the lien is claimed is: <br />Ru.I Are I I A J, (I <br />3. The name and address of the claimant is: p(A1 i O(Aol -\� O-F. i' t -a l <br />"&ra 1Ca I A w t [\A 11 te1) 93, wk 301 (01-md --n& 1 , ME: bgy 3 <br />4. The name and address of the person with whom the claimant contracted is: Pau 00-n 04., <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: l'1,5u <br />6. (Complete on of the following) <br />The amount unpaid, whether due or not, to the claimant for the services or materials is $ 3 � I .5-1 <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 mCJ C-h\ <br />The time the last services or materials were furnished has not yet occurred but is estimated to occur <br />(2to-vtk M Ctrs:_ — Ab3O U OAt�', <br />Sign re of Claimant <br />Subscribed and sworn to before me this (; day of 417,j� <br />Notary Public <br />(52 -147. See 52 -148 for amendment; 52 -149 for assignment; 52 -137 for recording time; 52 -154 for discharge or release). <br />A IGENERAL NOTARY- State of Neb <br />CAROL L OLSON <br />My Comm. Exp. APRIL 5, 2005 <br />o <br />r� <br />o -i <br />=3 <br />s. <br />y <br />Z�-t <br />N <br />p <br />—v <br />—t M <br />o <br />N <br />rn <br />O <br />CL <br />M <br />o <br />_ <br />o <br />M <br />q. cn <br />r- <br />~ <br />CD <br />C" <br />cn <br />�- <br />"' <br />Z <br />CIN <br />S So <br />1. The real estate subject to this lien is: 1 0 hQ{`[Q r- (-r-, A be-r\ f\PA a n <br />o cad 141 vin , �C-+ N K to `I <br />2. The person against whose interest in the real estate the lien is claimed is: <br />Ru.I Are I I A J, (I <br />3. The name and address of the claimant is: p(A1 i O(Aol -\� O-F. i' t -a l <br />"&ra 1Ca I A w t [\A 11 te1) 93, wk 301 (01-md --n& 1 , ME: bgy 3 <br />4. The name and address of the person with whom the claimant contracted is: Pau 00-n 04., <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: l'1,5u <br />6. (Complete on of the following) <br />The amount unpaid, whether due or not, to the claimant for the services or materials is $ 3 � I .5-1 <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 mCJ C-h\ <br />The time the last services or materials were furnished has not yet occurred but is estimated to occur <br />(2to-vtk M Ctrs:_ — Ab3O U OAt�', <br />Sign re of Claimant <br />Subscribed and sworn to before me this (; day of 417,j� <br />Notary Public <br />(52 -147. See 52 -148 for amendment; 52 -149 for assignment; 52 -137 for recording time; 52 -154 for discharge or release). <br />A IGENERAL NOTARY- State of Neb <br />CAROL L OLSON <br />My Comm. Exp. APRIL 5, 2005 <br />