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145 - CONSTRUCTION LIEN rn n y Huffman and Felton & Wolf, Walton NE 68461 <br />'n = <br />Z <br />v <br />Q Cn y (� `u� C7 C!> <br />�C V ! -= O -i O <br />Z3 C= ry <br />U <br />N -i t ►1 CD <br />� <br />�_ S I T1 .0 <br />m -io D cc3 O <br />7- CONSTRUCTION LIEN "' r <A <br />200404M w x <br />lG The real estate subject to this lien is: cy <br />/In i <br />2. The person against whose interest in the real estate the lien is claimed is: <br />3. The name and address of the claimant is: Q , u L� 6— U YV' <br />)I:�6 PJ P6 ,P /ar <br />4. The name and address of the person with whom the claimant contracted is: I 1 I `( <br />`-� ` `7 .t J / "� 7Z d r'e <br />5. A general description of the claimant's services performed�o , to be performed qr m' gterials shed or to e _ <br />furnished for the improvement and the contract price is: n/)L)� 4 i n � tG1( � � � �' <br />6. (Complete one of the following) <br />X 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) j <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 />Subsribed and sworn to before me this <br />GENERAL NOTARY - State o". Mebmska <br />III <br />DDIVAYNE <br />(52 -147. See 52 -148 for amendment; 52 -149 for assignment; 52 -137 for recording time; 52 -154 for discharge or release). <br />Signature of Claimant <br />