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,.-2�ZI CONSTRUCTION .LIEN <br />,,-, <br />70 <br />M <br />n <br />C: <br />Z <br />n> <br />r) C/) <br />M CA <br />20040457") <br />CONTRACTING OWNER OR SUCCESSOR IN <br />INTEREST: <br />CoA�, r <br />(Name) <br />---------------------- <br />K - y,\6(A -- -_---------------- -------- <br />CLAIMANT: <br />Jacob North Printing Co., Inc., Lincoln, NE 68524 <br />REAL ESTATE: <br />_k6A. <br />(Legal Description) <br />Errck_�,A - lc�u_-A --- ACA�A_Itls.A_tlli�ll N <br />CLAIMANT CONTRACTED WITH: <br />i A\Y— At _'N - i m S__k tN t <br />(Name,) (Name) <br />-,— A_V__c%,A -------------------------- <br />(A _ddress), <br />,,ddress) �A <br />--- NE -------------- ---------- - -- - - - - -- <br />-------------------------_-- ----- --------------------- --- ----------------------------- -- -- -- --- --- --- - <br />(Phone) (Phone) <br />SERVICES OR MATERIALS FURNISHED BY CLAIMANT: I <br />_U. fj1__K <br />--------------- --------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------- - ---- -- ---- <br />c' ijfy <br />CONTRACT PRICE: -- <br />------- -- --------- AMOUNT UNPAID: $ --- -- -- ----- ---- <br />TIME LAST SERVICES OR MATERIALS FURNISHED: - -1 ­ - <br />State of --------- -------------- <br />SS. <br />------------------------ - - - - -- County Signature of Claimant <br />On this ...... day of --------- ......... ----------- <br />---------------- ----- before me a Notary Public in and for <br />said county, personally came ----- —0-6-Elill <br />TC --------- ----------- t_ <br />---- ..... to me known to be the identical person or <br />persons who executed the foregoing instrument, and acknowledged the same to be his, her, or their voluntary act and <br />deed. <br />GEWERAt NOTARY • State of Nebraska <br />JODI OBERMILLER <br />I ----------- --------- _4�� - ---- - - -- -------------------------------- <br />My Comm. Exp. Aug. 27, 2007E <br />Public. <br />17 <br />My commission expires the ------ ­ ------------------- day of ------ dRe <br />-- — ---------------­---- <br />STATEOF_ -------------------------------- ------------- _ ........... <br />ss. Entered on numerical index and in the Register of Deeds Office of said County the filed for record <br />Countyof -------------------- ------- --- ---- --- ------- - - - - - -- _--------------- I I <br />------------- - - - - -- -day of ................... I ------------------- ............ I at--- - - - - -- o'clock and --_-------------------- minutes ------------------ M., <br />andrecorded in Book._. --------------------_- of ----------------_------------ at page------------------------- - - - - -- <br />--------- I ------------------------------------------ _ ---------------------- --- Reg. of Deeds <br />By-------------------------------------------------------------------------------------- Deputy <br />X, <br />S <br />M <br />-mac <br />C) <br />CD <br />Cn <br />REAL ESTATE: <br />_k6A. <br />(Legal Description) <br />Errck_�,A - lc�u_-A --- ACA�A_Itls.A_tlli�ll N <br />CLAIMANT CONTRACTED WITH: <br />i A\Y— At _'N - i m S__k tN t <br />(Name,) (Name) <br />-,— A_V__c%,A -------------------------- <br />(A _ddress), <br />,,ddress) �A <br />--- NE -------------- ---------- - -- - - - - -- <br />-------------------------_-- ----- --------------------- --- ----------------------------- -- -- -- --- --- --- - <br />(Phone) (Phone) <br />SERVICES OR MATERIALS FURNISHED BY CLAIMANT: I <br />_U. fj1__K <br />--------------- --------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------- - ---- -- ---- <br />c' ijfy <br />CONTRACT PRICE: -- <br />------- -- --------- AMOUNT UNPAID: $ --- -- -- ----- ---- <br />TIME LAST SERVICES OR MATERIALS FURNISHED: - -1 ­ - <br />State of --------- -------------- <br />SS. <br />------------------------ - - - - -- County Signature of Claimant <br />On this ...... day of --------- ......... ----------- <br />---------------- ----- before me a Notary Public in and for <br />said county, personally came ----- —0-6-Elill <br />TC --------- ----------- t_ <br />---- ..... to me known to be the identical person or <br />persons who executed the foregoing instrument, and acknowledged the same to be his, her, or their voluntary act and <br />deed. <br />GEWERAt NOTARY • State of Nebraska <br />JODI OBERMILLER <br />I ----------- --------- _4�� - ---- - - -- -------------------------------- <br />My Comm. Exp. Aug. 27, 2007E <br />Public. <br />17 <br />My commission expires the ------ ­ ------------------- day of ------ dRe <br />-- — ---------------­---- <br />STATEOF_ -------------------------------- ------------- _ ........... <br />ss. Entered on numerical index and in the Register of Deeds Office of said County the filed for record <br />Countyof -------------------- ------- --- ---- --- ------- - - - - - -- _--------------- I I <br />------------- - - - - -- -day of ................... I ------------------- ............ I at--- - - - - -- o'clock and --_-------------------- minutes ------------------ M., <br />andrecorded in Book._. --------------------_- of ----------------_------------ at page------------------------- - - - - -- <br />--------- I ------------------------------------------ _ ---------------------- --- Reg. of Deeds <br />By-------------------------------------------------------------------------------------- Deputy <br />