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223 CONSTRUCTION LIEN <br />I <br />n <br />70 <br />M <br />-n <br />c <br />Z <br />Fri <br />M <br />V2' <br />CONTRACTING OWNER OR SUCCESSOR IN <br />INTEREST: <br />Y <br />N <br />200404574 <br />o <br />--------------- <br />(Name)' <br />CLAIMANT: <br />-- ��AS: �:. ��.- �CL? �T�lI1Q�. tS_ tf �` ��'_ ��c ''c�r7'_l('�11►_tts�.;_- �--r1C , <br />(Name) <br />(Address) <br />------------------- lr°.; Cx_it \0i _ `a �s?� etc , W5 ---- oyco <br />CI <br />, 5 q <br />_ _-`- ------ - - - - -- ------------------------------------------- <br />(Phone) <br />Z > <br />C) s <br />Jacob North Printing Co., Inc., Lincoln, NE 68524 <br />UN <br />REAL ESTATE: C9 )-;L �F­ e�'A ,, <br />C : c <br />0 n �l ek. - -a - - A A - - <br />I :� -ham. ��- r-�c��- �_t -�� <br />(Legal Description) <br />CLAIMANT CONTRACTED WITH: <br />(Name) <br />�?--- - - - - -- <br />( ddress) . J <br />--- - ------ <br />i <br />Ca_= `t�AC' -- -------- - - - - -) <br />(Phone) <br />SERVICES OR MATERIALS FURNISHED BY CLAIMANT: "I.4�;_Y�C1<<L:,- ?►� -� -�' C;- r�r'�`a_�'�..��,--- i -h -`.� <br />i <br />C-- - -- �,.. - '_(�c�Ca �:c� y �51�~;zY r�l rlGa c��l� d- ----< - - --- ---------------------------------------------------------------- - - - - -- <br />----------------------------------- -------------------------------- - ------------------------------------------------------------------------------------------------------------------ ------- - ..... ... - - - -- <br />CONTRACT PRICE: $__�Jboll�jl.a 1L..._...__-- .--- _ - - -_. AMOUNT UNPAID: $ --- gj.!��Sr_9 -Q <br />TIME LAST SERVICE}�S OR MATERIALS FURNISHED: - '9 - -lG -%Q --------------------------------------------------------------------------------------------- <br />State of ----------- ss._��-- <br />q`\..----------------------------- -- ....... . -- County Signature of Claimant <br />xt - <br />On this __ - - -_. _- !...1.0 �-:^--____-!_-_-_-_ _-- ---------- ------------ - - - - -- - fi( SJ. , before me a Notary Public in and for' <br />- day of - -- <br />r <br />said county, personally came ...... ---------- ... 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 />tIENERAL NOTARY • Stge of Nebraska <br />JODI �7 <br />' <br />N co +'�'� c�h ------------ - - - - -! <br />Notary Public. <br />My commission expires the....- ___ --- _ <br />LLB <br />day of ----------------- - - - - -> ff Al <br />STATE OF --------- - - - - -_ ------- -- _--------------- - ------ - - - - -. - - - - -- <br />ss Entered on numerical index and filed for record] <br />County of ---------- _.............. _____ _______ ____------ -_-. ---------------- in the Register of Deeds Office of said County the, <br />- - -- -day of------------ - - - - -- - -- -- ---- - - - - -- - - - - -, at -------------------------------- - - - - -- o'clock and....- _---------- - - - - -- minutes ------------------ M. <br />and recorded in Book------- - - - - -- - - - - - -- ---- - ---of ----- - - - - -- ------------ -. - -at page--------- - - - - -- --------- - - - - -- <br />---------- - ----------------------------------------------------------- - - - - -- - Reg. of Deeds <br />By----------------------------------- - ----------- ---- --- .------ - - - - -- - -- Deputy <br />-_., <br />n (f) <br />I <br />G T_ <br />7'.0 <br />-� <br />o <br />O T <br />r` A <br />Ci7 � <br />U, <br />u� <br />W <br />� <br />� <br />w <br />UN <br />REAL ESTATE: C9 )-;L �F­ e�'A ,, <br />C : c <br />0 n �l ek. - -a - - A A - - <br />I :� -ham. ��- r-�c��- �_t -�� <br />(Legal Description) <br />CLAIMANT CONTRACTED WITH: <br />(Name) <br />�?--- - - - - -- <br />( ddress) . J <br />--- - ------ <br />i <br />Ca_= `t�AC' -- -------- - - - - -) <br />(Phone) <br />SERVICES OR MATERIALS FURNISHED BY CLAIMANT: "I.4�;_Y�C1<<L:,- ?►� -� -�' C;- r�r'�`a_�'�..��,--- i -h -`.� <br />i <br />C-- - -- �,.. - '_(�c�Ca �:c� y �51�~;zY r�l rlGa c��l� d- ----< - - --- ---------------------------------------------------------------- - - - - -- <br />----------------------------------- -------------------------------- - ------------------------------------------------------------------------------------------------------------------ ------- - ..... ... - - - -- <br />CONTRACT PRICE: $__�Jboll�jl.a 1L..._...__-- .--- _ - - -_. AMOUNT UNPAID: $ --- gj.!��Sr_9 -Q <br />TIME LAST SERVICE}�S OR MATERIALS FURNISHED: - '9 - -lG -%Q --------------------------------------------------------------------------------------------- <br />State of ----------- ss._��-- <br />q`\..----------------------------- -- ....... . -- County Signature of Claimant <br />xt - <br />On this __ - - -_. _- !...1.0 �-:^--____-!_-_-_-_ _-- ---------- ------------ - - - - -- - fi( SJ. , before me a Notary Public in and for' <br />- day of - -- <br />r <br />said county, personally came ...... ---------- ... 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 />tIENERAL NOTARY • Stge of Nebraska <br />JODI �7 <br />' <br />N co +'�'� c�h ------------ - - - - -! <br />Notary Public. <br />My commission expires the....- ___ --- _ <br />LLB <br />day of ----------------- - - - - -> ff Al <br />STATE OF --------- - - - - -_ ------- -- _--------------- - ------ - - - - -. - - - - -- <br />ss Entered on numerical index and filed for record] <br />County of ---------- _.............. _____ _______ ____------ -_-. ---------------- in the Register of Deeds Office of said County the, <br />- - -- -day of------------ - - - - -- - -- -- ---- - - - - -- - - - - -, at -------------------------------- - - - - -- o'clock and....- _---------- - - - - -- minutes ------------------ M. <br />and recorded in Book------- - - - - -- - - - - - -- ---- - ---of ----- - - - - -- ------------ -. - -at page--------- - - - - -- --------- - - - - -- <br />---------- - ----------------------------------------------------------- - - - - -- - Reg. of Deeds <br />By----------------------------------- - ----------- ---- --- .------ - - - - -- - -- Deputy <br />