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223 CONSTRUCTION IdEN Huffman and felton&Wolf,Walton,Ne.68461 <br /> ��. � � f� C� <br /> M �' � m � � <br /> � �, � � � _ <br /> o � <br /> �i � D �' � � � � <br /> P (rnj �r �:� rn � C —1 <br /> ���/� � �c c� � -G � <br /> t 1 �' o C"'` � p -�1 <br /> �� � �� 4 Tt , z <br /> �(,�l � G v ��� x rn <br /> � � � �-:, ' t.s -� x> w <br /> rTi � <br /> U� � �� � rr— n <br /> (�� f,.�, (1� <br /> � �O � �V) - � � 7"". <br /> 1 �, � ��- D� <br /> N v v <br /> � � � � � � <br /> "1 � K/S � <br /> I G i <br /> i �� � � �� J� �Q <br /> � I <br /> ' CONTRACTING OWNER OR SUCCESSOR IN � <br /> i INTEREST: REAL ESTATE: <br /> � . i <br /> ; <br /> i ..�,�_�:�-�.12�._..��'�?�i=�-�--e-�-----�v�u�-�------------ -1.a�--1---�1±�e��c��.u��ac�..��.1��1_►_�?-�-�-i-an---------; <br /> � (Name) (Lega1 Descri t n ; <br /> .c�v�.e�----�Ca.r�--�-Q�'-----.�-..c��'----�----�.a.1�.e.�----------; <br /> , , : ; <br /> ------ -------------- --------�-------------------------- -�o�C�-_--a.�c�---�.u�G��.v�.S�-p-�--------------------------' <br /> ' CLAIMANT: CLAIMANT CONTRACTED WITH: <br /> , ��t C� <br /> �� ��.i':��--�--��C�'�-L-n°�--�---�.1`�.�.C).1��t��_Oh�.l>c3�Z� • _!N�t,���.�t;:C�:C1C�..�'C�r._..4.�.Ir.��°�r---------- ' <br /> (Name) ," �_^ � (Name) -- <br /> --•------..._.�W.�..l-��'----�t'_�1�-� <br /> c <br /> - ------------------------------------- ---------- -$.C.'?-�,?----..��:Q[.C�e-r---��-°---------- --------- -- <br /> (Addresa) (Address) • <br /> -----------------�r�Y�_.��.�o���. d�'� �`��41-7�t C� C`�-�c�,�ca_...�'�.��,��----IV.�'...C�$�6� <br /> �-----•---•-•=--- ----- -- -- -------------------- --- - -i <br /> ..�_��-�---��.�-:.-_`�y.��-------------------------- --------------- ����-�----��a..-.��y 0--------------------------- ------------�--- <br /> (Phone) (Phone) <br /> SERVICES OR MATERIALS FURNISHED BY CLAIMANT: .�.._�f�.�r.►.C.�:t.a...��Ck,�.�.CrSb1...CL.Y�.I�.�............ ....... <br /> ._l.t�::.-.�y.��.�...�:c�,��:...�.�.�:�:�►�.....,....�....s�.►��.�pr e���r�-�t-----�--�.-s��-�.��:a�-t-----r c-��-r---u.u..���---------------- <br /> � , �, „ <br /> ...�.!t���..�.�.�----1���.+�-----�'--Y��-�-�-�-----�-Q�`-----�---------------------------------------�-----------------�--------------------��----------------�--��--------------�----------------- <br /> ------�------------------------------------------------------------------------------�--.._....-------------.......-�--------------......----------------�-------------------------------------�-��----------------�---------------�------ <br /> CONTRACT PRICE: $---�..r.�...�X..I..;.�'��---------------- AMOUNT UNPAID: $--�.j.�-a.�.a��.....-----.-----..- <br /> TIME LAST SERVICES OR MATEftIALS FURNISHED: l.U!C'[.C�.l���:---�-j----�.�:�....1--------------------------------------------------------------------- <br /> ... � <br /> � � �'t�._�� �-�0.�.;�1�_ �f ��C, k_`�.',`� . <br /> State of ---�_Z:4:..K�.!:Ct�I.���-.................... <br /> ,� , <br /> ss. ---���:�.��,�:�.._�?,.3,:�..--�-----...-�----------�-�--�-------�-------- <br /> /-�cc_L_E___________________County Signature of Claimant <br /> On this ...-.-.-.`�.�.�---day of .-----�V�.`.✓��?.�.�'!'.�--------------------------------------- 19�, before me a Notary Public in and for <br /> .J� � <br /> said county, peraonally came ..._.x,.1�.f..�l:.t.'7.�.....:l.�.(.�.�.��E:...................................to me known to be the identical person or <br /> persons who executed the foregoing inetrument, and acknowledged the same to be his, her, or their voluntary act and <br /> deed. Gf NERAt NOtARY•State of h� � <br /> (��j PAMELA S.SMITH � ` (� -� � <br /> '`�-`-� �����x�-uc�l�-----..:.--•------------•-•-------�--�- <br /> � <br /> .���'.`�- My Comm.Exp.Ap��(2,2C01 •-•-•--- '-f--�--`�'�'��- --- � <br /> Notary Public. <br /> �i /�G{` �- " �j� <br /> My commisaion expires the.........--�---------�---�---.day of.....:��-------------------------�.....-----• <br /> STATEOF------------------------�---......................---......._....... <br /> 8e Entered on numerical index and filed for record <br /> County of ---------------------------------------------------------------------- in the Register of Deeds Office of said County the <br /> --•.................day of.-----------------••---................., 19...........-� at---------•-•-•.......-----------------o'clock and----------............._minutes..........--------M., <br /> and recorded in Book-------------�--�--..........of...........-------------------at page...---�-�------................ <br /> ---�-----------------------------�---�---------------------------....-�---------Reg. of Deeds <br /> BY-•------••-----------------------•-•-•-------------------------.........--------------Deputy <br />