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1. The real estate subject to this lien is: L/ e r ", I-ri a /1401/
<br />/ rK 1s Icncl. . �vi'h Scab c7r � Ce or�_ - -421)d , Z1 f
<br />2. The P,--on against whose interest in the real estate the lien is claimed iS
<br />oantrcl TnQdtfq =- ?_l�ld tri r ,Q�rr,l I�S Ian d, All--_
<br />3. The name and address of the claimant is: a �>< l/ � � �Ce 0 cS
<br />4. The name and address of the person with whom the claimant contracted is: .1���� s fa f �•
<br />1-/ 1) �/Jif., V/ eD <5� /Q�re�J APr. .,rn,,,rl, /lT �
<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:
<br />�DM —,r / -f /)%7 �/'1 ff 1 //o ?/i / I
<br />6. (Complete one of the following)
<br />The amount unpaid, whether due or not, to the claimant for the services or materials is $ cna
<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 />L The time the last services or materials were furnished was nr i y
<br />The time the last services or materials were furnished has not yet occurred but is estimated to occur
<br />/71 z7A4 ,�/-
<br />Signature of Claimant`s /�..
<br />Subsribed and sworn to before me this �J 41 day of
<br />GENERAL NOTARY -State of Nebraska R
<br />STEPHANIE K. BLOCK Nota y Public
<br />My Comm. Exp. Feb. 7, 2005
<br />(52 -147. See 52 -148 for amendment; 52 -149 for assignment; 52 -137 for recording time; 52 -154 for discharge or release).
<br />Rev. 9/95
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<br />145 - CONSTRUCTION LIEN
<br />Jacob North Printing Co., Inc., Lincoln, NE 68524
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<br />1. The real estate subject to this lien is: L/ e r ", I-ri a /1401/
<br />/ rK 1s Icncl. . �vi'h Scab c7r � Ce or�_ - -421)d , Z1 f
<br />2. The P,--on against whose interest in the real estate the lien is claimed iS
<br />oantrcl TnQdtfq =- ?_l�ld tri r ,Q�rr,l I�S Ian d, All--_
<br />3. The name and address of the claimant is: a �>< l/ � � �Ce 0 cS
<br />4. The name and address of the person with whom the claimant contracted is: .1���� s fa f �•
<br />1-/ 1) �/Jif., V/ eD <5� /Q�re�J APr. .,rn,,,rl, /lT �
<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:
<br />�DM —,r / -f /)%7 �/'1 ff 1 //o ?/i / I
<br />6. (Complete one of the following)
<br />The amount unpaid, whether due or not, to the claimant for the services or materials is $ cna
<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 />L The time the last services or materials were furnished was nr i y
<br />The time the last services or materials were furnished has not yet occurred but is estimated to occur
<br />/71 z7A4 ,�/-
<br />Signature of Claimant`s /�..
<br />Subsribed and sworn to before me this �J 41 day of
<br />GENERAL NOTARY -State of Nebraska R
<br />STEPHANIE K. BLOCK Nota y Public
<br />My Comm. Exp. Feb. 7, 2005
<br />(52 -147. See 52 -148 for amendment; 52 -149 for assignment; 52 -137 for recording time; 52 -154 for discharge or release).
<br />Rev. 9/95
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<br />Jacob North Printing Co., Inc., Lincoln, NE 68524
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<br />1. The real estate subject to this lien is: L/ e r ", I-ri a /1401/
<br />/ rK 1s Icncl. . �vi'h Scab c7r � Ce or�_ - -421)d , Z1 f
<br />2. The P,--on against whose interest in the real estate the lien is claimed iS
<br />oantrcl TnQdtfq =- ?_l�ld tri r ,Q�rr,l I�S Ian d, All--_
<br />3. The name and address of the claimant is: a �>< l/ � � �Ce 0 cS
<br />4. The name and address of the person with whom the claimant contracted is: .1���� s fa f �•
<br />1-/ 1) �/Jif., V/ eD <5� /Q�re�J APr. .,rn,,,rl, /lT �
<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:
<br />�DM —,r / -f /)%7 �/'1 ff 1 //o ?/i / I
<br />6. (Complete one of the following)
<br />The amount unpaid, whether due or not, to the claimant for the services or materials is $ cna
<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 />L The time the last services or materials were furnished was nr i y
<br />The time the last services or materials were furnished has not yet occurred but is estimated to occur
<br />/71 z7A4 ,�/-
<br />Signature of Claimant`s /�..
<br />Subsribed and sworn to before me this �J 41 day of
<br />GENERAL NOTARY -State of Nebraska R
<br />STEPHANIE K. BLOCK Nota y Public
<br />My Comm. Exp. Feb. 7, 2005
<br />(52 -147. See 52 -148 for amendment; 52 -149 for assignment; 52 -137 for recording time; 52 -154 for discharge or release).
<br />Rev. 9/95
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