Laserfiche WebLink
223 CONSTRUCTION LIEN <br />Jacob North Printing Co., Inc., Lincoln, NE 68524 <br />CONTRACTING OWNER OR SUCCESSOR IN <br />INTEREST: <br />L- - -- -- ----- <br />(Name) <br />--------- --------- - ------------ ------------------- <br />---- - ------ V:,t _- <br />- -------- - ------- -- <br />CLAIMANT: <br />(Name) <br />-- - -- --- -- ---------------- <br />- ----- - - --- ---- <br />(Address) <br />------------------ _IuoA ------ <br />------ - ----- ------- - <br />.... ......... <br />(Phone) <br />REAL ESTATE: <br />------------------------------------------------------ <br />(Legal Description) <br />------------------- --------- <br />j_� --- --------------------- <br />---- ------------------------- <br />CLAIMANT CONTRACTED WITH: <br />------ -- ---- <br />(Name) <br />------ --- - <br />A -- ----- - - ------- - - - -- <br />(Address) <br />- -------------- - --- ------ <br />-------------- - ---------------- - ------- <br />(Phone) <br />SERVICES OR MATERIALS FURNISHED BY CLAIMANT: _A_X. . ...... A <br />---------- - - <br />�0\ <br />SN \� ------ m 5. <br />s <br />CONTRACT PRICE: <br />AMOUNT UNPAID: <br />TIME LAST SERVICES OR MATERIALS FURNISHED: ------ ........ ------------ - ------------------- - <br />State of <br />Signat ure-o C <br />f laimaint <br />SS. ------------ <br />. ......County 11 <br />C C', <br />On this ... .... day of. -- --- ------------ - before me a Notary Public in and for <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 />6BiAAtNDTA1111••lp�meOfNObtslb /' '' "` <br />CAROL A. NESIBA .... <br />Ry CWM 4 No V, 2W I Notary Public. <br />_27�-L_ - - - - d ay of <br />My commission expires the. - - ------ <br />STATE OF . . ....... - ----- Entered on numerical index and filed for record <br />County of -- -- ---- --- ---- I ss. in the Register of Deeds Office of said County the <br />-.day of _ - - --- -_ - ----- - - I --- - ---- , at- - -_... ... ... ---- ---- -- --- --o'clock and - - -- - -------- - -- minutes.- - -- _ M., <br />and recorded in Book - -- ------- ---- _ ___ of --- --- --- ------ ---- - - - -at page -- ---- --- -- -- <br />- <br />----- ---- - - ----- ---- ----- . ......... - --------- - ------ ­ - Reg. of Deeds <br />By---- - - - - -- -- - - --- ----- -- _ ----- -- - ----- --- -- ---- - - - --- --- ._Deputy <br />Rev. 8/95 <br />(11 r) <br />M <br />U) <br />CD <br />C- <br />el <br />M <br />3: <br />M <br />> <br />CA <br />__j <br />C:D <br />C:) <br />CD <br />Cil <br />cry <br />v� <br />co <br />C-0 <br />3> <br />Cn <br />CA <br />CA <br />200405M <br />CONTRACTING OWNER OR SUCCESSOR IN <br />INTEREST: <br />L- - -- -- ----- <br />(Name) <br />--------- --------- - ------------ ------------------- <br />---- - ------ V:,t _- <br />- -------- - ------- -- <br />CLAIMANT: <br />(Name) <br />-- - -- --- -- ---------------- <br />- ----- - - --- ---- <br />(Address) <br />------------------ _IuoA ------ <br />------ - ----- ------- - <br />.... ......... <br />(Phone) <br />REAL ESTATE: <br />------------------------------------------------------ <br />(Legal Description) <br />------------------- --------- <br />j_� --- --------------------- <br />---- ------------------------- <br />CLAIMANT CONTRACTED WITH: <br />------ -- ---- <br />(Name) <br />------ --- - <br />A -- ----- - - ------- - - - -- <br />(Address) <br />- -------------- - --- ------ <br />-------------- - ---------------- - ------- <br />(Phone) <br />SERVICES OR MATERIALS FURNISHED BY CLAIMANT: _A_X. . ...... A <br />---------- - - <br />�0\ <br />SN \� ------ m 5. <br />s <br />CONTRACT PRICE: <br />AMOUNT UNPAID: <br />TIME LAST SERVICES OR MATERIALS FURNISHED: ------ ........ ------------ - ------------------- - <br />State of <br />Signat ure-o C <br />f laimaint <br />SS. ------------ <br />. ......County 11 <br />C C', <br />On this ... .... day of. -- --- ------------ - before me a Notary Public in and for <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 />6BiAAtNDTA1111••lp�meOfNObtslb /' '' "` <br />CAROL A. NESIBA .... <br />Ry CWM 4 No V, 2W I Notary Public. <br />_27�-L_ - - - - d ay of <br />My commission expires the. - - ------ <br />STATE OF . . ....... - ----- Entered on numerical index and filed for record <br />County of -- -- ---- --- ---- I ss. in the Register of Deeds Office of said County the <br />-.day of _ - - --- -_ - ----- - - I --- - ---- , at- - -_... ... ... ---- ---- -- --- --o'clock and - - -- - -------- - -- minutes.- - -- _ M., <br />and recorded in Book - -- ------- ---- _ ___ of --- --- --- ------ ---- - - - -at page -- ---- --- -- -- <br />- <br />----- ---- - - ----- ---- ----- . ......... - --------- - ------ ­ - Reg. of Deeds <br />By---- - - - - -- -- - - --- ----- -- _ ----- -- - ----- --- -- ---- - - - --- --- ._Deputy <br />Rev. 8/95 <br />