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(Name) , A <br />------ ko <br />�Z-\' ------------------------------------ ------------------ - ------------------------ <br />CLAIMANT: <br />(Na E................ ------------------- <br />........ 3, G S <br />dress <br />a?, Cu. I -------------------- <br />----------------------------- ----------------- <br />(Phone) <br />SERVICES OR MATERIALS FURNISHED BY CLAIMANT: <br />Legal Deppriptiop C <br />... and- -A\L --- 0 --Wr�,AOAAI --- &0&6 <br />QoLky\�4,j Nt-6rcls <br />CLAIMANT CONTRACTED WITH: <br />Jq!n�6 ckan. 1.2-�Sxo- T� -- -------------------------- <br />S:k� �) <br />------------- <br />(Name l <br />I -LO ... a -- <br />� -------------------------------------------- <br />- <br />�4ddress <br />Y.\---------------------------- <br />34= <br />---------- <br />(Phone) GdZ� Y� Arne <br />19-c , �* <br />55L4-n65 Home- �"-- <br />r•�_W ---- lot -------------------------------- <br />---- L(aL-0-f . . ....................................... --------------------------------------------------- -------------- ........ ---------------------------------- <br />CONTRACT PRICE: $ --------------------------- AMOUNT UNPAID: --------------------- <br />TIME LAST SERVICES OR MATERIALS FURNISHED: .............. --------------------------------------------- <br />State of Nlebrova) ---------------------------- <br />SS. <br />------------- <br />---------------- - - - - -- County Signature of Claiman <br />On this day of ----- jJ11 ------- ....... -------------------------------------- before me a Notary Public in and ford <br />DN <br />said county, personally came. 6.1 --- A- ----------------------------------- ---- to me known to be the identical person or <br />CL V L) <br />persons who executed the foregoing instrument, and acknowledged the same to be 'his, her, or their voluntary act and <br />deed. <br />PAIL NOTARY State of Nebraska <br />K ASSAND <br />My NOTARY <br />J. KRAMER <br />Co ---------------------------- <br />MM, V. Dec. 1. <br />MY Comm, Exp. Dec. 1. 2007 Notary Public. <br />My commission expires the----- _ ............ day of ..... ................ <br />STATEOF -------------------------------------------------------------------- Is <br />Entered on numerical index and filed for record, <br />s. <br />County of --------------------------------------------------------- ... in the Register of Deeds Office of said County thei, <br />---------- ----- ....day of------------- - - - - -- - - - - - -- - -- ............ I at -------------------------------------- o'clock and--- - - - - -- .............. minutes ------------------ M.!� <br />and recorded in Book------------------------- - - - -of . ............................ at page--- - - - - -- ....................• <br />------------------------------------------------------- -- ................. ...Reg. of Deeds <br />BY----------------- - - - - -- .............. - ------- ...................... ............... Deputy <br />Rev. 8/95 <br />223 CONSTRUCTION LIEN <br />Jacob North Printing Co., Inc., Lincoln, NE 68524 <br />r <br />M <br />-13 <br />C= <br />M <br />CA <br />rN <br />4— <br />)> <br />rr <br />C= <br />M <br />C: <br />M <br />C <br />CIO L <br />C <br />co <br />co <br />ci <br />CA <br />200407M) <br />CONTRACTING OWNER OR <br />SUCCESSOR <br />IN <br />INTEREST: <br />REAL ESTATE: <br />(Name) , A <br />------ ko <br />�Z-\' ------------------------------------ ------------------ - ------------------------ <br />CLAIMANT: <br />(Na E................ ------------------- <br />........ 3, G S <br />dress <br />a?, Cu. I -------------------- <br />----------------------------- ----------------- <br />(Phone) <br />SERVICES OR MATERIALS FURNISHED BY CLAIMANT: <br />Legal Deppriptiop C <br />... and- -A\L --- 0 --Wr�,AOAAI --- &0&6 <br />QoLky\�4,j Nt-6rcls <br />CLAIMANT CONTRACTED WITH: <br />Jq!n�6 ckan. 1.2-�Sxo- T� -- -------------------------- <br />S:k� �) <br />------------- <br />(Name l <br />I -LO ... a -- <br />� -------------------------------------------- <br />- <br />�4ddress <br />Y.\---------------------------- <br />34= <br />---------- <br />(Phone) GdZ� Y� Arne <br />19-c , �* <br />55L4-n65 Home- �"-- <br />r•�_W ---- lot -------------------------------- <br />---- L(aL-0-f . . ....................................... --------------------------------------------------- -------------- ........ ---------------------------------- <br />CONTRACT PRICE: $ --------------------------- AMOUNT UNPAID: --------------------- <br />TIME LAST SERVICES OR MATERIALS FURNISHED: .............. --------------------------------------------- <br />State of Nlebrova) ---------------------------- <br />SS. <br />------------- <br />---------------- - - - - -- County Signature of Claiman <br />On this day of ----- jJ11 ------- ....... -------------------------------------- before me a Notary Public in and ford <br />DN <br />said county, personally came. 6.1 --- A- ----------------------------------- ---- to me known to be the identical person or <br />CL V L) <br />persons who executed the foregoing instrument, and acknowledged the same to be 'his, her, or their voluntary act and <br />deed. <br />PAIL NOTARY State of Nebraska <br />K ASSAND <br />My NOTARY <br />J. KRAMER <br />Co ---------------------------- <br />MM, V. Dec. 1. <br />MY Comm, Exp. Dec. 1. 2007 Notary Public. <br />My commission expires the----- _ ............ day of ..... ................ <br />STATEOF -------------------------------------------------------------------- Is <br />Entered on numerical index and filed for record, <br />s. <br />County of --------------------------------------------------------- ... in the Register of Deeds Office of said County thei, <br />---------- ----- ....day of------------- - - - - -- - - - - - -- - -- ............ I at -------------------------------------- o'clock and--- - - - - -- .............. minutes ------------------ M.!� <br />and recorded in Book------------------------- - - - -of . ............................ at page--- - - - - -- ....................• <br />------------------------------------------------------- -- ................. ...Reg. of Deeds <br />BY----------------- - - - - -- .............. - ------- ...................... ............... Deputy <br />Rev. 8/95 <br />