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_W <br />�o <br />In <br />200407969 <br />0 <br />CONSTRUCTION LIEN <br />1. <br />Claimant: Lincoln Drywall Services, Inc., 5731 Seward Ave., Lincoln, NE 68507 <br />2. <br />The Real Estate subject to the lien is (legal description): Lot 2 Home Sub Division to City of <br />Grand Island otherwise known as third floor renovation at 2201 N Broadwell, Grand Island, NE <br />68803 <br />1 <br />The name and address of the contracting owner of the real estate against whose interest in <br />the real estate this lien is claimed: US Veterans Hospital <br />2201 N Broadwell <br />Grand Island NE 68803 <br />4. <br />The person with whom Claimant contracted: T & R Drywall Inc <br />308 S Claude <br />Grand Island NE 68803 <br />5. <br />The services preformed or to be performed or the materials provided or to be provided: <br />Construction Materials and Supplies <br />6. <br />The amount unpaid whether due or not is: $12,329.67 <br />7. <br />The last date that materials or services were furnished: June 28, 2004 <br />Lincoln all Services, Inc. <br />Claim <br />b <br />its resident <br />STATE <br />OF Nebraska ) <br />COUNTY <br />OF Lancaster ) ss. <br />The foregoing instrument was acknowledged before me, a Notary Public, on this —0,A-ay of <br />- �,20_D_�JbyL r as%P�,I'r rt% of. iixvSjn1 y)C�y�L,l� ro uhv�.`rnr <br />{� <br />/Av <br />—ta ',�1- -� <br />��0 ��- <br />rNj <br />GENERAL WARY -= of NeOr -h <br />�i SHARON L. ALLDER <br />°`l My Cam., EV March 17. 2005 <br />