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223 CONSTRUCTION LIEN
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<br />Jacob North Printing Co., Inc., Lincoln, NE 68524
<br />CONTRACTING OWNER OR SUCCESSOR IN
<br />INTEREST:
<br />Timothy O'Neill
<br />-----------------------------------------------------------------
<br />ame)
<br />----207 - South_- Sylvan
<br />Grand Island, NE----- 68801------------------------------------- - - - - --
<br />- -- -- -- -- - - - - - --
<br />CLAIMANT:
<br />.Third- -Pa-rty..Erivir-ornierita-1,,..- Inc - - ---------------------
<br />(Name) Patrick O'Neill
<br />- 1- 5.1- 6-- S- ;--- Gur�rel --- Road ---------------------------------------------
<br />(Address) P.O. Box 2202
<br />- - - -- ........ .
<br />------- -- - - - - -- Grand- Island, ..NE -- 68802 -2202
<br />30$ -- 381. - 9672------------ - - - - -- -----------------------------------------------------
<br />(Phone)
<br />200408383
<br />REAL ESTATE:
<br />`, ,-moo
<br />Original -. Town- .N --- 6- 0.'.- .E'R -- Lets --- 1 ...... 2._ &-- 3 ------
<br />- --
<br />(Legal Description) I
<br />Block-- 89--------- - - - -o- - - - -- ----- - -n -) --
<br />-------------------------------------------------------------------------------------------- - - - - -- - -!
<br />CLAIMANT CONTRACTED WITH:
<br />�TNmothy- ..O..:Nei.J.� ........----------------------------------------------- -- - - - - --
<br />1Z South Sylvan
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<br />--------------------------------- -----------------------
<br />(Address)
<br />Grand Island,.-- 1VE - - - -- 68801_--- ---------------------------------------
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<br />------------------------------------------------------------------- - - - - -- - - - -- -- -- -- ---- - - - - --
<br />(Phone)
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<br />SERVICES OR MATERIALS FURNISHED BY CLAIMANT: .Indoor..aa._r ... Ali.ty_insp- ectiort..ar)d -- report =.
<br />ing for facility. at 205 West- -- First - -- Street, - -- Grand -- Island, --- NE,___ -__ Cost -- includes-- approx- i------------
<br />mately 350 hours labor, testing, - -- analysis, - -- laboratory -- analysis,--- egupmerlt -, - -- materials---------
<br />and all other costs... relative- to - -- the - project• - .. ............. ....... -
<br />------------------------------------- - - - - -- costs
<br />CONTRACT PRICE: $.9.,- 750, X00-- ------------------------ - - -
<br />TIME LAST SERVICES OR MATERIALS FURNISHED:
<br />State of -- . -. -.- Nebraska
<br />ss.
<br />Hall
<br />. ..... - ----- ----- -- --- -------- - - - - -- County
<br />AMOUNT UNPAID: $ --- 9,.7. 50.00 ------------------------------
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<br />April 27, 2004
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<br />-- --
<br />„Signature of Claimant
<br />On this -- - 3- .- .- . - -. -. day ofj�..�`t CL ................ T..--------------- --- ------ ---- -- ---------- -- -- -- - �D -q , before me a Notary Public in and fort
<br />said county, personally came - -t'C,� r- eck --- �-�-'C *. °:. 11-------------- ---------- -- ---- --------- - - - - -- 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. GENERAL NOTARY -Stag Nebi�
<br />SHERt_YN J. LAHM
<br />My Comm. EXP. June 1, 20 �;,�- - 0. <l1<- r:- jj...------------ - -
<br />~— Notary Public.
<br />My commission expires the ------------ I- .........day of.... dtc ,l— L- _- _---- --- --- --- --- -- - - - -- 11f._(207
<br />1
<br />STATEOF ..................................... ............ ... ..... ... .. .. ....
<br />ss. Entered on numerical index and filed for record
<br />County of ....................................... ........... .. .................. in the Register of Deeds Office of said County the
<br />-------- - - - - -- -- - -day of------- - - - - -- ------------ - - - - -- - - - - -- - - - - -, at------------------- - - - - -. ------ - - - - -- o'clock and-- - - - - -- - -- -- - - - -.. ..minutes - -- ......---- - - - -M.
<br />and recorded in Book---------- -- - - - -- ------- - - - -of ------------------------- - - - -at page ..............................
<br />----- - - - - -- -------------------- - - - - -- ------ - - - - -- - - - - - -- -- - -- -- - - - - -- - -- -Reg. of Deedq
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<br />By---------------- - - - - -- ------- - - - - - - - -- ------------------- - - - - -- --- - - - - -- - - - - - -- -- Deputy{
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<br />CONTRACTING OWNER OR SUCCESSOR IN
<br />INTEREST:
<br />Timothy O'Neill
<br />-----------------------------------------------------------------
<br />ame)
<br />----207 - South_- Sylvan
<br />Grand Island, NE----- 68801------------------------------------- - - - - --
<br />- -- -- -- -- - - - - - --
<br />CLAIMANT:
<br />.Third- -Pa-rty..Erivir-ornierita-1,,..- Inc - - ---------------------
<br />(Name) Patrick O'Neill
<br />- 1- 5.1- 6-- S- ;--- Gur�rel --- Road ---------------------------------------------
<br />(Address) P.O. Box 2202
<br />- - - -- ........ .
<br />------- -- - - - - -- Grand- Island, ..NE -- 68802 -2202
<br />30$ -- 381. - 9672------------ - - - - -- -----------------------------------------------------
<br />(Phone)
<br />200408383
<br />REAL ESTATE:
<br />`, ,-moo
<br />Original -. Town- .N --- 6- 0.'.- .E'R -- Lets --- 1 ...... 2._ &-- 3 ------
<br />- --
<br />(Legal Description) I
<br />Block-- 89--------- - - - -o- - - - -- ----- - -n -) --
<br />-------------------------------------------------------------------------------------------- - - - - -- - -!
<br />CLAIMANT CONTRACTED WITH:
<br />�TNmothy- ..O..:Nei.J.� ........----------------------------------------------- -- - - - - --
<br />1Z South Sylvan
<br />e)
<br />--------------------------------- -----------------------
<br />(Address)
<br />Grand Island,.-- 1VE - - - -- 68801_--- ---------------------------------------
<br />j
<br />------------------------------------------------------------------- - - - - -- - - - -- -- -- -- ---- - - - - --
<br />(Phone)
<br />i
<br />i
<br />SERVICES OR MATERIALS FURNISHED BY CLAIMANT: .Indoor..aa._r ... Ali.ty_insp- ectiort..ar)d -- report =.
<br />ing for facility. at 205 West- -- First - -- Street, - -- Grand -- Island, --- NE,___ -__ Cost -- includes-- approx- i------------
<br />mately 350 hours labor, testing, - -- analysis, - -- laboratory -- analysis,--- egupmerlt -, - -- materials---------
<br />and all other costs... relative- to - -- the - project• - .. ............. ....... -
<br />------------------------------------- - - - - -- costs
<br />CONTRACT PRICE: $.9.,- 750, X00-- ------------------------ - - -
<br />TIME LAST SERVICES OR MATERIALS FURNISHED:
<br />State of -- . -. -.- Nebraska
<br />ss.
<br />Hall
<br />. ..... - ----- ----- -- --- -------- - - - - -- County
<br />AMOUNT UNPAID: $ --- 9,.7. 50.00 ------------------------------
<br />)
<br />I
<br />April 27, 2004
<br />f
<br />-- --
<br />„Signature of Claimant
<br />On this -- - 3- .- .- . - -. -. day ofj�..�`t CL ................ T..--------------- --- ------ ---- -- ---------- -- -- -- - �D -q , before me a Notary Public in and fort
<br />said county, personally came - -t'C,� r- eck --- �-�-'C *. °:. 11-------------- ---------- -- ---- --------- - - - - -- 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. GENERAL NOTARY -Stag Nebi�
<br />SHERt_YN J. LAHM
<br />My Comm. EXP. June 1, 20 �;,�- - 0. <l1<- r:- jj...------------ - -
<br />~— Notary Public.
<br />My commission expires the ------------ I- .........day of.... dtc ,l— L- _- _---- --- --- --- --- -- - - - -- 11f._(207
<br />1
<br />STATEOF ..................................... ............ ... ..... ... .. .. ....
<br />ss. Entered on numerical index and filed for record
<br />County of ....................................... ........... .. .................. in the Register of Deeds Office of said County the
<br />-------- - - - - -- -- - -day of------- - - - - -- ------------ - - - - -- - - - - -- - - - - -, at------------------- - - - - -. ------ - - - - -- o'clock and-- - - - - -- - -- -- - - - -.. ..minutes - -- ......---- - - - -M.
<br />and recorded in Book---------- -- - - - -- ------- - - - -of ------------------------- - - - -at page ..............................
<br />----- - - - - -- -------------------- - - - - -- ------ - - - - -- - - - - - -- -- - -- -- - - - - -- - -- -Reg. of Deedq
<br />i
<br />By---------------- - - - - -- ------- - - - - - - - -- ------------------- - - - - -- --- - - - - -- - - - - - -- -- Deputy{
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