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145 - CONSTRUCTION LIEN Jacob North Printing Co., Inc., Lincoln, NE 68524 <br />rn Z <br />D <br />N G- c n= <br />`env <br />> C/1� Q Ca) <br />CID <br />OK) t1 JLS v R' `' G 3 < 84► <br />CID <br />M <br />13 CID <br />Z <br />co <br />CONSTRUCTION LIEN <br />i <br />1. The real estate subject to this lien is: _3 (�- _ i 1 1 C/ 7 �cl rte <br />{ <br />2. The person against whose interest in the real estate the lien is claimed is: (YI i(d) �� -' l r-lnr-1 2 �1 c <br />3. The name and address of the claimant is: J, M' - `� <br />AUc (Ir lel{ earl %V sz— 620-5 <br />4. The name and address of the person with whom the claimant contracted is: A-1 )S�-I a c, (;( <br />15. <br />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 />ri <br />r1Q i- 1 aalci 11 umss'o -) r m r (73 r l i K`t 1: -4r or <br />6. (Complete one of the following) r <br />The amount unpaid, whether due or not, to the claimant for the services or materials is $ j <br />The unpaid amount is not fixed by the contract, but a good faith estimate in the amount of $ i <br />i <br />7. (Complete one of the following) j <br />j The time the last services or materials were furnished was f l<x)f' m b,�7 C <br />I <br />The time the last services or materials were furnished has not yet occurred but is estimated to occur <br />I Signature of Claimant <br />1 <br />Subscribed and sworn to before me this v1 day of <br />GENERAL NOTARY- SateofNeb�aska <br />TAMRA L. CAMPBELL Notary Public <br />My Comm. Exp. Sept 4, 2005 <br />1(52-147. See 52 -148 for amendment; 52 -149 for assignment; 52 -137 for recording time; 52 -154 for discharge or release). <br />I <br />I <br />i <br />Ii <br />I <br />