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DATE: <br />LIEN CLAIMED BY: <br />LIEN CLAIMED AGAINST: <br />STATE OF NEBRASKA ) <br />)ss: <br />COUNTY OF IIALL ) <br />December L, 2004 <br />Starustka Group Co. <br />429 Industrial Lane <br />Grand Island, NE 68803 <br />Greg and Tracy Jussel <br />#36 Lillian i.ane <br />Doniphan, NE 68832 <br />MARC STAROSTKA, duly elected President of STAROSTKA GROUP CO., a <br />Nebraska corporation, being first duly sworn upon oath, deposes and says: <br />1. He is the duly elected President of STAROSTKA GROUP CO., a Nebraska <br />corporation and as said President verifies this account in writing for and on behalf of said <br />corporation. <br />2. STAROSTKA GROUP CO, by and through its duly authorized officers, entered into a <br />contract with GREG AND TRACY JUSSEL, husband and wife, to provide labor and materials <br />for the alteration of the surface by fill and change of grade relating to preparation of the base for <br />construction of a building upon the real estate hereinafter described and the contract price for the <br />improvements to be ma5jeo such rgat estate by STAROSTKA GROUP CO. was <br />1 The labor and ,materials provided is upon and in respect to that real estate located at <br />436 Lillian Lane, Grand Island, Nebraska, being legally described as follows, to -wit: <br />Lot Thirty -Six (36), Amick Acres East Subdivision, Hall County, <br />Nebraska. <br />4. The amount unpaid and due to STAROSTKA GROUP CO. for materials and services <br />provided through December 6, 2004 is Five Thousand Eight Hundred Fifty -Three and 33/100 <br />Dollars ($5,853.33) together with interest thereon as provided by applicable law. <br />5. The time the last services or materials were furnished was on December 6, 2004. <br />rri <br />fV <br />4) Tl t- <br />C <br />f7 2 <br />v <br />\ <br />m <br />m <br />7 <br />J <br />T <br />v <br />n k <br />s <br />X <br />G <br />m <br />x m <br />E <br />oO S a <br />G <br />r <br />N <br />W CD <br />N <br />h— rF <br />N <br />CONSTRUCTION LIEN <br />DATE: <br />LIEN CLAIMED BY: <br />LIEN CLAIMED AGAINST: <br />STATE OF NEBRASKA ) <br />)ss: <br />COUNTY OF IIALL ) <br />December L, 2004 <br />Starustka Group Co. <br />429 Industrial Lane <br />Grand Island, NE 68803 <br />Greg and Tracy Jussel <br />#36 Lillian i.ane <br />Doniphan, NE 68832 <br />MARC STAROSTKA, duly elected President of STAROSTKA GROUP CO., a <br />Nebraska corporation, being first duly sworn upon oath, deposes and says: <br />1. He is the duly elected President of STAROSTKA GROUP CO., a Nebraska <br />corporation and as said President verifies this account in writing for and on behalf of said <br />corporation. <br />2. STAROSTKA GROUP CO, by and through its duly authorized officers, entered into a <br />contract with GREG AND TRACY JUSSEL, husband and wife, to provide labor and materials <br />for the alteration of the surface by fill and change of grade relating to preparation of the base for <br />construction of a building upon the real estate hereinafter described and the contract price for the <br />improvements to be ma5jeo such rgat estate by STAROSTKA GROUP CO. was <br />1 The labor and ,materials provided is upon and in respect to that real estate located at <br />436 Lillian Lane, Grand Island, Nebraska, being legally described as follows, to -wit: <br />Lot Thirty -Six (36), Amick Acres East Subdivision, Hall County, <br />Nebraska. <br />4. The amount unpaid and due to STAROSTKA GROUP CO. for materials and services <br />provided through December 6, 2004 is Five Thousand Eight Hundred Fifty -Three and 33/100 <br />Dollars ($5,853.33) together with interest thereon as provided by applicable law. <br />5. The time the last services or materials were furnished was on December 6, 2004. <br />