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i <br />c6 <br />r <br />200412075 <br />CONSTRUCTION LIEN <br />1. THE REAL ESTATE SUBJECT TO THIS LIEN IS: BLOCK 5, PONDEROSA LAKE ESTATES <br />SUBDIVISION <br />2. THE PERSON AGAINST WHOSE INTEREST IN THE REAL ESTATE THE LIEN IS CLAIMED <br />ARE: SHAFER CONSTRUCTION 819 DIERS AVE STE 1, GRAND ISLAND NE. 68803 <br />3. THE NAME OF THE CLAIMANT IS: <br />BUILDERS WAREHOUSE <br />P.O. BOX 1447 <br />GRAND ISLAND, NE 68802 <br />4. THE NAME AND ADDRESS OF THE PERSON WITH WHOM THE CLAIMANT CONTRACTED <br />IS: SHAFER CONSTRUCTION <br />819 DIERS AVE SUITE 1 <br />GRAND ISLAND, NE 68803 <br />5. A GENERAL DESCRIPTION OF THE CLAIMANTS MATERIALS FURNISHED FOR THE <br />IMPROVEMENT AND THE UNPAID AMOUNT IS: $1826.16 FOR BUILDING MATERIALS <br />6. THE AMOUNT UNPAID TO THE CLAIMANT FOR MATERIALS IS: $1826.16 <br />7. THE DATE THE LAST MATERIALS WERE AS: NOV. 15TH, 2004 <br />BY <br />BUILD WAREHOUSE <br />CLAIMANT <br />SUBSCRIBE AND SWORN TO BEFORE ME <br />THIS Wb DAY OF I ��A.0 I x.004 <br />QwK NOTARY - S'w of Nebraska <br />SM M. 80SHART <br />NOTARY PUBLIC <br />L <br />n <br />Z <br />D <br />c <br />Z <br />m <br />n <br />CA <br />= <br />_•, <br />G <br />c> cn <br />C1 <br />7C <br />o --, <br />O <br />7nC <br />N <br />m <br />n <br />rn <br />O <br />Q) <br />V ` <br />s J <br />® <br />n <br />( <br />= m <br />o <br />:3 <br />r V <br />7Z <br />O (p <br />v <br />"J eft <br />U'! <br />v <br />Q3 <br />U) <br />cn Z <br />o <br />sso <br />CONSTRUCTION LIEN <br />1. THE REAL ESTATE SUBJECT TO THIS LIEN IS: BLOCK 5, PONDEROSA LAKE ESTATES <br />SUBDIVISION <br />2. THE PERSON AGAINST WHOSE INTEREST IN THE REAL ESTATE THE LIEN IS CLAIMED <br />ARE: SHAFER CONSTRUCTION 819 DIERS AVE STE 1, GRAND ISLAND NE. 68803 <br />3. THE NAME OF THE CLAIMANT IS: <br />BUILDERS WAREHOUSE <br />P.O. BOX 1447 <br />GRAND ISLAND, NE 68802 <br />4. THE NAME AND ADDRESS OF THE PERSON WITH WHOM THE CLAIMANT CONTRACTED <br />IS: SHAFER CONSTRUCTION <br />819 DIERS AVE SUITE 1 <br />GRAND ISLAND, NE 68803 <br />5. A GENERAL DESCRIPTION OF THE CLAIMANTS MATERIALS FURNISHED FOR THE <br />IMPROVEMENT AND THE UNPAID AMOUNT IS: $1826.16 FOR BUILDING MATERIALS <br />6. THE AMOUNT UNPAID TO THE CLAIMANT FOR MATERIALS IS: $1826.16 <br />7. THE DATE THE LAST MATERIALS WERE AS: NOV. 15TH, 2004 <br />BY <br />BUILD WAREHOUSE <br />CLAIMANT <br />SUBSCRIBE AND SWORN TO BEFORE ME <br />THIS Wb DAY OF I ��A.0 I x.004 <br />QwK NOTARY - S'w of Nebraska <br />SM M. 80SHART <br />NOTARY PUBLIC <br />L <br />