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m�r <br />H T.I { 0 <br />i <br />N <br />=b <br />N <br />2 <br />CONSTRUCTION LIEN <br />m �`l <br />0 <br />N <br />0 <br />3 <br />C <br />2 M <br />ti m <br />j o <br />T <br />n <br />v <br />c� <br />L <br />The undersigned, pursuant to the Nebraska Construction Lien <br />Act, hereby gives notice of Claim of Lien as follows: <br />1. The real estate subject to the lien is described as: <br />See Attached "Addendum A ". <br />2. The name of the person against whose interest in the real <br />estate a lien is claimed is Chuck Lavender. <br />3. The claimant is Brad Henke, d /b /a XYZ Pest and Lawn St. <br />Paul Lawn Care, P.O. Box 1643, Grand Island, NE 68802. <br />4. The claimant contracted with Chuck Lavender, 3706 W. Old <br />Highway 30, Grand Island, NE 68801. <br />S. The services to he performed and furnished for the <br />improvement to the above - described real estate were performed on <br />November 21, 2002, consisting of termite and pest control <br />treatment. <br />6. The amount unpaid to the claimant for the services or <br />materials furnished, including the inspection fee, is Five Hundred <br />Seventy Dollars Fifty -Three Cents ($570.53). <br />7. The last services or materials furnished to the above <br />described real estate were performed on November 21, 2002. <br />IN WITNESS WHEREOF, the undersigned has caused this Claim of <br />Lien to be executed this �_ day of January, 2003, at Grand <br />Island, Nebraska. <br />XYZ PEST AND LAWN ST. PAUL LAWN <br />CARE, <br />By uyL�t� lL�.tJ - <br />BRAD HENKE <br />P.O. Box 1643 <br />Grand Island, NE 68802 <br />Tele: 308 -384 -8564 <br />STATE OF NEBRASKA) <br />)as. <br />COUNTY OF HALL ) <br />On the d is day of January, 2003, personally appeared before <br />the undersigned Notary Public, Brad Henke, to me known to be the <br />person who executed the above and foregoing Lien, acknowledged the <br />execution thereof anal thaC t %.e faces stated therein were t__._ and <br />correct as he verily believed. <br />w�� <br />Yaor.ary ". Fhzbi iC"' ' <br />CL1'ILVHEVAfL4 I'L(E <br />o <br />N <br />o u <br />o ^� <br />cn .. <br />C7 <br />