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146 <br />- CONSTRUCTION LIEN <br />T - <br />-� 1 m y <br />Jacob Noah Printing Co., <br />Inc., Walton NE 68461 <br />C <br />c� <br />b- <br />V <br />(i <br />I' <br />x <br />C� <br />N <br />0 <br />x <br />a1 <br />�, <br />o y <br />n <br />n <br />r� <br />' <br />4 <br />ti <br />200300992 <br />1. The real estate subject to this lien is: Lot- 8 Meadowlark West 4th Subdivision <br />City of Grand Island, Hall County,_ Nebraska <br />2. The person against whose interest in the real estate the lien is claimed is: _... _. <br />Home Depot USA Incorporated <br />3. The name and address of the claimant is: Dobson Brothers. Construction Company <br />P.O. Box 81409, Lincoln, NE 68501 <br />4. The name and address of the person with whom the claimant contracted is: _ <br />Wieck's Land Leveling, 5766 _West Stolley Park Road, Alda, NE- 68B10 <br />5. 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 />Crushed Concrete <br />6. (Complete one of the following) <br />X The amount unpaid, whether due or not, to the claimant for the services or materials is $ 34,700. 00 <br />The unpaid amount is not fixed by the contract, but a good faith estimate in the amount of $ _ . <br />7. (Complete one of the t'ollowing) <br />H The time the last services or materials were furnished was 09/30102 <br />The time the last services or materials were furnished has not yet. occurred but is estimated to occur <br />ore of Claimant <br />Subsribed and sworn to before me this 4 ll day of M zc- 3'. <br />�OfNERAL NOTARY -State at NebrSNa - '1�iY -( ����L <br />CAROL Jmm . CLARK Notary Public <br />N' Co. En Noe 14 Y001 <br />(52 -147. See 52 148 for amendment; 52 -149 for assignment; 52137 for recording time; 52-154 for discharge or release). <br />Rev. 9/95 <br />T - <br />-� 1 m y <br />Jacob Noah Printing Co., <br />Inc., Walton NE 68461 <br />M <br />N <br />0 <br />x <br />a <br />o y <br />O <br />n <br />Z <br />' <br />R <br />C p <br />O T <br />O <br />Y Cj <br />B <br />.T <br />p- <br />V <br />3 <br />➢ t a <br />O <br />A <br />r <br />o <br />N <br />gy <br />n <br />cLa <br />N <br />ba <br />. <br />CONSTRUCTION <br />LIEN <br />200300992 <br />1. The real estate subject to this lien is: Lot- 8 Meadowlark West 4th Subdivision <br />City of Grand Island, Hall County,_ Nebraska <br />2. The person against whose interest in the real estate the lien is claimed is: _... _. <br />Home Depot USA Incorporated <br />3. The name and address of the claimant is: Dobson Brothers. Construction Company <br />P.O. Box 81409, Lincoln, NE 68501 <br />4. The name and address of the person with whom the claimant contracted is: _ <br />Wieck's Land Leveling, 5766 _West Stolley Park Road, Alda, NE- 68B10 <br />5. 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 />Crushed Concrete <br />6. (Complete one of the following) <br />X The amount unpaid, whether due or not, to the claimant for the services or materials is $ 34,700. 00 <br />The unpaid amount is not fixed by the contract, but a good faith estimate in the amount of $ _ . <br />7. (Complete one of the t'ollowing) <br />H The time the last services or materials were furnished was 09/30102 <br />The time the last services or materials were furnished has not yet. occurred but is estimated to occur <br />ore of Claimant <br />Subsribed and sworn to before me this 4 ll day of M zc- 3'. <br />�OfNERAL NOTARY -State at NebrSNa - '1�iY -( ����L <br />CAROL Jmm . CLARK Notary Public <br />N' Co. En Noe 14 Y001 <br />(52 -147. See 52 148 for amendment; 52 -149 for assignment; 52137 for recording time; 52-154 for discharge or release). <br />Rev. 9/95 <br />