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m <br />h �.• n Dom'^. <br />p .O <br />200302743 <br />0 <br />CONSTRUCTION LIEN <br />1. THE REAL ESTATE SUBJECT TO THIS LIEN IS: SUBDIVISION: CRANE VALLEY 4TH SUB LOT: <br />2 BLOCK:O <br />2. THE PERSONS AGAINST WHOSE INTEREST IN THE REAL ESTATE THE LIEN IS CLAIMED ARE: <br />SHAFER MEDICAL TWO LLC <br />1004 DTERS AVE SUITE 300 <br />GRAND ISLAND, NE 68803 <br />3. THE NAME OF CLAIMANT IS: <br />BUILDERS WAREHOUSE <br />P 0 BOX 1447 <br />GRAND ISLAND, NE 68802 <br />4. THE NAME AND ADDRESS OF THE PERSON WITH WHOM THE CLAIMANT CONTRACTED IS: <br />SHAFER INC, DRA SHAFER CONST <br />1004 DIERS AVE SUITE 300 <br />GRAND ISLAND, NE 68803 <br />5. A GENERAL DESCRIPTION OF THE CLAIMANTS MATERIALS FURNISHED FOR THE IMPROVEMENT <br />AND THE UNPAID AMOUNT IS: <br />BUILDING MATERIALS $8531.76 <br />6. THE AMOUNT UNPAID TO THE CLAIMANT FOR MATERIALS IS: $8531.76 <br />7. THE DATE THE LAST MATERIALS WERE FURNISHED WAS DECEMBER 31, 2002 <br />BY <br />wAREHOUSE <br />SUBSCRIBED AND SWORN TO <br />BEFORE ME THIS 444- DAY OF MIP 2003 <br />NOTARY PUBLIC <br />BBIFRAI. NOTARY•Sh0 NRe fl <br />0resla <br />MICFNEL P CAflAHEfl <br />N20cmm.F�. NW..20, 2005 <br />