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200303691
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Last modified
10/15/2011 7:17:10 PM
Creation date
10/21/2005 4:38:35 PM
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DEEDS
Inst Number
200303691
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145 - CONSTRUCTION LIEN <br />w \ �\ <br />� <br />�V <br />off" �t Li ►'1�0�►�l (�1 t� 1 <br />1. The real estate subject to this lien is: ES�a f e C <br />2. The person against whose interest in the real estate the lien is claimed is: S�1CJlY01(� IQS2j- <br />d :T rm S I OC (?# <br />3. The name and address of the claimant is: <br />I13�; 17). Pao /G4- <br />4. The name and address of the person with whom the claimant contracted is: �T 1 Kyl � Lm e <br />ito Q F. 9-ft- G (�a nd ITS l4 h d e <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 />6. (Complete one of the following) CC <br />The amount unpaid, whether due or not, to the claimant for the services or materials is $ J 36 6 <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 following) <br />The time the last services or materials were furnished was F'_ , -)a, Q00 <br />The time the last services or materials were furnished has not yet occurred but is estimated to occur <br />Subsribed and sworn to before me this <br />GENERAL NOTARY - State a Nebraska <br />I DEWAYNE T. DQaU C <br />V47-V!�Pw My Un, m;. Exp.. <br />(52 -147. See 52 -148 for amendment; 52 -149 for assignment; 52 -137 for recording time; 52 -154 for discharge or release). <br />Gds <br />Signature of Claimant <br />!!�3 <br />Huffman and Felton ,& Wolf, Walton NE 68461 <br />1 <br />rn <br />ry <br />`c�� <br />� <br />C7 CJ> <br />iii <br />O _j <br />=c <br />z <br />m � <br />� <br />frf <br />--A M <br />� <br />p <br />Ln <br />n l � <br />= fT7 <br />rn <br />D <br />Cn <br />CD <br />LIEN <br />CD <br />n <br />C-0 <br />z <br />a: <br />O <br />off" �t Li ►'1�0�►�l (�1 t� 1 <br />1. The real estate subject to this lien is: ES�a f e C <br />2. The person against whose interest in the real estate the lien is claimed is: S�1CJlY01(� IQS2j- <br />d :T rm S I OC (?# <br />3. The name and address of the claimant is: <br />I13�; 17). Pao /G4- <br />4. The name and address of the person with whom the claimant contracted is: �T 1 Kyl � Lm e <br />ito Q F. 9-ft- G (�a nd ITS l4 h d e <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 />6. (Complete one of the following) CC <br />The amount unpaid, whether due or not, to the claimant for the services or materials is $ J 36 6 <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 following) <br />The time the last services or materials were furnished was F'_ , -)a, Q00 <br />The time the last services or materials were furnished has not yet occurred but is estimated to occur <br />Subsribed and sworn to before me this <br />GENERAL NOTARY - State a Nebraska <br />I DEWAYNE T. DQaU C <br />V47-V!�Pw My Un, m;. Exp.. <br />(52 -147. See 52 -148 for amendment; 52 -149 for assignment; 52 -137 for recording time; 52 -154 for discharge or release). <br />Gds <br />Signature of Claimant <br />!!�3 <br />
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