200303865 - Laserfiche WebLink

Browse

223- CONSTRUCTION LIEN M Il Z �j CONTRACTING OWNER OR SUCCESSOR IN INTEREST: Jacob North Printing Co., Inc., Lincoln, NE 68524 200303865 6? .............. -7 . ...... (N a -------------------------- --------------------------- ---------------------------- ,?,!0k2 CLAIMANT: ......... 16M H --------------------------------------- (N a me .1 -- - --- ----- (Address1 J. - -- -----! -- --------------------------- ------------------- ------------------------------ - ........ ------ - - - - -- (Phone) SERVICES OR MATERIALS FURNISHED BY CLAIMANT: REAL ESTATE: .......... ...... /1�p --- -------------------------- (Legal Description) ------------------------------------------------------------------ -------- - - - - - -- ----- - - - - -- --------------------------- ---- --------- CLAIMANT CONTRACTED WITH: ------------ -- - - ----------- (Name) --------------- (Address) ........ --- 745 ----- ------------------------------ 4 ........ . (Phone) .......... 44 .A - - - - -- ----- ------ ------ ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------- ------------------ -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ........... I -------------------------------------------------------------------------------------------------------- ...... ......... .............................................. ------------------------------------ ----- CONTRACT PRICE: $------ ---- ----- ------- - - - - -- -------------------------- AMOUNT UNPAID: ...... ----- - TIME LAST SERVICES OR MATERIALS FURNISHED: ........ ------- --------------------------------------------- 1,14 - ------- 41— State o ....... ----------------------------------- ss. --------------------------------------------- Sign of Claimant i ---e o ............................................................ County I On this -------- day of ....... ----------------- x-oz)-,5 ----------- before me a Notary Public in and for' -r�*,, ----------------- said county, personally came ----- - Q - -------------------------------- ------------------ 'A - ------ to me known to be the identical person or persons who executed the foregoing instrument, and acknowledged the same to be his, her, or their voluntary act and deed. 6E*ft NOTARY - W f Nebo DENICE L KRUSE ------------------------------ ----myE ft N 9 %M ------ - - Notary --- ----------- Public. My commission expires the ...... 4-16T,*.day of.... ----------------------------------- --------- STATE OF ....... j" ei, Z:� 0'- ----- ........................... - ........ ss. Entered on numerical index and filed for record County of ........ -- 1k -------- ............. in the Register of Deeds Office of said County the / ..............z_1C/- - ........ .. I ----------- - - - - -- ---day of-- -------------------------------- - - - -.. ............ I at-------------- - - - - -- ................. o'clock and..------ - - - - -- . -- . -- minutes ------------------ M., and recorded in Book-- - - - - -- ........ ---------------- ....of ..... ................ -- - - - -at page----------- - - - - -- ------- ------ -------- - - -- -- ------- .......................... ....... 11eg. of Deeds By-------------------------------------- - - - - -- .................................... Deput3f jf C: 1- M -=0 M C11 C:D, QS C:) CZ) CD M M C-i C) Z3 cn U3 tV CO CD co Cn c Cn SERVICES OR MATERIALS FURNISHED BY CLAIMANT: REAL ESTATE: .......... ...... /1�p --- -------------------------- (Legal Description) ------------------------------------------------------------------ -------- - - - - - -- ----- - - - - -- --------------------------- ---- --------- CLAIMANT CONTRACTED WITH: ------------ -- - - ----------- (Name) --------------- (Address) ........ --- 745 ----- ------------------------------ 4 ........ . (Phone) .......... 44 .A - - - - -- ----- ------ ------ ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------- ------------------ -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ........... I -------------------------------------------------------------------------------------------------------- ...... ......... .............................................. ------------------------------------ ----- CONTRACT PRICE: $------ ---- ----- ------- - - - - -- -------------------------- AMOUNT UNPAID: ...... ----- - TIME LAST SERVICES OR MATERIALS FURNISHED: ........ ------- --------------------------------------------- 1,14 - ------- 41— State o ....... ----------------------------------- ss. --------------------------------------------- Sign of Claimant i ---e o ............................................................ County I On this -------- day of ....... ----------------- x-oz)-,5 ----------- before me a Notary Public in and for' -r�*,, ----------------- said county, personally came ----- - Q - -------------------------------- ------------------ 'A - ------ to me known to be the identical person or persons who executed the foregoing instrument, and acknowledged the same to be his, her, or their voluntary act and deed. 6E*ft NOTARY - W f Nebo DENICE L KRUSE ------------------------------ ----myE ft N 9 %M ------ - - Notary --- ----------- Public. My commission expires the ...... 4-16T,*.day of.... ----------------------------------- --------- STATE OF ....... j" ei, Z:� 0'- ----- ........................... - ........ ss. Entered on numerical index and filed for record County of ........ -- 1k -------- ............. in the Register of Deeds Office of said County the / ..............z_1C/- - ........ .. I ----------- - - - - -- ---day of-- -------------------------------- - - - -.. ............ I at-------------- - - - - -- ................. o'clock and..------ - - - - -- . -- . -- minutes ------------------ M., and recorded in Book-- - - - - -- ........ ---------------- ....of ..... ................ -- - - - -at page----------- - - - - -- ------- ------ -------- - - -- -- ------- .......................... ....... 11eg. of Deeds By-------------------------------------- - - - - -- .................................... Deput3f jf