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223 CONSTRUCTION LIEN <br />n <br />fr-1 <br />�) (o s> <br />cr, 4 <br />XL-A <br />7--- <br />C- <br />a <br />CONTRACTING OWNER OR SUCCESSOR IN <br />INTEREST: <br />,ac--jDfol t --------- --- ----------- <br />(Nan-Le) <br />-1 Rc <br />L-51r—wrlo ------- ------------------ <br />z <br />- /j -T5.- --- y ------------ -1 ---------------------------- ----------------- <br />CLAIMANT: <br />--------- sav4c'--c - ---------- <br />(Name) <br />------ P) -N ----------- � °-- 0----------- - - - - -- ------- --------------- -- <br />(Address) "-e <br />.... ----- 4 <br />------------- <br />--------- --- <br />--\ ---------- I.. - - "- -------------------- - - - - - -- <br />(Phone) <br />Jacob North Printing Co., Inc., Lincoln, NE 68524 <br />200304037 <br />CLAIMANT CONTRACTED WITH: <br />-- --------------- --------------------- - ---------- <br />(Address)- <br />,,7 . ....... <br />- <br />-- - ---------- - <br />!/ --------------- <br />----------------- <br />(Phone) <br />SERVICES OR MATERIALS FURNISHED BY CLAIMANT: ----------------------- .7 ------- ------------------ --------------------------------------- <br />--------------------------------- ... I ---------------------------------------------------- - --------------------------------------------------------------- ---------------------------------- ----------------------------------------- <br />CONTRACT PRICE: $ -------- ------------------- ------------------ AMOUNT UNPAID: $ ---- Y qz ? ----------------------- --------- <br />TIME LAST SERVICES OR MATERIALS FURNISHED: .... -------- -------------------------------------------- - - - - -- <br />State of A <br />--------------- <br />SS. <br />> ------ c;u5�-f-c-, <br />----------- 00�� ---------------------- County Signature of Claimant <br />----------- t ------ <br />On this &44 ---- day of ---- -------- - before me a Notary Public in and for <br />------------------------------------ --- ---- <br />said county, personally came -- ---------------------- ----- ---------------- ....( <br />... -6:L ----- to me known to be the identical person or', <br />persons who executed the foregoing instrument, and acknowledged the same to be his, her, or their voluntary act an4 <br />deed. <br />GENERAL NOTARY - State of Nebraska 1 <br />DEVICE R. KRUSE I (e. I <br />--------------------------------- -------------------------------- ----------- <br />My Comm. Exp. Sept 25, 2006 1 <br />Notary Public. <br />My commission expires the .... C5�-19/-Zt--day of... <br />------------------------------------ ------------- <br />STATE OF ---------------------------- ---------- ----------------- - .... Iss. Entered on numerical index and filed for recoro <br />, <br />County of ------------------------------ --------------------------------- in the Register of Deeds Office of said County thel, <br />------------- ...... day of-- - - - - -- ------ I ------------------------ .......... .-I at----- - - - - -- -------------------- - - - - -- o'clock and---------- - - - - -- .... ...minutes --- .............. M., <br />and recorded in Book- - - - - -- ------------ ... of ............................. at page .............................. <br />------------------------------------ .............................. ...... Reg. of Deedo <br />By - - -- --------------------------------- ............. ---- ---------- ---- ----- ---- -- - - -- Deputy{ <br />C <br />C=1 <br />C> <br />0 <br />M <br />CD <br />n <br />r- <br />CD t� <br />M <br />ZC: rTj <br />> ca <br />cm,! <br />M <br />i <br />CIO <br />C:::)! <br />Cil <br />Cn <br />.. <br />CP <br />REAL ESTATE: <br />......... <br />A'-p't< -- ------------------------------- <br />(], egal Description) <br />......... JJ <br />------------------ --------------------- ------------------ <br />---------------------------------------------- <br />CLAIMANT CONTRACTED WITH: <br />-- --------------- --------------------- - ---------- <br />(Address)- <br />,,7 . ....... <br />- <br />-- - ---------- - <br />!/ --------------- <br />----------------- <br />(Phone) <br />SERVICES OR MATERIALS FURNISHED BY CLAIMANT: ----------------------- .7 ------- ------------------ --------------------------------------- <br />--------------------------------- ... I ---------------------------------------------------- - --------------------------------------------------------------- ---------------------------------- ----------------------------------------- <br />CONTRACT PRICE: $ -------- ------------------- ------------------ AMOUNT UNPAID: $ ---- Y qz ? ----------------------- --------- <br />TIME LAST SERVICES OR MATERIALS FURNISHED: .... -------- -------------------------------------------- - - - - -- <br />State of A <br />--------------- <br />SS. <br />> ------ c;u5�-f-c-, <br />----------- 00�� ---------------------- County Signature of Claimant <br />----------- t ------ <br />On this &44 ---- day of ---- -------- - before me a Notary Public in and for <br />------------------------------------ --- ---- <br />said county, personally came -- ---------------------- ----- ---------------- ....( <br />... -6:L ----- to me known to be the identical person or', <br />persons who executed the foregoing instrument, and acknowledged the same to be his, her, or their voluntary act an4 <br />deed. <br />GENERAL NOTARY - State of Nebraska 1 <br />DEVICE R. KRUSE I (e. I <br />--------------------------------- -------------------------------- ----------- <br />My Comm. Exp. Sept 25, 2006 1 <br />Notary Public. <br />My commission expires the .... C5�-19/-Zt--day of... <br />------------------------------------ ------------- <br />STATE OF ---------------------------- ---------- ----------------- - .... Iss. Entered on numerical index and filed for recoro <br />, <br />County of ------------------------------ --------------------------------- in the Register of Deeds Office of said County thel, <br />------------- ...... day of-- - - - - -- ------ I ------------------------ .......... .-I at----- - - - - -- -------------------- - - - - -- o'clock and---------- - - - - -- .... ...minutes --- .............. M., <br />and recorded in Book- - - - - -- ------------ ... of ............................. at page .............................. <br />------------------------------------ .............................. ...... Reg. of Deedo <br />By - - -- --------------------------------- ............. ---- ---------- ---- ----- ---- -- - - -- Deputy{ <br />