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DATE: <br />May 30, 2003 <br />LIEN CLAIMED BY: Bolles Heating & Air Conditioning <br />916 S. Greenwich <br />Grand Island, NE 68801 <br />LIEN CLAIMED AGAINST: Shafer Construction <br />1004 North Diers Ave., Suite 300 <br />Grand Island, NE 68803 <br />STATE OF NEBRASKA) ` <br />)ss: <br />COLN'I Y OF HALT, ) <br />TARRY BOLLES, owner of Bolles Heating & Air Conditioning, being first duly sworn <br />upon oath, deposes and says: <br />1. He is the owner of the sole proprietorship known as Bolles Heating & Air <br />Conditioning and verifies this account in writing for and on behalf of said business. <br />2. Bolles Heating & Air Conditioning entered into a verbal contract with Shafer <br />Construction to provide labor and materials for the heating and air conditioning requirements <br />relating to construction of a home upon the real estate hereinafter described and the contract <br />price for the improvements constructed upon such real estate by Bolles Heating & Air <br />Conditioning through May 29, 2003 totaled Two Thousand Five Hundred Sixteen and 32/100 <br />Dollars ($2,516.32). <br />3. The materials and labor were provided upon and in respect to that real estate located at <br />Grand Island, Nebraska, legally described as follows, to -wit: <br />Lot Six (6), Westwood Park Sixth Subdivision, in the City of Grand Island, <br />Hall County, Nebraska. <br />4. The amount unpaid and due to Bolles Heating & Air Conditioning for materials and <br />services provided in accordance with the invoices through May 29, 2003 at Two Thousand Five <br />Hundred Sixteen and 32/100 Dollars ($2,516.32) together with interest thereon as provided by <br />applicable law. <br />T 2 D <br />M N <br />Z <br />M <br />n <br />i� <br />ca y <br />rr'1 <br />� <br />-3 <br />Z D <br />N <br />rt <br />((pD <br />N <br />Z <br />0 <br />CONSTRUCTION LIEN <br />DATE: <br />May 30, 2003 <br />LIEN CLAIMED BY: Bolles Heating & Air Conditioning <br />916 S. Greenwich <br />Grand Island, NE 68801 <br />LIEN CLAIMED AGAINST: Shafer Construction <br />1004 North Diers Ave., Suite 300 <br />Grand Island, NE 68803 <br />STATE OF NEBRASKA) ` <br />)ss: <br />COLN'I Y OF HALT, ) <br />TARRY BOLLES, owner of Bolles Heating & Air Conditioning, being first duly sworn <br />upon oath, deposes and says: <br />1. He is the owner of the sole proprietorship known as Bolles Heating & Air <br />Conditioning and verifies this account in writing for and on behalf of said business. <br />2. Bolles Heating & Air Conditioning entered into a verbal contract with Shafer <br />Construction to provide labor and materials for the heating and air conditioning requirements <br />relating to construction of a home upon the real estate hereinafter described and the contract <br />price for the improvements constructed upon such real estate by Bolles Heating & Air <br />Conditioning through May 29, 2003 totaled Two Thousand Five Hundred Sixteen and 32/100 <br />Dollars ($2,516.32). <br />3. The materials and labor were provided upon and in respect to that real estate located at <br />Grand Island, Nebraska, legally described as follows, to -wit: <br />Lot Six (6), Westwood Park Sixth Subdivision, in the City of Grand Island, <br />Hall County, Nebraska. <br />4. The amount unpaid and due to Bolles Heating & Air Conditioning for materials and <br />services provided in accordance with the invoices through May 29, 2003 at Two Thousand Five <br />Hundred Sixteen and 32/100 Dollars ($2,516.32) together with interest thereon as provided by <br />applicable law. <br />