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705 Redwood, Grand Island, Nebraska <br />Y' Pagel of 2 <br />June 5, 2003 <br />U <br />oe <br />Legal: Lot five (5), Westwood Park Sixth Subdivision on the City of Grand Island, Hall County, Nebraska <br />2. The person against whose interest in the real estate the lien is claimed is: (Contracting Owner) <br />Shafer Development <br />Joel Shafer <br />30 Ponderosa Drive <br />Grand Island, Nebraska 68803 <br />EIN:47- 0832801 <br />3. The name and address of the person with whom the owner contracted is: (Contractor) <br />Miska Drywall <br />Dean Miska <br />219 N. 22nd Street <br />Ord, Nebraska 68862 <br />EfN:47- 0726045 <br />4. The name and address of the claimant is: <br />Miska Drywall <br />Dean Miska <br />219 N. 22nd Street <br />Ord, Nebraska 68862 <br />5. A general description of the claimant's services performed or to be performed or materials furnished or <br />to be furnished for the improvement of said real estate and the contract price is: <br />Labor provided: Provided drywall services $2,794.00 <br />Materials provided: $ 194.00 <br />6. Complete one of the following <br />x The amount unpaid, whether due or not, to the claimant for the services or materials is $2,988.00 <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 />x The time the last services or materials were furnished was: February 14, 2003. <br />The time the last services or materials were furnished has not yet occurred but is estimated to occur <br />s <br />I <br />iz <br />r_- . <br />O <br />•-• �-. <br />N <br />1 <br />N <br />O <br />1 <br />N <br />CIO <br />c <br />O <br />G_— <br />C� <br />O <br />L <br />o <br />O <br />Li O <br />I_ <br />�� <br />Q <br />UJ <br />CZ) <br />C) <br />CONSTRUCTION LIEN all <br />c <br />« <br />U u <br />1. <br />W <br />The real estate <br />subject <br />to this <br />lien is: <br />(Street Address and/or Legal Description) <br />705 Redwood, Grand Island, Nebraska <br />Y' Pagel of 2 <br />June 5, 2003 <br />U <br />oe <br />Legal: Lot five (5), Westwood Park Sixth Subdivision on the City of Grand Island, Hall County, Nebraska <br />2. The person against whose interest in the real estate the lien is claimed is: (Contracting Owner) <br />Shafer Development <br />Joel Shafer <br />30 Ponderosa Drive <br />Grand Island, Nebraska 68803 <br />EIN:47- 0832801 <br />3. The name and address of the person with whom the owner contracted is: (Contractor) <br />Miska Drywall <br />Dean Miska <br />219 N. 22nd Street <br />Ord, Nebraska 68862 <br />EfN:47- 0726045 <br />4. The name and address of the claimant is: <br />Miska Drywall <br />Dean Miska <br />219 N. 22nd Street <br />Ord, Nebraska 68862 <br />5. A general description of the claimant's services performed or to be performed or materials furnished or <br />to be furnished for the improvement of said real estate and the contract price is: <br />Labor provided: Provided drywall services $2,794.00 <br />Materials provided: $ 194.00 <br />6. Complete one of the following <br />x The amount unpaid, whether due or not, to the claimant for the services or materials is $2,988.00 <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 />x The time the last services or materials were furnished was: February 14, 2003. <br />The time the last services or materials were furnished has not yet occurred but is estimated to occur <br />s <br />I <br />