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711 Redwood, Grand Island, Nebraska <br />Legal: Lot six (6), 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 />EIN: 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 $3,448.00 <br />Materials provided: $ 250.00 <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 $3,698.00 <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 />o' <br />00 <br />U) <br />rn <br />Q7 <br />N <br />Q <br />� <br />•cS <br />N <br />E <br />c0 <br />co <br />c� <br />oCD <br />N <br />Pagel of 2 <br />-p <br />_ <br />N <br />Q <br />W <br />June 5, 2003 <br />CD <br />N <br />U' F- <br />1= <br />z <br />� <br />V <br />N <br />+a+ <br />CONSTRUCTION LIEN n _ <br />au <br />c) <br />(f) <br />C am, <br />l.1 U <br />oc <br />1. <br />The <br />real estate subject to this <br />lien is: (Street Address and/or Legal Description) <br />711 Redwood, Grand Island, Nebraska <br />Legal: Lot six (6), 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 />EIN: 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 $3,448.00 <br />Materials provided: $ 250.00 <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 $3,698.00 <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 />