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223 CONSTRUCTION LIEN <br />MV <br />Jacob North Printing Co., Inc., Lincoln, NE 68524 <br />CONTRACTING OWNER OR SUCCESSOR IN <br />INTEREST: <br />Shafer Construction <br />.......-----------•--------------------------------------------- - - - - -- <br />... I ............................... I ............................ - ................ 11 .............. <br />(Name) <br />1004No . ...... Dli.e.r$ ---- Ave, ........ ate, ---- UO <br />.............................. <br />................ Grand—is.l.an.d N-E- ------ 638.0-3 ............... <br />CLAIMANT: <br />............... At-MX ... C-0 -------------------------------------------------------- ------------ <br />(Name) <br />---------- .... 2-0-2 .... Ruron ... Dr - - ------------------------------------------------- <br />(Address) <br />Ke.axnay ...... NE ..... -6-8.6-47 ..............---------- - - - - -- <br />(.3.0-8.) ----- 2-3.6---5.6-6.7 ----------- ------------------ - - - - -- -- - - - - -- <br />(Phone) <br />200307774 <br />REAL ESTATE: <br />rn <br />CL <br />z <br />Q <br />Crane <br />.Valley Fourth Sublot <br />... ........ ......................... - ---------------- (Legal - <br />Description) <br />- - -2 -- .... B1o.ck ---- 0, .... H.all .... Co.—,...NE----------------- - - - --- <br />...........------ --------- - - - - -- -- ........... ...... — ...................... ......... - ...... <br />CLAIMANT CONTRACTED WITH: <br />Shafer Construction <br />... --------- - - - - -- ............... ................--------------------- - - - - -- -- <br />(Name) <br />... <br />10.04_- .No-.D e.r 5 --- AV.e.A-, ---- 5.te-e- ... 3 ---- 0 ... 0 ------------- <br />(Address) <br />--- G.r-an.d ... I-s.1-and., ---- NE ....... 6&8-0.3 ........ ------------------- <br />.-pa.8.1 .... 3.9.R=1722 ............................... -------------- (Phone) <br />N <br />SERVICES OR MATERIALS FURNISHED BY CLAIMANT: _FpT,R.i..s.h-e.d ---- & .... ingi-ta 11.e.d ---- a.c.ou.sli.c.al ..... <br />-c-edlings - - ----- ----------- ------------------------------------------------------------------------------------------------------------------- - ....... I ............................ .......................... — ... <br />CONTRACT PRICE: ..... 5..,..75Q,.QQ ------------------------ AMOUNT UNPAID: $....5 -1- 790- ..00- ._____..._..------ _..... <br />TIME LAST SERVICES OR MATERIALS FURNISHED: .......... ......... - ....................................................... ........... ......... <br />State of .-Nebraska ---------------- ------------- ss. ...... 19ani X�� ------------ <br />.................. Bu-f-f a-1.0 ----------- ....... Countyl Signature of Cla <br />On this ....19th__.____ ....... day of ..... j:qnp. ------ ---------- ............ .................... _ ZOO, before me a Notary Public in and for <br />Gail J. Kathol <br />said county, personally came .... . ........... - ............. ................ ...................................... to me known to be the identical person or <br />persons who executed the foregoing instrument, and acknowledged the same to be his, her, or their voluntary act and <br />WUA NOTARY- 80 of Nets deed. jLjDy K GRASSMEYER <br />My Comm. W Oct. 3, 2005 1 <br />.-- - - ---- J[��ota�Pu Public. <br />My commission expires the ....................... . day of ....................................... ............. <br />STATE OF ...... Neb-ras-ka ........... ............... .. ...... .. Entered on numerical index and filed for record <br />County of -... - ------ ........................................ Iss. in the Register of Deeds Office of said County the <br />-------- ----- - - - - -- -day of...--------------- ........._ --------- I ............ I at -------------------------------------- o'clock and ------------------------ minutes ... -------------- M., <br />andrecorded in Book------------- - - - - -- ------------------- --------- of ....................... ..... at page ......................•......• <br />........................................................................ - ...... Reg. of Deeds <br />By- --- ---- - ------ ----------------- ------- -------------------------------------------- Deputy <br />Am, AMR <br />C$ ul> <br />EN <br />> <br />C� <br />M <br />CA <br />C) <br />z <br />rn <br />> <br />a <br />M <br />C) <br />(A <br />3: <br />Cn <br />4L <br />-n <br />C=) <br />=13 <br />9 G7 <br />--q <br />to <br />06 <br />CONTRACTING OWNER OR SUCCESSOR IN <br />INTEREST: <br />Shafer Construction <br />.......-----------•--------------------------------------------- - - - - -- <br />... I ............................... I ............................ - ................ 11 .............. <br />(Name) <br />1004No . ...... Dli.e.r$ ---- Ave, ........ ate, ---- UO <br />.............................. <br />................ Grand—is.l.an.d N-E- ------ 638.0-3 ............... <br />CLAIMANT: <br />............... At-MX ... C-0 -------------------------------------------------------- ------------ <br />(Name) <br />---------- .... 2-0-2 .... Ruron ... Dr - - ------------------------------------------------- <br />(Address) <br />Ke.axnay ...... NE ..... -6-8.6-47 ..............---------- - - - - -- <br />(.3.0-8.) ----- 2-3.6---5.6-6.7 ----------- ------------------ - - - - -- -- - - - - -- <br />(Phone) <br />200307774 <br />REAL ESTATE: <br />rn <br />CL <br />z <br />Q <br />Crane <br />.Valley Fourth Sublot <br />... ........ ......................... - ---------------- (Legal - <br />Description) <br />- - -2 -- .... B1o.ck ---- 0, .... H.all .... Co.—,...NE----------------- - - - --- <br />...........------ --------- - - - - -- -- ........... ...... — ...................... ......... - ...... <br />CLAIMANT CONTRACTED WITH: <br />Shafer Construction <br />... --------- - - - - -- ............... ................--------------------- - - - - -- -- <br />(Name) <br />... <br />10.04_- .No-.D e.r 5 --- AV.e.A-, ---- 5.te-e- ... 3 ---- 0 ... 0 ------------- <br />(Address) <br />--- G.r-an.d ... I-s.1-and., ---- NE ....... 6&8-0.3 ........ ------------------- <br />.-pa.8.1 .... 3.9.R=1722 ............................... -------------- (Phone) <br />N <br />SERVICES OR MATERIALS FURNISHED BY CLAIMANT: _FpT,R.i..s.h-e.d ---- & .... ingi-ta 11.e.d ---- a.c.ou.sli.c.al ..... <br />-c-edlings - - ----- ----------- ------------------------------------------------------------------------------------------------------------------- - ....... I ............................ .......................... — ... <br />CONTRACT PRICE: ..... 5..,..75Q,.QQ ------------------------ AMOUNT UNPAID: $....5 -1- 790- ..00- ._____..._..------ _..... <br />TIME LAST SERVICES OR MATERIALS FURNISHED: .......... ......... - ....................................................... ........... ......... <br />State of .-Nebraska ---------------- ------------- ss. ...... 19ani X�� ------------ <br />.................. Bu-f-f a-1.0 ----------- ....... Countyl Signature of Cla <br />On this ....19th__.____ ....... day of ..... j:qnp. ------ ---------- ............ .................... _ ZOO, before me a Notary Public in and for <br />Gail J. Kathol <br />said county, personally came .... . ........... - ............. ................ ...................................... 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 and <br />WUA NOTARY- 80 of Nets deed. jLjDy K GRASSMEYER <br />My Comm. W Oct. 3, 2005 1 <br />.-- - - ---- J[��ota�Pu Public. <br />My commission expires the ....................... . day of ....................................... ............. <br />STATE OF ...... Neb-ras-ka ........... ............... .. ...... .. Entered on numerical index and filed for record <br />County of -... - ------ ........................................ Iss. in the Register of Deeds Office of said County the <br />-------- ----- - - - - -- -day of...--------------- ........._ --------- I ............ I at -------------------------------------- o'clock and ------------------------ minutes ... -------------- M., <br />andrecorded in Book------------- - - - - -- ------------------- --------- of ....................... ..... at page ......................•......• <br />........................................................................ - ...... Reg. of Deeds <br />By- --- ---- - ------ ----------------- ------- -------------------------------------------- Deputy <br />Am, AMR <br />