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145 - LDNSTRUCTION LIEN — — rMr� n_ Jacob North Printing Co., Inc., Lincoln, NE 68524 <br />O a <br />o Z <br />2 <br />N <br />Z J <br />n� <br />1 <br />n () z <br />M Cn <br />0 <br />sgt E <br />1 6 9 <br />i <br />CONSTRUCTION LIEN <br />200308051 <br />1. The real estate subject to this lien is: 71-le ZV Y le z-:5 2�)A ° `" .2 <br />2. The person against whose interest in the real estate the lien is claimed is: A;7 <br />/� "�n.� �•4/,� n irk /2 i n1� <br />3. The name and address of the claimant is: <br />4. The name and address of the person with whom the claimant contracted is: <br />5. A general description of the claimant's services performed to, to be performed or materials furnished or to be <br />furnished for the improvement and the contract price is: �f /� %/ �-� � f ��/ /?1 -11.1 <br />6. (Complete one of the following) <br />'? The amount unpaid, whether due or not, to the claimant for the services or materials is $ <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 />v The time the last services or materials were furnished was <br />The time the last services or materials were furnished has not yet occurred but is estimated to occur <br />Subsribed and sworn to before me this <br />r <br />Signature of Claimant <br />3 rd <br />609W <br />N <br />C- <br />c_=, <br />v <br />N <br />-Jew- <br />c_ <br />� rn <br />M <br />r <br />0I <br />n <br />s <br />un <br />1. The real estate subject to this lien is: 71-le ZV Y le z-:5 2�)A ° `" .2 <br />2. The person against whose interest in the real estate the lien is claimed is: A;7 <br />/� "�n.� �•4/,� n irk /2 i n1� <br />3. The name and address of the claimant is: <br />4. The name and address of the person with whom the claimant contracted is: <br />5. A general description of the claimant's services performed to, to be performed or materials furnished or to be <br />furnished for the improvement and the contract price is: �f /� %/ �-� � f ��/ /?1 -11.1 <br />6. (Complete one of the following) <br />'? The amount unpaid, whether due or not, to the claimant for the services or materials is $ <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 />v The time the last services or materials were furnished was <br />The time the last services or materials were furnished has not yet occurred but is estimated to occur <br />Subsribed and sworn to before me this <br />r <br />Signature of Claimant <br />3 rd <br />609W <br />PAU. ;- <br />N <br />-Jew- <br />day of <br />1, 1 <br />Public <br />ZT�2 <br />(52 -147. See 52 -148 for amendment; 52 -149 for assignment; 52 -137 for recording time; 52 -154 for discharge or release). <br />X MYE4HY-$W0fNdnft <br />PAULA M MAYFlELD <br />Ml► Comm F>tp Oct 2, 2005 <br />Rev. 9/95 <br />