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NJ <br />The real estate subject to this lien is: <br />2. The person against whose interest in the real estate the lien is claimed is: <br />3. The name and address of the claimant is: -Z'ly 4 • L`"'°a'"^ '' " "° �' ° - -"" ' "�-- -` <br />4. The name and address of the perso with whom th 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: –.. -- <br />d,�, <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 />The time the last servicas or materials were furnished was .� a Cat"L a r _ <br />The time the last services or materials were furnished has not yet occurred but is estimated to occur <br />Signs a aimanL <br />Subsribed and sworn to before me this �,_.. _ day of <br />GENERAL NOTARY -Slate al Nebaska Notary Public <br />STACEY A. RU71CKA <br />MY canon. EXP. May 10, 2003 <br />II 3 <br />47. Sc; 52 -148 fox amendment , for assignment; 52137 far recording time; 52 154 for discharge or release). <br />- i <br />5: J <br />Jacob North Pnnling CO.,1nc., Lincoln, NE 89520 <br />0.5 - CONSTRUCTION LIEN - <br />i <br />c a <br />v <br />ry � <br />v' b <br />�` r <br />rya <br />ba <br />/ n <br />n <br />1 <br />20020070 S C <br />CONSTRUCTION LIEN <br />The real estate subject to this lien is: <br />2. The person against whose interest in the real estate the lien is claimed is: <br />3. The name and address of the claimant is: -Z'ly 4 • L`"'°a'"^ '' " "° �' ° - -"" ' "�-- -` <br />4. The name and address of the perso with whom th 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: –.. -- <br />d,�, <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 />The time the last servicas or materials were furnished was .� a Cat"L a r _ <br />The time the last services or materials were furnished has not yet occurred but is estimated to occur <br />Signs a aimanL <br />Subsribed and sworn to before me this �,_.. _ day of <br />GENERAL NOTARY -Slate al Nebaska Notary Public <br />STACEY A. RU71CKA <br />MY canon. EXP. May 10, 2003 <br />II 3 <br />47. Sc; 52 -148 fox amendment , for assignment; 52137 far recording time; 52 154 for discharge or release). <br />