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yt+ <br />m <br />r <br />2 y c <br />z <br />� = o <br />I_ <br />d 200203496 <br />"1 <br />c. <br />CONTRACTING OWNER OR <br />SUCCESSOR IN INTEREST: <br />CONSTRUCTION LIEN <br />Marion D. Larsen, Trustee of the <br />Marion D. Larsen Revocable Trust <br />dated November 9, 1992, as Amended <br />c/o Village Inn Pancake House <br />2624 South Locust <br />Grand Island, NE 68801 <br />CLAIMANT: <br />Affordable Electric Co., Inc. <br />P. O. Box 5233 <br />Grand Island, NE 68802 <br />(308) 382 -4180 <br />REAL ESTATE: ry <br />The Southerly 71 Feet of Lot 26 <br />and the Northerly 79 Feet of Lot 27, <br />all in Holcomb's Highway Homes, an <br />Addition to the City of Grand Island, <br />Hall County, Nebraska. <br />CLAIMANT CONTRACTED WITH: <br />Village Inn Pancake House <br />2624 South Locust <br />Grand Island. NE 68801 <br />SERVICES OR MATERIALS FURNISHED BY CLAIMANT: Connected sign and <br />replaced fixtures, etc. on December 12, 2001. <br />CONTRACT PRICE: $1,840.14 <br />AMOUNT UNPAID: $1,889.22 <br />TIME LAST SERVICE OR MATERIALS FURNISHED: December 12, 2001. <br />AFFORDABLE ELECTRIC CO., INC. <br />By <br />Randall I. Herrold, President <br />STATE OF NEBRASKA) <br />) ss. <br />COUNTY OF HALL ) <br />Subscribed and sworn to before me this 1 st day of April, 2002. jjj <br />GENERAL NOTARY - Nebraska O <br />I11 EARL D. AHLSC LSCHWEDE <br />My Comm, Up. Not 27, 2002 Notaryy�c� <br />m <br />C; <br />C> N <br />C:) , <br />m <br />ti <br />N <br />o —1 <br />CD <br />3> <br />N <br />G <br />m <br />p <br />Z <br />N <br />ti <br />W <br />° <br />D <br />('') <br />o- <br />rr- <br />CD <br />W <br />Cn <br />7; <br />1 <br />q <br />Co <br />--- <br />Cn <br />CA <br />REAL ESTATE: ry <br />The Southerly 71 Feet of Lot 26 <br />and the Northerly 79 Feet of Lot 27, <br />all in Holcomb's Highway Homes, an <br />Addition to the City of Grand Island, <br />Hall County, Nebraska. <br />CLAIMANT CONTRACTED WITH: <br />Village Inn Pancake House <br />2624 South Locust <br />Grand Island. NE 68801 <br />SERVICES OR MATERIALS FURNISHED BY CLAIMANT: Connected sign and <br />replaced fixtures, etc. on December 12, 2001. <br />CONTRACT PRICE: $1,840.14 <br />AMOUNT UNPAID: $1,889.22 <br />TIME LAST SERVICE OR MATERIALS FURNISHED: December 12, 2001. <br />AFFORDABLE ELECTRIC CO., INC. <br />By <br />Randall I. Herrold, President <br />STATE OF NEBRASKA) <br />) ss. <br />COUNTY OF HALL ) <br />Subscribed and sworn to before me this 1 st day of April, 2002. jjj <br />GENERAL NOTARY - Nebraska O <br />I11 EARL D. AHLSC LSCHWEDE <br />My Comm, Up. Not 27, 2002 Notaryy�c� <br />