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200203898
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Last modified
10/14/2011 8:20:51 PM
Creation date
10/22/2005 6:25:37 PM
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DEEDS
Inst Number
200203898
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CLAIM OF LIEN 200203898 <br />STATE OF NEBRASKA <br />COUNTY OF HALL <br />BEFORE ME, the undersigned Notary Public, personally <br />appeared Nick Budreau, President of Town & Country Home <br />Improvements, Inc. who duly sworn says that Town & Country Home <br />Improvements, Inc. is the "Lienor herein" whose address is 364 E. <br />Ave. A, Salina, Kansas 67401 and that in accordance with a <br />contract with Christopher T. & Nila M. Howard, lienor furnished <br />labor, services or materials consisting of: Labor and materials <br />to install triple pane replacement windows on the following <br />described real property in Hall County, State of Nebraska, <br />described as 612 E Capital Avenue (see attached legal <br />description) Grand Island, Nebraska and owned by Christopher T. & <br />Nila M. Howard of a total value of Two Thousand Seven Hundred <br />Eighty Two Dollars ($2,782.00) of which there remains unpaid <br />$2,782, and furnished the items on the 5"' day of March 2002, by <br />Town & Country Home Improvements, Inc. <br />> • u <br />Li•. <br />i <br />On April 3, 2002 before me, Annette F. Butterfield, <br />personally appeared Nick Budreau, President of Town & Country <br />Home Improvements, Inc., personally known to me (or <br />proved to me on the basis of satisfactory evidence) to be the <br />person(s) whose name(s) is /are subscribed to the within <br />instrument and acknowledged to me that he /she /they executed the <br />same in his /her /their authorized capacity(ies), and that by <br />his /her /their signature(s) on the instrument the person(s), or <br />the entity upon behalf of which the person(s) acted, executed the <br />instrument. <br />WITNESS my nd and official seal. <br />Signature h Z?!Tt l� <br />Affiant Known Y"� Produced ID <br />Type of ID \ 6,o w, - <br />(Seal) <br />1*0.ANNETTE F. BUTTERFIELD <br />Notary Publle • ¢tA a d 14naas Explree �(Yi DD3 <br />
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