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LIEN CLAIMED AGAINST: STATE OF NEBRASKA ) ss: COUNTY OF HALL ) Lorraine J. Jensen 119 West 15th Street Grand Island, Nebraska 68801 Monte Henke, an authorized officer of Jerry's Sheet Metal, Inc., a Nebraska Corporation, being first duly sworn upon oath deposes and says: 1. He is an authorized officer of Jerry's Sheet Metal, Inc. and as such verifies this account in writing for and on behalf of Jerry's Sheet Metal, Inc. 2. Jerry's Sheet Metal, Inc., provided labor and materials on property legally described as follows: Lot Four (4), Block Seventy Four (74), Wheeler and Bennett Third Addition to the City of Grand Island, Hall County, Nebraska. 3. The date that the labor and materials were last furnished to said property at the request of Ron Arndt, agent for the owner of the above described property, was on or about February 26, 2002, and the price for these materials and services was Three Thousand Five Hundred Dollars ($3,500.00). Jerry's Sheet Metal, Inc. has received no payment from Lorraine J. Jensen. 4. Jerry's Sheet Metal, Inc. claims a lien on the above - described real estate for the full amount of the contract price of Three Thousand Five Hundred f'n 'TI ax c ~y N CD --a C:) rn -c (�T i � O O C4 cra t O ..iw trn i'r Zi i r� F" CONSTRUCTION LIEN , Q, DATE: May, 2002 LIEN CLAIMED BY: Jerry's Sheet Metal, Inc. 907 W. Oklahoma 200205141 Grand Island, Nebraska 68801 LIEN CLAIMED AGAINST: STATE OF NEBRASKA ) ss: COUNTY OF HALL ) Lorraine J. Jensen 119 West 15th Street Grand Island, Nebraska 68801 Monte Henke, an authorized officer of Jerry's Sheet Metal, Inc., a Nebraska Corporation, being first duly sworn upon oath deposes and says: 1. He is an authorized officer of Jerry's Sheet Metal, Inc. and as such verifies this account in writing for and on behalf of Jerry's Sheet Metal, Inc. 2. Jerry's Sheet Metal, Inc., provided labor and materials on property legally described as follows: Lot Four (4), Block Seventy Four (74), Wheeler and Bennett Third Addition to the City of Grand Island, Hall County, Nebraska. 3. The date that the labor and materials were last furnished to said property at the request of Ron Arndt, agent for the owner of the above described property, was on or about February 26, 2002, and the price for these materials and services was Three Thousand Five Hundred Dollars ($3,500.00). Jerry's Sheet Metal, Inc. has received no payment from Lorraine J. Jensen. 4. Jerry's Sheet Metal, Inc. claims a lien on the above - described real estate for the full amount of the contract price of Three Thousand Five Hundred