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Y <br />� DATE: <br />LIEN CLAIMED BY: <br />CONSTRUCTION LIEN <br />LIEN CLAIMED AGAINST: <br />STATE OF NEBRASKA ) <br />ss: <br />COUNTY OF HALL ) <br />May ,&, 2002 <br />Jerry's Sheet Metal, Inc. <br />907 W. Oklahoma <br />Grand Island, Nebraska 68801 <br />Lorraine J. Jensen <br />119 West 15th Street <br />Grand Island, Nebraska 68801 <br />200205142 <br />Monte Henke, an authorized officer of Jerry's Sheet Metal, Inc., a Nebraska <br />Corporation, being first duly sworn upon oath deposes and says: <br />1. He is an authorized officer of Jerry's Sheet Metal, Inc. and as such <br />verifies this account in writing for and on behalf of Jerry's Sheet Metal, Inc. <br />2. Jerry's Sheet Metal, Inc., provided labor and materials on property <br />legally described as follows: <br />Lot Three (3), Block Eight (8), <br />Schimmer's Addition to the <br />City of Grand Island, Hall County, <br />Nebraska. <br />3. The date that the labor and materials were last furnished to said <br />property at the request of Ron Arndt, agent for the owner of the above described <br />property, was on or about February 26, 2002, and the price for these materials and <br />services was Three Thousand Five Hundred Dollars ($3,500.00). Jerry's Sheet <br />Metal, Inc. has received no payment from Lorraine J. Jensen. <br />4. Jerry's Sheet Metal, Inc. claims a lien on the above - described real <br />estate for the full amount of the contract price of Three Thousand Five Hundred <br />�O..So <br />CSR <br />N <br />� � <br />O <br />� <br />N <br />--c <br />Orn <br />O <br />O <br />Ty <br />C-0 <br />0:3 <br />CD <br />7C <br />�. <br />.v <br />Jerry's Sheet Metal, Inc. <br />907 W. Oklahoma <br />Grand Island, Nebraska 68801 <br />Lorraine J. Jensen <br />119 West 15th Street <br />Grand Island, Nebraska 68801 <br />200205142 <br />Monte Henke, an authorized officer of Jerry's Sheet Metal, Inc., a Nebraska <br />Corporation, being first duly sworn upon oath deposes and says: <br />1. He is an authorized officer of Jerry's Sheet Metal, Inc. and as such <br />verifies this account in writing for and on behalf of Jerry's Sheet Metal, Inc. <br />2. Jerry's Sheet Metal, Inc., provided labor and materials on property <br />legally described as follows: <br />Lot Three (3), Block Eight (8), <br />Schimmer's Addition to the <br />City of Grand Island, Hall County, <br />Nebraska. <br />3. The date that the labor and materials were last furnished to said <br />property at the request of Ron Arndt, agent for the owner of the above described <br />property, was on or about February 26, 2002, and the price for these materials and <br />services was Three Thousand Five Hundred Dollars ($3,500.00). Jerry's Sheet <br />Metal, Inc. has received no payment from Lorraine J. Jensen. <br />4. Jerry's Sheet Metal, Inc. claims a lien on the above - described real <br />estate for the full amount of the contract price of Three Thousand Five Hundred <br />�O..So <br />