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dcJ?i )(1 a- l / )c_.�Iyu o <br />Signature of Claimant <br />Subsribed and swum to before me this -(AI-11 _— d�ay� of —a wl1 Q-- 0�2 <br />� [ -:Z- <br />Nato. -_� <br />Y b c <br />(52 -147. See 52148 for amendment 52 -149 fin assignment; 52 187 for recording time; 52 -154 for discharge or release). <br />Rev. 9/95 <br />145 - CONSTRUCTION LIEN in I i I Z p Jacob North Printing Co, Inc., Lincoln, NE 0524 <br />n cD I 1 S <br />L m D V � <br />CM <br />� C <br />.� CTJ t rV <br />_3 <br />n re F <br />CONSTRUCTION LIEN to cb <br />N 200206080 N <br />1. 'rhe real estate subject to this lien is: 141 L) I. � le d O q U) M o Lod Blo c <br />L - Slenora� - es +c-i es —F _ - _ <br />2. The person against whose interest in the real estate the lien is claimed is: iC+Inrs, <br />- N65 S. alley H�g�s,�,��"J5,- N -- �.I <br />3. The name and address of the claimant is:�l fl ei'�f`I Cif= I s e V L71 CPJ, �1'i' V <br />J —_ <br />4. The name and address of the person with whom the claimant contracted is: s6u e. Alm I n4 <br />dha rU1ee 8&ch-,Lc--3335 Primrose Qr . NE -&Wyol <br />5_ A general desc moon of the claimant's sotwices performed to, to be performed or materials furnished or to be <br />furnished for the improvement and the contract price is: <br />Or, co-- ?k k _ __ _- <br />6. ( Complete, one of the following) <br />AThe amount unpaid, whether due or not, to the claimant for the servines or materials is $ 753 — <br />The unpaid amount is not fixed by the contract, but a good faith estimate in the mnount of $ <br />7. one of the I'nllowing) <br />/(Complete <br />( The time the last services nr materials were furnished was <br />The time the last services or materials were tarnished has not yet occurred but is estimated to occur <br />dcJ?i )(1 a- l / )c_.�Iyu o <br />Signature of Claimant <br />Subsribed and swum to before me this -(AI-11 _— d�ay� of —a wl1 Q-- 0�2 <br />� [ -:Z- <br />Nato. -_� <br />Y b c <br />(52 -147. See 52148 for amendment 52 -149 fin assignment; 52 187 for recording time; 52 -154 for discharge or release). <br />Rev. 9/95 <br />