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223 CONSTRUCTION LIEN <br />Jacob North Printing Co., Inc., Lincoln, NE 68524 ! <br />_ <br />m <br />n <br />2 <br />n <br />D <br />N <br />O • -< <br />z <br />n <br />Z <br />ter, <br />7q <br />Iri i <br />= <br />CL3 <br />N <br />CONTRACTING OWNER OR SUCCESSOR IN <br />INTEREST: <br />om.�w.ao( - - <br />(Name) <br />aaPQ A-�_..N3�h <br />REAL ESTATE: <br />(Wal De ripitQ) <br />i <br />CLAIMANT: CLAIMANT CONTRACTED WITH: <br />- •k,rn \fir,cR _ .. -- - ' ginEa -A .. ......... ._....._....__ <br />(Name <br />(Nam <br />az � <br />.......................... _ .............. .... a.. av W 13 k-Y, <br />(Address) (Address) <br />U28 :A <br />38_- qa�t_........................ <br />(Phone) (Phone) <br />�nu 'In ma r�;�15 r <br />SERVICES OR MATERIALS FURLN,ISHED BiY� CLAIMANT: aVA, 1o,tw", <br />- -Cu+r. ✓ .. C.... - ?'li - L'T� -� ..ftilLF.l� -- �u��tal -- o...r?C�.ftl4l.'�iGi - - -: <br />O. - � -� , mom..... �, �>� ► `fir � '�`� <br />�04 _Goa_.s rv,p Ser.il..se .N9lAIl t..0 L.n3 oN..�.;��2;.r,c,....leocAe4 ix....mt-k _&* -tLcyl I <br />CONTRACT PRICE: $...1.. > 00 +µ�11J.° !Ti -4.4X- AMOUNT UNPAID; <br />1 _ rr1Cti'r}t'1 <br />TIME LAST SERVICES OR MATERIALS FURNISHED: .��2..JU(�2.sZ�S?cr� ....... <br />State of - -. - <br />ss. <br />��t............. . County Signature of Claimant <br />On this 1,(`'`'`�a �,.... day of -_ - - -_ 67 . _ /_ ,� .......................................... gZvo.2— before me a Notary Public in and to <br />said eounty,Vpersc ally came _ Gv- ,.G:g_,c�e%�ir.L -. .................. to me known to be the identical person orl <br />persons who executed the foregoing instrument, and acknowledged the same to be his, her, or their voluntary act and <br />deed. <br />II GENEitALN CAROL NESI Nebraska <br />CAROL A. NESIBA <br />Mir Comm. UP. Nov. 21. 2004 Notary Public. � <br />My commission expires the - -z1Vl 7r. .......... day of.¢2.'� /.._a r� O .. , <br />STATE OF . Entered on numerical index and filed for record <br />_ ss. <br />County of - - --- -- - - ---- - - -- - -_ -- -- ............ in the Register of Deeds Office of said County thel <br />day of .... at - - - -_ -- ---- _ - - -_- .o'clock and ................ .. .. .. minutes... ---- ...-- - -.M., <br />and recorded in Book ........ _....._.--------_-of ............................. at page ............................... <br />.............. - ............Reg. of Deeds <br />By..---_---_-----_-----_. _ .......................... ...... . --..- .._.... Deputy <br />I <br />