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200210299
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Last modified
10/15/2011 6:31:33 AM
Creation date
10/22/2005 9:50:47 PM
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DEEDS
Inst Number
200210299
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145 - CONSTRUCTION LIEN Jacob M"h PrlMing Co., Inc., Uncoln, NE 68524 <br />fV <br />a, n <br />�^ <br />N <br />CO <br />N <br />200210299 <br />CONSTRUCTION LIEN <br />I <br />1. The real estate subject to this lien is: SiJn1' yn c I l✓1 SaL L,4 ti <br />R � <br />2. The person against whose interest in the real estate the lien is claimed is: IM V se m nar <br />� <br />I <br />esf the claimant is: <br />3. The name and address o <br />Coma ti15 a <br />4. The name and address of the person with whom the claimant contracted is: yr J , t' (GnR I <br />36s F f 6p,id �, <br />5. A general description of the claimant's services performed to, to be performed or materials furnished or to be <br />furnished for the improvement and the contract price is: <br />I <br />r d -Ik11 (z" t rl<r v�;� I I,�C cru <wt i I <br />I <br />i <br />i <br />6. (Complete one of the following) ' <br />i <br />The amount unpaid, whether due or not, to the claimant for the services or materials is $ L/3C4. (Xi <br />i <br />The unpaid amount is not fixed by the contract, but a good faith estimate in the amount of $ <br />7. (Complete one of the following) <br />The time the last services or materials were furnished was S GP- <br />The time the last services or materials were famished has not yet occurred but is estimated to occur � <br />I <br />I� <br />i <br />Si tune of Clad ]ant E C /071- N 6 <br />I <br />i h C' <br />j Subsribed and sworn to before me this � '7 day of d -PTFMR <br />6@✓ENPCHERY - m <br />IIKO51 IC13 <br />ONEF/LLIlOSMICIO Notary , <br />6y CANS. Epp. Ma I15, 2008 !, <br />it <br />I <br />I <br />(52-147. See 52-148 for amendment 52 -149 for assignment; 52 -137 for recording time; 52-154 for discharge or release). <br />i <br />I <br />i <br />I <br />I <br />
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