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n I N a --4 O �1 <br />w. <br />r G m Cr, \, C <br />x r� Z M O "t <br />70 r rt <br />rn <br />tN QQ <br />rna r n N <br />cn P <br />D <br />to <br />CQ %� O Co CA ry <br />r7 <br />CONSTRUCTION LIEN <br />200213124} <br />1. The real estate subject to this lien is: <br />Lot Two (2), Crane Valley Fourth Subdivision, Grand Island, Hall County, <br />Nebraska. <br />2. The person against whose interest in the real estate the lien is claimed is Shafer <br />Medical Two L.L.C. <br />3. The name and address of the claimant is State Glass, Inc., 612 East Fourth Street, <br />Grand Island, NE 68801. <br />4. The name and address of the person with whom the claimant contracted is Shafer <br />Development, L.L.C., 1004 Diers Avenue, #300, Grand Island, NE 68803. <br />5. The general description of the claimant's services performed or to be performed or <br />materials furnished or to be furnished for the improvement and the contract price <br />is: Glass and window installation. The total contract price is $23,040.00. <br />6. The amount unpaid, whether due or not, to the claimant for the services or materials <br />is $21,535.00. <br />7. The time the last services or materials were furnished was August 2, 2002. <br />Claimant: State Glass, Inc. <br />By G. <br />y 4�a9e(' <br />Subscribed and sworn to before me this � lay of November 2002. <br />Ovary Public _ <br />ICI GKMLNOTMYStateofN&aska <br />PREPARED BY: JEAN M. PETERSON <br />My Comm E* SepL 18, 2004 <br />Galen E. Stehlik, #15578 <br />Lauritsen, Brownell, Brostrom, <br />Stehlik, Thayer & Myers <br />724 West Koenig Street <br />P. O. Box 400 <br />Grand Island, NE 68802 <br />