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I<.�L <br />1. The reai estate subject to the lie: is: 1 j iL' ►'►'t +T�r �'�J �tb'e 1z, (•: <br />2 <br />3 <br />9 <br />4rp <br />►he legal description i as f�llaw5: �+�� ?�> Sarv' R dzLG C,c �iaD AA/D OVIRS1441.,�' n D 0 <br />LT it 3i.k y µdeL nip" <br />The pe:"son against whose Werest in t6 areal esrate the lien is claimed: m 4ftCiL,/ r r-nes i f L R <br />131U rh p <br />I ne T Vr; and adde8a of the claim:It 1s: <br />-Roofing Suppi }, Group Inc. <br />2624 Edward Babe Gomel Ave. <br />Omaha, Nebraska 68107 <br />S. The aame «md address of the person with whom the claimant couxacted is; <br />Presource koofln5 <br />2l 1 We5T Franklin <br />Centerviiie, Ohio 45459 <br />& A general dest riptior, of the claiinant's services performed cr to be rerforr.ed... <br />Or uuteridls furnished or to be Furnished for trot irnpro- vPment and the Wontract pnee, is: <br />kc%oiing Supplies <br />7. The amount unpaid. whether due or not, to the cl:nmant :or the servic,cs or <br />nizterials is; $ 13 J37, Ws- <br />8, The time the last 5erv` -ces nr materials were llmaished <br />S Pr, v E, <br />_t 4r r! <br />PP, TI,.I� NAVAL <br />S 1 ,kTE OF NES.RASKA j Title <br />COUNTY OF ~ \\ 1 <br />SU13SCRIBED AN7a 5 WORD to before _rae ;h:s'� day of <br />200. <br />REp UA TO. <br />ROOFING SL'PPLY GROUP, INC. Graska 262 5 EDWr�RD HAMS GOMEZ AVE_ lc 7 007 OMAHA, NrI3IL4,33CA 681 D7 <br />wn <br />c7 e� <br />C= X. <br />N= <br />n <br />7- <br />rnn° <br />fa'1 <br />N <br />; -iM <br />o <br />, <br />n <br />= <br />CD <br />U) <br />(-r1 ..• <br />rn <br />CO <br />11K <br />CZ) <br />200507011 <br />I<.�L <br />1. The reai estate subject to the lie: is: 1 j iL' ►'►'t +T�r �'�J �tb'e 1z, (•: <br />2 <br />3 <br />9 <br />4rp <br />►he legal description i as f�llaw5: �+�� ?�> Sarv' R dzLG C,c �iaD AA/D OVIRS1441.,�' n D 0 <br />LT it 3i.k y µdeL nip" <br />The pe:"son against whose Werest in t6 areal esrate the lien is claimed: m 4ftCiL,/ r r-nes i f L R <br />131U rh p <br />I ne T Vr; and adde8a of the claim:It 1s: <br />-Roofing Suppi }, Group Inc. <br />2624 Edward Babe Gomel Ave. <br />Omaha, Nebraska 68107 <br />S. The aame «md address of the person with whom the claimant couxacted is; <br />Presource koofln5 <br />2l 1 We5T Franklin <br />Centerviiie, Ohio 45459 <br />& A general dest riptior, of the claiinant's services performed cr to be rerforr.ed... <br />Or uuteridls furnished or to be Furnished for trot irnpro- vPment and the Wontract pnee, is: <br />kc%oiing Supplies <br />7. The amount unpaid. whether due or not, to the cl:nmant :or the servic,cs or <br />nizterials is; $ 13 J37, Ws- <br />8, The time the last 5erv` -ces nr materials were llmaished <br />S Pr, v E, <br />_t 4r r! <br />PP, TI,.I� NAVAL <br />S 1 ,kTE OF NES.RASKA j Title <br />COUNTY OF ~ \\ 1 <br />SU13SCRIBED AN7a 5 WORD to before _rae ;h:s'� day of <br />200. <br />REp UA TO. <br />ROOFING SL'PPLY GROUP, INC. Graska 262 5 EDWr�RD HAMS GOMEZ AVE_ lc 7 007 OMAHA, NrI3IL4,33CA 681 D7 <br />