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CpNSTRUCTION LIEN 1. The real estate subject to this I o� 4- Cie U,. Jacob North Printing Co., Inc., Lincoln, NE 68524 zl � N e � --� = G 5 � � ^` 1. The real estate subject to this I o� 4- Cie U,. Jacob North Printing Co., Inc., Lincoln, NE 68524 CONSTRUCTION LIEN is: I A0--.. Plefs / Vo PLN S�)6 2. The person against whose interest in the real estate the lien is claimed is: 3. The name and address of the claimant is: 4. The name Sth per ;�on�th whom the claimant contracted is: ( Cw, /IF Ara tcc W 5. A general description of the claimant's services performed to, to be performed or materials furnished or to be furnish." &-\ for he improvement a d the contract price is: a- I 0� � C7 "cV,c�� C- C_ — 6. (Complete one of the following) et A— The amount unpaid, whether due or not, to the claimant for the services or materials is $ Uco. . The unpaid amount is not fixed by the contract, but a good faith estimate in the amount of $ 7. (Complete one of the following) �r The time the last services or materials were furnished was The time the last services or materials were furnished has n - et occu ut i estimated to occur D, ,JJW Signature of Claigka� Do Lj L n4 Subscribed and sworn to before me this a day of Notary Public (52 -147. See 52 -148 for amendment; 52 -149 for assignment; 52 -137 for recor *tft release). (� i�►�rltin�5rr� AERS MEMO:,� . -Reg. Of Deea Rev. =a M = M Z 0 CD ,, �_ iC = -.. N O -Tl C7 Cf1 Q t za , CD � 1.^ F.r �.....�. C n 200507154 r-h CONSTRUCTION LIEN is: I A0--.. Plefs / Vo PLN S�)6 2. The person against whose interest in the real estate the lien is claimed is: 3. The name and address of the claimant is: 4. The name Sth per ;�on�th whom the claimant contracted is: ( Cw, /IF Ara tcc W 5. A general description of the claimant's services performed to, to be performed or materials furnished or to be furnish." &-\ for he improvement a d the contract price is: a- I 0� � C7 "cV,c�� C- C_ — 6. (Complete one of the following) et A— The amount unpaid, whether due or not, to the claimant for the services or materials is $ Uco. . The unpaid amount is not fixed by the contract, but a good faith estimate in the amount of $ 7. (Complete one of the following) �r The time the last services or materials were furnished was The time the last services or materials were furnished has n - et occu ut i estimated to occur D, ,JJW Signature of Claigka� Do Lj L n4 Subscribed and sworn to before me this a day of Notary Public (52 -147. See 52 -148 for amendment; 52 -149 for assignment; 52 -137 for recor *tft release). (� i�►�rltin�5rr� AERS MEMO:,� . -Reg. Of Deea Rev.