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1. The real estate subject to this lien is: <br />PT SW 1/4 4 -12 -12 38.71 AC, as more fully described in Exhibit "A," attached hereto. <br />2. The person against whose interest in the real estate the lien is claimed is: <br />Ellen Dawn Allen a /k/a Dawn Allen <br />3. The name and address of the claimant is: <br />Pankonin Roofing, Inc. <br />1204 West First Street <br />Grand Island, NE 68801 <br />4. The name and address of the person with whom the claimant contracted is: <br />Ellen Dawn Allen a /k/a Dawn Allen <br />8211 North Bluff Center Road <br />Cairo, NE 68824 <br />5. A general description of the claimant's services performed or to be performed or materials <br />furnished or to be furnished for the improvement and the contract price is: <br />Removal of existing roofing; installation of new sheeting, felt paper, valley tin, drip edge and <br />boots; installation of new shingles and roof vents; repair chimney. <br />The total contract price is: $5,014.50. <br />6. Amount unpaid $2,584.50 <br />7. The time the last services or materials were furnished was April 4, 2005. <br />Claimant: P R ,Inc. <br />By <br />'Paul Pankonin, President <br />Subscribed and sworn to before me this day of August, 2005 <br />tats of Nebraska <br />aew D 0 U04 N a Public <br />MY COMM EXG- March 18, 20D7 <br />M <br />=a <br />n <br />= <br />t., <br />m <br />gyp`' <br />n <br />o <br />" <br />" <br />n <br />c� <br />CD err <br />Qk) <br />�1 mmm� <br />� <br />-r; <br />N <br />CAD <br />.6 <br />� <br />UD <br />Cn <br />CO <br />C.1'1 <br />Cn <br />f'h <br />CONSTRUCTION LIEN <br />? <br />1. The real estate subject to this lien is: <br />PT SW 1/4 4 -12 -12 38.71 AC, as more fully described in Exhibit "A," attached hereto. <br />2. The person against whose interest in the real estate the lien is claimed is: <br />Ellen Dawn Allen a /k/a Dawn Allen <br />3. The name and address of the claimant is: <br />Pankonin Roofing, Inc. <br />1204 West First Street <br />Grand Island, NE 68801 <br />4. The name and address of the person with whom the claimant contracted is: <br />Ellen Dawn Allen a /k/a Dawn Allen <br />8211 North Bluff Center Road <br />Cairo, NE 68824 <br />5. A general description of the claimant's services performed or to be performed or materials <br />furnished or to be furnished for the improvement and the contract price is: <br />Removal of existing roofing; installation of new sheeting, felt paper, valley tin, drip edge and <br />boots; installation of new shingles and roof vents; repair chimney. <br />The total contract price is: $5,014.50. <br />6. Amount unpaid $2,584.50 <br />7. The time the last services or materials were furnished was April 4, 2005. <br />Claimant: P R ,Inc. <br />By <br />'Paul Pankonin, President <br />Subscribed and sworn to before me this day of August, 2005 <br />tats of Nebraska <br />aew D 0 U04 N a Public <br />MY COMM EXG- March 18, 20D7 <br />