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146 - CONSTRUCTION LIEN Jacob North Printing Co., Inc., Lincoln, NE 68524 <br />M > <br />q� C/4 1111 <br />H c:: M CA <br />Gr, <br />:r <br />z Ma rXI C= <br />r-A rQ <br />qI <br />M <br />T- <br />C. ri <br />gS -4 <br />(0 7- :Z1 C:) <br />CM cl) CJ D <br />;N <br />30r. <br />C=) 1� <br />CA <br />CONSTRUCTION LIEN <br />200507952 <br />1. The real estate subject to this lien is: East half of West half of block 15 in <br />Windoph's addition to the city of Grand Island in Hall County, <br />Nebraska Alicia Goatley <br />2. The person against whose interest in the real estate the lien is claimed is: <br />3. The name and address of the claimant is: Midwest Sheet Metal Co., Inc. <br />2304 W. Lincoln Highway, Grand Island, NE 68803 <br />4. The name and address of the person with whom the claimant contracted is: Alicia Goatiey <br />1115 W. Anna Grand Island NE 68801 <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 />Replace packaged heat/cool system. <br />6. (Complete one of the following) <br />X The amount unpaid, whether due or not, to the claimant for the services or materials is $ 2 , 0 7 5.9 7 <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 />X The time the last services or materials were furnished was August 10, 2005 <br />The time the last services or materials were furnished has not yet occurred but is estimated to occur <br />Signature of Cl <br />Subscribed and sworn to before me this 16th day of August 2005. <br />63 ui%j 41,,j <br />PA9 Notary -Public <br />) <br />E VIM 10 RMIS-AHVIG? 0", 139 <br />(52-147. See 52-148 for amendment; 52-149 for assignment; 52-137 for recording time; 52-154 for discharge or release). <br />JVA—,�ELDA R. APNFT, <br />m-114016 VP my foram. Exp. UZIL—Cltl <br />Rev. 9/91 <br />