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223 CONSTRUCTION LIEN Jacob North Printing Co., Inc., Lincoln, NE 68524 U) (I CONTRACTING OWNER OR SUCCESSOR IN INTEREST: 200311128 REAL ESTATE: Q I?' -n- :iw a ",I __L_o_t ... 2-0.j ------- B-1-ock ---- 4 ----------- -------------------------------------- (Name) (Legal Description) ----- 24.0-8 ..... Qotto.n.woo.d ---- DrIve ---------------------------------- Replot - - - -o f ---- Rlv.e.rsiae .... ACT-es -------------_------- Grand Island, Ne 68801 ------------------- - ----- --------------------- -------------------------------------------- ---------- CLAIMANT: ---- Smi-dt-1--s ---- Hea-ting ... & ---- Coo-lIng ---- Inc ------- (Npgi6) Ridge Rd------------------------------- ------------------- - - - - -- -- -- - - - - --------------- ---- --- (Address) Grand Island Ne 68801 ----- - - -- -- - - - - -- - - - - - ------------------------ --------------------------------------- CLAIMANT CONTRACTED WITH: -..D-o-n ---- V-a-n.c.e ------------------------------------------------------------------------- (Name) 2408 Cottonwood Drive ------------------------------------------------- ---------------------------------------------------- (Address) Grand Isl_and_,____Ne 6-88-0-1 --------- - ---------- ------- -- ---- - --------- ------- ......... .... �( 3-0-8.) ----- 3817-9.9-2-9 ------------------------ ------------------------ ---------(30.8.) ----- 381-07.21 --------------------------------------------------- (Phone) (Phone) SERVICES OR MATERIALS FURNISHED BY CLAIMANT: ----- Regalre.d ---- sy-s-tem ---- 1 --- an-d ---- replace-d ...... _ system 2 with Coleman furnace and air conditioner. --------------- --------------- ---- -------------------------------------------------------- ------------------------------------------ -------------------- --------------------------------------------------------------- ----------------------- ------------------------------------ ------------ _--_---------------------- ---------------- ------------------------------------ ---------------------------------------------------------------- ------------------ ---------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- CONTRACT PRICE: 2,,__76.846 ....................... AMOUNT UNPAID: $..2.,- 76- 8- .-46 - -- - . TIME LAST SERVICES OR MATERIALS FURNISHED: ....... 6_—_?.3 :7.013 -------------------- I ----------------- ------------------------------------ a ------------- i State of ------- /I/, - --- --- ---------- -------------- ss.-------------------------- ------------------ - - - - -- -County ature fJ --------------- / I V --- On this _'-dayof ---- ----- -----------------__-- .... -------- I before me a Notary Public in and foci .......................... to me known to be the identical person o� said county, personally came ---- ------- _77�e,6,:z --------- 5.�., I persons who executed the fore ent, and acknowledged the same to be his, her, or their voluntary act an4 deed. ............ ......... ------------- - --------- .. Notary Public. i My commission expires the....-, .. ... ------ - - - - -- -day of- - - - - -- - --- - ------------------ STATE OF ---------_------ -----_------_ __------_--------- _ ------ Iss. Entered on numerical index and filed for record County of --------------------------------------------- ----------- ............ in the Register of Deeds Office of said County the! i ................ ... day of.---------------------------------- - - - - -, ............ I at--------------- - - - - -- ................ o'clock and---- - - - - -- - - -- . - -- ...minutes .................. M. and recorded in Book - --------- ............ _ .... of _.. ........................ ..at page.- .--------- - - - - -- ............ ----------------- - - ---- ---------------- - - - - -- .................... ........... Reg. of Deeds By-- - - - - -- ---------- ............................... .................................. Deputy Rev. 8/95 IZI M 3: > C-A U n M CA z eA M 0) 1, - 1, CD M > C/) -L 3: N Ul cm cl) CONTRACTING OWNER OR SUCCESSOR IN INTEREST: 200311128 REAL ESTATE: Q I?' -n- :iw a ",I __L_o_t ... 2-0.j ------- B-1-ock ---- 4 ----------- -------------------------------------- (Name) (Legal Description) ----- 24.0-8 ..... Qotto.n.woo.d ---- DrIve ---------------------------------- Replot - - - -o f ---- Rlv.e.rsiae .... ACT-es -------------_------- Grand Island, Ne 68801 ------------------- - ----- --------------------- -------------------------------------------- ---------- CLAIMANT: ---- Smi-dt-1--s ---- Hea-ting ... & ---- Coo-lIng ---- Inc ------- (Npgi6) Ridge Rd------------------------------- ------------------- - - - - -- -- -- - - - - --------------- ---- --- (Address) Grand Island Ne 68801 ----- - - -- -- - - - - -- - - - - - ------------------------ --------------------------------------- CLAIMANT CONTRACTED WITH: -..D-o-n ---- V-a-n.c.e ------------------------------------------------------------------------- (Name) 2408 Cottonwood Drive ------------------------------------------------- ---------------------------------------------------- (Address) Grand Isl_and_,____Ne 6-88-0-1 --------- - ---------- ------- -- ---- - --------- ------- ......... .... �( 3-0-8.) ----- 3817-9.9-2-9 ------------------------ ------------------------ ---------(30.8.) ----- 381-07.21 --------------------------------------------------- (Phone) (Phone) SERVICES OR MATERIALS FURNISHED BY CLAIMANT: ----- Regalre.d ---- sy-s-tem ---- 1 --- an-d ---- replace-d ...... _ system 2 with Coleman furnace and air conditioner. --------------- --------------- ---- -------------------------------------------------------- ------------------------------------------ -------------------- --------------------------------------------------------------- ----------------------- ------------------------------------ ------------ _--_---------------------- ---------------- ------------------------------------ ---------------------------------------------------------------- ------------------ ---------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- CONTRACT PRICE: 2,,__76.846 ....................... AMOUNT UNPAID: $..2.,- 76- 8- .-46 - -- - . TIME LAST SERVICES OR MATERIALS FURNISHED: ....... 6_—_?.3 :7.013 -------------------- I ----------------- ------------------------------------ a ------------- i State of ------- /I/, - --- --- ---------- -------------- ss.-------------------------- ------------------ - - - - -- -County ature fJ --------------- / I V --- On this _'-dayof ---- ----- -----------------__-- .... -------- I before me a Notary Public in and foci .......................... to me known to be the identical person o� said county, personally came ---- ------- _77�e,6,:z --------- 5.�., I persons who executed the fore ent, and acknowledged the same to be his, her, or their voluntary act an4 deed. ............ ......... ------------- - --------- .. Notary Public. i My commission expires the....-, .. ... ------ - - - - -- -day of- - - - - -- - --- - ------------------ STATE OF ---------_------ -----_------_ __------_--------- _ ------ Iss. Entered on numerical index and filed for record County of --------------------------------------------- ----------- ............ in the Register of Deeds Office of said County the! i ................ ... day of.---------------------------------- - - - - -, ............ I at--------------- - - - - -- ................ o'clock and---- - - - - -- - - -- . - -- ...minutes .................. M. and recorded in Book - --------- ............ _ .... of _.. ........................ ..at page.- .--------- - - - - -- ............ ----------------- - - ---- ---------------- - - - - -- .................... ........... Reg. of Deeds By-- - - - - -- ---------- ............................... .................................. Deputy Rev. 8/95