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223 CONSTRUCTION LIEN <br />tJ � <br />Jacob North Printing Co., Inc., Lincoln, NE 68524 <br />j <br />C <br />M CA <br />T, n = r b NO <br />7 l —, fr <br />�- <br />M D <br />N -, O <br />A N <br />777 <br />�a 7C <br />1710 <br />C !1 en Ca <br />200311129 <br />CONTRACTING OWNER OR SUCCESSOR IN <br />INTEREST: <br />REAL ESTATE: <br />The southerly Seventy —one feet ofd <br />Marion D. Larsen <br />------- - - - - -- <br />- <br />of LotTwenty —six (26) and the North <br />- - -- - - - - - - - - - - -- ------------------------------------------------------------ <br />------------------------------------------- - - - - -- <br />(Name) y <br />2503 State Hwy <br />4 <br />L gal Descri ti n) <br />e(rg sev�'n� —nine feet (N79') of <br />o <br />----------------------------------------------------- ----- - - - - -- <br />- - - - -- <br />--- - - - - -- ----------------------- --- - - -- ------------------------------------------------------------- <br />Twenty-seven (27), all in Holcomb 's <br />Marquette, Ne <br />68854 <br />Highway Homes, an Addition to the <br />- - - - -- - - - - -- - -- - - - -- - - - - -- - - - - -- - - - <br />- - -- -- - - - - <br />-- -- -------------------------------- - - - - -- -- - - - - -- <br />CC- l t- yy--- - -o -ff- - -G --------- d � Island Hall 1 C o n t <br />NebYasLl <br />d <br />as surveyed, platte <br />recordedt <br />CLAIMANT: <br />CLAIMANT CONTRACTED WITH: <br />s_._. He. a. t.i.ng..__ <br />&..._C.o.olin.g_._Inc . <br />Villa _e Inn Pancake House/ Don Va <br />-- - - -- - - -- - -- -- - -- <br />c <br />----------------------------------- <br />(Name) 189 Ridge Road <br />------ - - - - -- <br />Name) <br />( 2624 South Locust Street <br />- -------------------------------------------- <br />-- -- - -- - - - - - -- <br />(Address) Grand Island, <br />-- - - - - -- -- - - - - -- <br />Ne 68801 <br />Address) <br />( Grand Island, Ne 68801 1 <br />(308) 384 -9929 <br />- - - - -- --------------------------- - - - - -- - -- ---------------------------------- .------------- <br />(Phone) <br />SERVICES OR MATERIALS FURNISHED BY CLAIMANT: <br />(308) 382 -0666 <br />------------------ - - - - -- -------------------------- - - ---- ------------ - - - - -- - -- - - - -- - i <br />(Phone) <br />i <br />Repaired (4) Commercial <br />--------------------------------- <br />Rooftop Units <br />CONTRACT PRICE: $-- 744..- 019_. ___------------------- ----- - - -- AMOUNT UNPAID: $ .... 74. 4..- 09 ------------ - ................ <br />TIME LAST SERVICES OR MATERIALS FURNISHED: _._4\,gn,tur 7- 17 -0.3 <br />State of - -- -- -� - - -- - -- -- - -- - -Iss. <br />----------------------------- <br />---- --- ----------- --- - -- c/_ ll- - - - - -- - - - - -- County e of Clai <br />On this .._2- ...... _.. day of .._.._._._ ---------- .------------------------------------------ ...Q3_.. , before me a Notary Public in and for';' <br />said county, personally came ------------- .��___,�!yvt_1'.. � .............._..________ to me known to be the identical person or', <br />persons who executed the foregoing instru ent, and acknowledged the same to be his, her, or their voluntary act an4 <br />deed. GF� jjb1 Y -State 8f 118"13111 <br />HOMER L. ELR00 -- <br />I n. An 10, 2007 � --------- - - - - -- ----- - - - - -- <br />l�y Comm. _�` . <br />Notary Public. <br />� <br />My commission expires the __.__ /. ....... of ...... ......_� __: 07 i <br />STATEOF - - - - - -- ------ - - - - -- --------------------------- - - - - -- ----- _ - - - -- <br />Iss. <br />Entered on numerical index and filed for record <br />County of ....................................... ...................... ......... in the Register of Deeds Office of said County the <br />------------- - - - - -- -day of- _-------- _.......................... - - - - -, at _--------------- - - - - -- - - - -- ..o'clock and---- - - - --- _- _ - - - - -- minutes-------- _.... - - -.M. <br />and recorded in Book ------------- - - - - -- --------- of .------------------------ - - - -at page.. ---------------------- <br />-- - - - - -- --------- - - - - -- -- --------------------- - - - - -- ----------- - - - - -- - - -- -Reg. of Deeds <br />By---- ------ _------ - - - --- -- -- ---------- ................ ........................... Deputy <br />Rev. 8/95 <br />