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145 - CONSTRUCTION LIEN l A i <br />A j ) Jacob North Printing Co., Inc., Lincoln, NE 68524 <br />V V T�7 v <br />1 <br />cti rn = D <br />r N rn Z \ obi o <br />--� o <br />rn )> <br />TAI n <br />57 C, 0 '-I O <br />C-) <br />i7 T1 <br />Z3 r <br />\ <br />I V tin ? C) <br />—� C!l <br />i Cn H <br />i <br />°'� CONSTRUCTION LIEN <br />1. The real estate subject to this lien is: <br />ID <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: <br />4. The me and address of the person with whom the claimant contracted is: <br />5. A general description of the claimant's services performed to, to be performed or materials fu shed or to be <br />furnished for and the contract price is: �r�jyRA?n�. /rr�D�D� .we <br />,,the '�improvement <br />A&-, � � �riU�✓ F /o 4JWCN <br />6. (Complete one of the following) <br />00 <br />The amount unpaid, whether due or not, to the claimant for the services or materials is $ <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 />G <br />OA69= <br />The time the last services or materials were furnished was <br />The time the last services or materials were furnished has not yet occurred but is estimated to occur <br />t <br />jiat�e of aim t <br />i <br />Subscribed and sworn to before me this day of <br />GENERAL NOTARY • SW of Nebraska ` 62, <br />DENICE R. KRUSS Notary Public <br />My Carom. E. W 25, 2008 <br />I <br />(52 -147. See 52 -148 for amendment; 52 -149 for assignment; 52 -137 for recording time; 52 -154 for discharge or release). <br />1 <br />i <br />e <br />