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DATE:
<br />LIEN CLAIMED BY:
<br />LIEN CLAIMED AGAINST
<br />STATE OF NEBRASKA)
<br />)ss:
<br />COUNTY OF HALL )
<br />November 10, 2003
<br />Consolidated Concrete Co., a Nebraska
<br />Corporation, d /b /a Great Lakes Redi -Mix
<br />3440 West Old Highway 30
<br />Grand Island, NE 68803
<br />Shafer Construction
<br />1004 North Diers Ave., Suite 300
<br />Grand Island, NE 68803
<br />BRAD SALLINGER, General Manager of Consolidated Concrete Co., a Nebraska
<br />Corporation, doing business as Great Lakes Redi -Mix, being first duly sworn upon oath, deposes
<br />and says:
<br />1. He is the general manager of Consolidated Concrete Co., a Nebraska Corporation,
<br />doing business as Great Lakes Redi -Mix and as said General Manager verifies this account in
<br />writing for and on behalf of said corporation.
<br />2. Great Lakes Redi -Mix, by and through its duly authorized officers, entered into a
<br />verbal contract with Shafer Construction to provide concrete, rock and miscellaneous products
<br />relating to construction of improvements upon the real estate hereinafter described and the
<br />contract price for the improvements constructed upon such real estate by Consolidated Concrete
<br />Co., a Nebraska Corporation, doing business as Great Lakes Redi -Mix totaled Fourteen
<br />Thousand Seven Hundred Twenty -Eight and 40/100 Dollars ($14,728.40).
<br />3. The materials and labor were provided upon and in respect to that real estate located at
<br />Grand Island, Nebraska, legally described as follows, to -wit:
<br />Lot One (1), Cedar Ridge Second Subdivision, a replat of Lot Three (3)
<br />Cedar Ridge First Subdivision, in the City of Grand Island, Hall County,
<br />Nebraska.
<br />4. The amount unpaid and due to Consolidated Concrete Co., a Nebraska corporation,
<br />doing business as Great Lakes Redi -Mix for materials and services provided in accordance with
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<br />CONSTRUCTION LIEN
<br />DATE:
<br />LIEN CLAIMED BY:
<br />LIEN CLAIMED AGAINST
<br />STATE OF NEBRASKA)
<br />)ss:
<br />COUNTY OF HALL )
<br />November 10, 2003
<br />Consolidated Concrete Co., a Nebraska
<br />Corporation, d /b /a Great Lakes Redi -Mix
<br />3440 West Old Highway 30
<br />Grand Island, NE 68803
<br />Shafer Construction
<br />1004 North Diers Ave., Suite 300
<br />Grand Island, NE 68803
<br />BRAD SALLINGER, General Manager of Consolidated Concrete Co., a Nebraska
<br />Corporation, doing business as Great Lakes Redi -Mix, being first duly sworn upon oath, deposes
<br />and says:
<br />1. He is the general manager of Consolidated Concrete Co., a Nebraska Corporation,
<br />doing business as Great Lakes Redi -Mix and as said General Manager verifies this account in
<br />writing for and on behalf of said corporation.
<br />2. Great Lakes Redi -Mix, by and through its duly authorized officers, entered into a
<br />verbal contract with Shafer Construction to provide concrete, rock and miscellaneous products
<br />relating to construction of improvements upon the real estate hereinafter described and the
<br />contract price for the improvements constructed upon such real estate by Consolidated Concrete
<br />Co., a Nebraska Corporation, doing business as Great Lakes Redi -Mix totaled Fourteen
<br />Thousand Seven Hundred Twenty -Eight and 40/100 Dollars ($14,728.40).
<br />3. The materials and labor were provided upon and in respect to that real estate located at
<br />Grand Island, Nebraska, legally described as follows, to -wit:
<br />Lot One (1), Cedar Ridge Second Subdivision, a replat of Lot Three (3)
<br />Cedar Ridge First Subdivision, in the City of Grand Island, Hall County,
<br />Nebraska.
<br />4. The amount unpaid and due to Consolidated Concrete Co., a Nebraska corporation,
<br />doing business as Great Lakes Redi -Mix for materials and services provided in accordance with
<br />
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