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145 - CONSTRUCTION LIEN Jacob North Printing Co., Inc., Lincoln, NE 68524 <br />M r c� <br />T ul <br />, C r) :c <br />C <br />= :; cr <br />n <br />rn > <br />r <br />L _ •, �� _. rrZ M <br />L -T1 <br />r T �, T <br />OOZ <br />Z3 cr <br />Lr <br />00 <br />200315552 CONSTRUCTION LIEN <br />`sso <br />1. The real estate subject to this lien is. :�10 �clrth� �c�l� ��Z <br />nn ii n <br />61 b G % l c-1 U t7: ��+� �- i i w I� curl �,.,k./ C -0. 5 su r�c� ADO , <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: C-���c <br />sec, -J -.51VJ �-E ( �'zsv 3 <br />4. The name and address of the person with whom the claimant contracted is: ��- <br />-;),1 u C5 `'S -,,. ST <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: n <br />up P "V-(- Sows o �l-t ��< << ����, V;01,kA 0-5 rlo� ftQ �i Cry o ��..,�,Q -j4 <br />13Ol <br />6. (Complete one of the following) <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 />d <br />The time the last services or materials were furnished was D ' °2 c- 3 <br />The time the last services or materials were furnished has not yet occurred but is estimated to occur <br />i Signature of Claimant <br />i <br />i Subscribed and sworn to before me this ��`�`'7 day of -- °'' G �• <br />IGENERAL NOTARY - State of Nebraska L <br />DENISE M. W,�SSSINGER Notary Public <br />My Comm Ev. a4= <br />i <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 />M <br />I <br />+i <br />1 <br />Rev. 9/9 <br />