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<br />I'V <br />lSl <br />lSl <br />(J1 <br />...... <br />...... <br />eN <br />(j) <br />I'V <br /> <br />n () ~ <br />:J: )> ~ O(j) <br />~~-- ~$ ~ 0--1 <br /> c: l> <br />:x 2: Z--l <br /> c:::::> <br /> c:::; --lfT'l <br /> -<0 <br /> ~ 0" <br /> ...., -.J "::z: <br /> ~ r x fTI <br /> m :D > en <br /> m ::3 r- ::0 <br /> ~ .l> <br /> en ........ en <br /> 0 ;:00; <br /> > <br /> ,...... -'......... <br /> -.,] en <br /> en <br /> <br />~, ('1'''- <br />Cs~~. ~J' <br />,," J 1\:' "'" <br />'6 C(i ~ - <br /> <br />I, " <br />........... 7'..,. p." <br />__' \,;\ r,. \. <br />--,.~ ._~.... \ <br />,,' I' <br />0:\~,J ~ <br />,~,( <br />'. '., <br />( , <br />''".. <br />\ <br /> <br />~' <br />~ <br />~ <br />~~, <br /> <br />,., <br />m <br />"T1 <br />--c: <br />-, <br />-"'- <br />o <br />~ <br /> <br />n <br />~~ <br />()(I) <br />,...:1: <br /> <br /> <br />~,' <br />c~ ~ <br />~, "i\: <br />~) ~ <br />~~ <br /> <br />200511362 <br /> <br />~ <br />oar <br />~f! <br />o Gi" <br />en 3" <br />........ en <br />......... 2" <br />~.i <br />N'Z <br />o <br /> <br />\<::-.) " <br />0' <br />. :v <br /> <br />(Q.r-J.5IgLl(~T'-QN,lAf~N <br /> <br />I. THE REAL ESTATE SUBJECT T() THIS UEN IS: WASHINGTON TWP JESSICA <br />SUBDIVISION. LOT ONE (I). HALL COUNTY, NEBRASKA <br />2. THE PERSON AGAINST WHOSE INTEREST IN THE REAL ESTATE THE LIEN IS CLAIMED <br />ARE: EDWIN D MEDBERY JR, AND KRIST/E HENSEN <br />3. THE NAME OF THE CLArMANT IS: <br />BUILDERS WAREHOUSE <br />P.O. BOX 1447 <br />GRAND ISLAND., NE 6RR02 <br />4. THE NAME AND ADDRESS OF THE PERSON WITH WHOM THE CLAIMAN'r CONTRACTED <br />IS: EDWIN 0 MEDBERY.lR AND KRISTIE HENSEN <br />2773 N ST PAUL RD <br />GRAND ISLAND. NEBRASKA <br />5. A GENERAL DESCRIPTION OF THE CLAIMANTS MATERIALS FURNISHED FOR THE <br />IMPROVEMENT AND THE UNPAID AMOUNT IS: $A792.3S <br />6. THE AMOUNT UNPAID TO THE CLAIMANT FOR MATERIALS IS: $6792,38 <br />... ..-- <br />7. THE DATE THE LAST MATERIALS WERE FUR [SHE) WAS: OCTOBER 2Is1,~o5 <br />~ 'I) <br />. y,' <br />BY----li <br />BUilt' R, WAREHOUSE 7~~/e 'I f{ IJcJ:;SC <br />CLjIMANT <br /> <br /> <br />SUBSCRIBE AND SWORN TO DEFORE ME <br />THIS 17fh.DAY OF No ue."b <' e. dO 0 -5 <br /> <br />t2J2~Cljl:r~~f_P ~<J--{GVl_ <br /> <br />NOTARY PUBLIC <br /> <br />J <br /> <br />GENERAL NOTARY - State of Nebraska <br />MICHAEL P CARRAHER <br />My Comm. Exp. Nov. 20, 2005 <br />