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200511982
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Last modified
12/6/2005 3:49:46 PM
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12/6/2005 3:49:46 PM
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200511982
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<br /> ~6> \:-" <br /> ;::::;-' nn <br /> --, JIO <br /> Z- g: J) ~ ::I: > ~ f;' <br /> m en c;:::> ow cit <br /> f c: c::::> <br /> ('I ,<. ()::J: ~t c.n 0-1 fir <br /> n z " C;:.:p f"Ilj' <br /> 6"' \U (") 0 CJ z-l ~ <br /> :J: U\ rT1 -tm <br />N ~ ~ m ~ ~ CJ -<0 <:::I <br /><Sl n d ~ <br /><Sl P ;lI; :c \)"l 0" <br /> en <br />CJ1 qJ 0 -., -"2; en <br /> r - <br />~ 0 ::c m ::s <br />~ (J m ::D > CO ~ [ <br />c.o "'; m ::3 r- ;0 <br />ex> ~ 0 .> ....... <br />N (p ....... w i <br /> ::? 0 7' CD <br /> > <br /> s:i Ul ----- CO <br /> ~ U1 en J') <br /> 20if511982 en 2 <br /> 0 <br /> CONSTRUCTION LIEN <br /> <br /> <br /> <br />CONTRACTING OWNER OR SUCCESSOR <br />IN INTEREST: <br />Beniamin Shafer <br /> <br />REAL ESTATE <br />Lot 1, Blk 2 Ponderosa Lake Estates <br /> <br />705 Redwood Road <br /> <br />3rd Sub Division (125 Ponderosa) <br /> <br />Grand Island, NE 68803 <br /> <br />Grand Island, Hall County. Nebraska <br /> <br />CLAIMANT: <br />NEBCO, Inc. D/B/A <br />Christensen Concrete Products <br />235 W Roberts St. <br />POBox 272 <br />Grand Island, NE 68802 <br /> <br />CLAIMANT CONTRACTED WITH: <br />Shafer Develooment <br />819 Diers, Suite 1 <br />Grand Island, NE 68803 <br /> <br />SERVICES OR MATERIALS FURNISHED BY CLAIMANT: 40 FT of Comer Cultured Stone, <br />520 SF of Flat Cultured Stone, 15 Bags 70 LB Promix Mortar. 4 Wood Pallets and miscellaneous charges. <br /> <br />AMOUNT UNPAID: $3,473.21 <br /> <br />TIME LAST SERVICE OR MATERIALS FURNISHED: <br /> <br />August 17. 2005 <br /> <br />The undersigned hereby requests that notice of any termination of a notice of commencement be sent to the ' <br />at the address set forth above. <br /> <br />)( <br /> <br /> <br />,z~\dQo'Y <br />IMANT Q.. 'n r ,''0,; t-€. Y1 5,;>." <br />Co ."'c:....- ",'I''' PY't', <br /> <br />.. ,\-SIGNA TURE OF C <br />~-CJV ':')c_c ~~'C..-II <br />SUBSCRIBED AND SWORN TO BEFORE ME THIS ~DA Y OF 0 J-t..t .::> <br />I.J;ENERAL NOTARY. State of Nebraska b Sb 9 (i) fL <br />III $HERYLA. BRUNDAGE' ..1/\ JL..I..<...-;v- A~ <br />. "=.:o.~ My Comm. Exp. Dec. '20,2007 / NOTARY PUBLIC <br /> <br />,2005 <br />
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