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<br /> uJ <br /> , :110 n n .--...:> <br /> ~ ~ ::r. > c::> o <n o~ <br /> <==> o -i <br /> ", (II ~~ c.r> <br /> n ::c c::l> Netr <br /> n Z ~ 0 z-l <br />'" ~ 0 ~~ rt'1 -1m o~ <br />.< :I: <:-;) -<0 <br />is> m ~ <br />CSl v> '"" 0-" 0 <br />n CJ1~ <br />CJ1 ~ :J: 1I .." 0 -"z <br />...... ~ tJ <br />'" 0 0 :rm I--" - <br />eN rrI r :D l>(:O :::3 <br />0:> P rr1 :3 r::D ~g <br />...... <- 0 r 1>- <br /> ) (fl .......... <n <br /> (iJ .......... ;><; co~ <br /> ::5" l> <br /> f N .........- <br /> ........ en ........::s <br /> (J') ~ <br /> :z <br /> ,.. <br /> 20051238.1 <br /> ((lNsrgl)(I'lqj\JJ"FN <br /> <br /> <br /> <br />I. THE: RI:AL LSIAIT SUBJECT TO TillS LlJ:.N IS: BLOCK 5. PONDFROSA LAKE E:STATFS <br />SUBDIVISION <br />1. THE PERSON /\(iAINST WHOSE INTEREST IN TI-IE REAL ESTATF THE LIEN IS CLAIMED <br />ARE: SHAFER C'ONSTRlICII()N. HI9 DIERS AVI STF I, GRAND ISLAND. NE 68803 <br />], TIlE NAME (IF IHE CLAIMANT IS: <br />BUII.nrRS W AREHOUsr <br />P(J BOX 1447 <br />GRAND ISLAND, NE (iHH02 <br />4. THE NAME AND ADDRFSS or THE PERSON WITH WHOM THE CLAIMANT CONTRACTED <br />IS: SHAFER CONSTRUCTION <br />819 DIERS AVE SUITE I <br />GRAND ISLAND, NF 6i\803 <br />5. A GENERAL DESCJUPTION OF THE: CLAIMANTS MA TFRIALS FURNISHED FOR THE <br />IMPROVEMENT AND THE UNPAID AMOUNT IS: $9HI7.71 <br />6 TI![: AMOUNT UNPAID T() THE CLAIMANT FOR MATERIALS IS: $9R 17.71 <br />7 nIL DATI': THE LAST MATERIALS WERE FURNISHED WAS: NOV. L 1005 <br /> <br /># ~0/7' 1~ <br />::- ~S\~;~~~OUSE ~!:'jt-, _Lj;>s <br /> <br />CLAIMANT <br /> <br /> <br />SUBSCRIHE ANI) SWORN TO BEFORE ME <br />II-.... /' J ' -- <br />THIS ;;)()' DAY OF ~ec_ ;2Ud5 <br /> <br />__~)22i::_Z!n_~/),-~iI? -CO::'2.~j_~:J-~ ~" <br /> <br />NOTARY PUBLIC <br /> <br />~ GENERAl NOT MY - State 01 Nebraska <br />Il MICHAEL P CARRAHER <br />" My Comm. Exp. Nov. 20. 2009 <br />