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<br />,TRUCTlON LIEN
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<br />Huffman and Felton & Wolf, Walton, Ne. 68461
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<br />200600395
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<br />CONTRACTING OWNER OR SUCCESSOR IN
<br />INTEREST:
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<br />f~._.~..~T__..~~_~_.~._~_____n________n________
<br />(Name) III ~ U). lotL( Sl.
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<br />....................1. ................................................................................._
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<br />G ~"',O 1 s.UM-O Y\t, b&~"D I
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<br />......................m......m............ .........._1..__ ___'_'_'_'_"_'_00"__ __........ ... ..... ....
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<br />REAL ESTATE:
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<br />.....\\..G....~.~~.~~~....#..p..~TI.~................................
<br />_(~~~~~__~~~~i~~i~~)___lp1____~_______r?_~:K,___l._______________________00
<br />___..c(r::\__(:)_f____~~~_v____1~~P_.___..................
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<br />;1
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<br />CLAIMANT:
<br />OlSOY\ ~flrJ~ l~(,. e'1 Jt5ttL\ bl~OV\
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<br />.......m......................................t.....................................................----
<br />(N ame) PO 6 0 ~ J. 1 J..
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<br />..l~~1..)~.?:.~.~?:P.\...mm....mmm.mm...........mmm..m.
<br />, (Phone)
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<br />CLAIMANT CONTRACTED WITH:
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<br />---fttn---~-----.)-~l---~~-~~-~--------------------m-
<br />(Name) 1 \ <6 U), \()tq 9 '
<br />.(Add;~~~)...(;.~,.6..i~.L~~......iit..:.~.gi6.i.....
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<br />_______00______________________________________00_______--------.----l.-------------------------.--.-.....
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<br />.tP.9~)__.i~__I_~._.~1.Q~_...~....?.~.~.~}J1..~...~.~~~........
<br />(Phone)
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<br />, i.k~o ~ IkA) ~Th1..lkl& fo(L
<br />SERVICES OR MATeRIALS FURNISHED BY CLAIMANT. ......mm...m...m......mm...._....m.......m...._...n_._n..._.m_nm_m_._nmnm.mm.
<br />..~JJA~.....~~...~.!.\~~.~..:...~.~~0:.~....~_~___~_.f____~~____~~.r~~____~_~~~~~~j.~~.....
<br />tJ ~ \)rtK U\)c.
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<br />CONTRACT PRICE: $..,q+.4.~.:?,:.5~........._.._......... AMOUNT UNPAID: $../i~_~!!1:.nJn7..nmmmm.n
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<br />TIME LAST SERVICES OR MATERIALS FURNISHE.D: j~n\~~>- \ofmmmmmmmmmmmmmmmmm
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<br />State of ..mm..m.mm..m...mm.m..-...-m-.-.m..-lss ...: __ ~m~:~mm...-.mnm-mmnm--m-m-m-mm--.nm.....
<br />m.m.mm....mmm..m..mm.m.m..m....mCounty . 19n~e of Claimant
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<br />On this mm..LZ.~~~.. day of _....m_..._..J..?J.//.~~.1..!.):m.m..................m... ,!lDl!.b!. , before me a Notary Public in and for
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<br />said county, personally came ....~~1~1?J\q....9_.~~_~~_._m_........m......m..mmmmm to me known to be the identical person or
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<br />persons who executed the for,egoing instrument, and acknowledged the same to be his, her, or their voluntary act and
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<br />Ii deed. ~:?~t12(lH'?J6-t;;L~"""Y'mm
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<br />Notary Public.
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<br />My commission expires the.........?~~:1~.n.day Ofmmn~d:11nnmm-n' :J.cnt>..:j.
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<br />~:~ :F..................................................................1... := ~:::f=.ino~re-::.::~ ~:,':::
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<br />....................day of........................................, 19............, atm............mm........._.....no' clock andmm._................ minutesmm_m_mnnM.,
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<br />and recorded in Book..........._...._.n.........of.............................at page...............................
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<br />_..._____._..._.__________00______________00________00..........................Reg. of Deeds
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<br />By__......____...................................______00_00___00____________________... Deputy
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<br />Rev. 8/95
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