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<br />'NSTRUCTION LIEN <br /> <br />N <br />S <br /><S <br />0) <br />S <br /><S <br />CO <br />W <br />-.....J <br /> <br /> <br />8 ~f <br /> <br />2- (h ~ <br />(t\ () ~. <br />~ -{: f'l' <br />C<) '.-L <br />~ (J--' (') <br />c" ~, r:. <br />~ <br />c" <br /> <br />co <br /> <br /> <br />CONSTRUCTION UEN <br /> <br />~.\. <br />rn ~: <br />~,~.. <br />""t1 I <br />o t...,: <br />~ ~~ <br />~ f'V <br />(f1 <br />en <br /> <br />\) <br />:::3 <br /> <br /><:n <br /><:n <br /> <br />W <br />-.J <br /> <br />-......... <br /> <br />1. The real estate subjectto this lien is: IV f/GY.3 <br />kt6 /) '-) f31LJcJ< l6 <br /> <br />I1dJ, tON SE~. Ii) ~ .514. 15 <br />c &e~ RrtFl(J.,fJ' <br /> <br />2':' The person against whose interest in the real estate the lien is claimed is: <br />F~ANqflJtt!A 867ltlfNI/1 ~JVt~tM)1fi-s t!k~ <br />Rf.U16'2. l-< R'L~; O~N~TbJtD~ <br />~~AlVd r~14d HE "'i~J <br /> <br />IfLA<1JR <br />i~~i <br />3. The name and address of the claimant is: <br />~O g E C!Apt fA t. FIvE. <br /> <br />7N~. <br /> <br />4. The name and address of the person with whom the claimant contracted is: <br /> <br />~~"t4~ Gu*k!RLMpe- fJDf'}IN~U.f-Z - 7t!Jfl~ 8~wtl;L Hi <br />~,(2.Pl)VJd I:iLANd Ale., <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: <br /> <br />8/L1iJ.tNf R$lA.rJdt:L) (!PAldrJti fkl~ktl'tlt1 ).-1--' <br /> <br />~7) 65~~ <br /> <br />6. (Complete one of the following) <br />~ The amount unpaid, whether due or not, to the claimant for the services or materials is $ 2...<1 ~~.; 6~ <br />_ The unpaid amount is not fixed by the contract, but a good faith estimate in the amount of $ <br /> <br />7. (Complete one of the following) <br /> <br />_ The time the last services or materials were furnished was <br /> <br />/ ~-j~/1'd.1J <br /> <br />_ The time the last services or materials were furnished has not yet occurred but is estimated to occur <br /> <br />Subscribed and sworn to before me this <br /> <br />J;GENERAl NOTARV . Slate of Nebraska <br />STACEY A. RUZICKA <br />___"c';C,". My Comm. &po May 10, 2007 <br /> <br /> <br /> <br />(52-147. See 52-148 for amendment; 52-149 for assignment; 52-137 for recording time; 52-154 for discharge or release). <br /> <br />Ii [ <br /> <br />ReV-.:_9/9l I. <br />