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<br />II I <br /> <br />Jacob North Printing Co., Inc., Lincoln, NE 68524 <br /> <br />I II <br />T Ii <br /> <br />IISTRUCTlON LIEN <br /> <br />1. The real estate subject to this lien is: <br /> <br />\\ N' L <br /> <br /> <br /> <br /> <br />:;10 <br />m <br />.." <br />c: <br />('\ Z <br />:r.:nC <br />m>~ <br />ncn <br />",:I: <br /> <br /> <br />f <br /> <br />on <br />:1:)> <br />m (/'! <br />n::t: <br />7": <br /> <br /> ~ <br /> <=3 o (j) <br /> c:;:;> 0--1 <br /> o::::n <br />~~ c'P' <br />c..- 2;-1 <br />c..:::: -IfTl <br />r- -< 0 <br />~~ 0"" <br />en ...,., z <br />"'Tl ~ :t:m <br />Cl lJI- OJ <br />m -u <br />,.., ::3 r:u <br />t.. ~ r Jo>o- <br />(f) (j) <br />~ ;:ooc; <br /> > <br /> ...... ............:"""'-' <br /> -.J lIP' <br /> iIA. <br /> <br />~""tI~ <br />\-iO~ <br />~~ <br />11\ ~. lT1 <br />rr <br />E0 lJ) ~. <br />~ co). <br />~{'Jr <br />o ~ <br />p <br /> <br /> <br />J\.) <br />\Sl <br />\Sl <br />0) <br />\Sl <br />en <br />\Sl <br />\Sl <br />CD <br /> <br />k ..' <br />,~' .~~'-r <br /> <br />CONSTRUCTION LIEN <br /> <br />200606009 <br /> <br />CI <br /> <br />2. The person against whose interest in the real estate the lien is claimed is: t-AI ""e ./?N'ffh,. er8J~ <br />c-ro.r--.~ el~l2..-. L . <br />llwnee, Lerer LS L \'(\~t)\'r) t4~ey~\ S~\i. ':3'\- l~'(\(l f}~n. t0t: <br />3. The name and address of the claimant is: -.tn"S \e'l_c. \e. ( ~ l Q\ :':'-.rx \J iuS. :In{ ~ <br />t. <br /> <br /> <br /> <br />~')+ <br /> <br />4. e name and address of the person with whom the <br /> <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 />~'.i...M t1r-dI",<.4111\~d ~t~it~ _~~f.(:'.J~h-h~ rex{: 4~ <br />ka/;r.:J (lLJ./Je /)/}/l/Ir3J trllnevi,,, ) t!~lJltr h{1i jj;n:;s. <br />6. (Complete one of the following) <br />~ The amount unpaid, whether due or not, to the claimant for the services or materials is $~ '1Mll. <br /> <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 />~ The time the last services or materials were furnished was i.J \..l..V'\.t \ \ t DDlo <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 />~+h <br /> <br />~o 'ffLt~ <br />ignature of Claimant . <br /> <br /> <br /> <br />~l4il vl;~ <br /> <br />Notary Public <br /> <br />., 2fJfJk,. <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 />__ -~ ~e::dr <br /> <br />iif- <br />