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<br />II <br />II <br /> <br />JII <br /> <br />Jacob North Printing Co., Inc., Lincoln, NE 68,5~4 .~~ IT-- <br /> <br />INSTRUCTION LIEN <br /> <br />on <br />:::t:)> <br />mCl'l <br />n:r <br />" <br /> <br /> r-j <br /> oC';:':' 0 (J) <br /> ,-",= 0 <br /> ~ 0 --i <br /> :::\~ C- c ~ N <br />:JJ ~', c.-:: Z -l <br />m '.;". r- --i m 0 <br />C),.t -~ -< 0 <br />e~("\'" ~ 0 ...., 0 <br />""T] ...L: .." ::z: CJ") <br />~J .,..~ :r: r'l <br />rt"1 L,.~ \J > co D <br />rr1 ~ ::3 r ;;0 <br />0 r :t>- en <br />if> ~ ~ (J) <br /> r-.:> :::><: ~ <br /> l> ex> <br /> ~ "'-""""'~ <br /> -.J ClJll ...... <br /> (n <br /> <br />~ <br />"'" <br />c <br />Z <br />QnC <br />m>~ <br />nc:n <br />",,:I: <br /> <br /> <br />n~';\ <br /><~~ <br />I1\X"<: <br />rn <br />~ \J\ no- <br />"Q"<::0 <br />~N -t-, <br /><::. I\> :>, <br />~ €- <br /> <br />~ <br />~ <br />(\ <br />~ <br /> <br />200606281 <br />CONSTRlJDTION LIEN <br /> <br />I\.) <br />($I <br />($I <br />0') <br />($I <br />0') <br />I\.) <br />(Xl <br />-->. <br /> <br />tl <br /> <br />L Thereal estate subject to this lien is: e(o..~VfJUfL{J Lt'r\- L.t ~\C(_K-.~. 5.$() <br />Ct16t ~t:ctDld ~"e..1 ~yo..,"\cl ---T"~,:>h~d. tvE. J <br /> <br />2, The person against whose interest in the real estate the lien is claimed is: .N..~ ~ i ()")5{J) .. ~Y'O\ f <.:t--1l:l\ <br />Ow\ Lindo< i ~ l.\~,Qb\\') kduC\..\ 3fI,,; rj~~l\V'Ltih, ~ ~r(l~ "'.. lPll-Ia.... LL( <br /> <br />3, The name and address of the claimant is: f.rrs \e~-lhl(\ ~ .~ y\J i (O~) I ~'::I,.-{" . <br />~ 551..2.. C"V{)Jd 'l<.b.nd, ~ lrE'5Pa::'~ <br /> <br />4. The name and address of the person with wh~m tIy) claimant contracted is: _ ~'1~e V" tJY6l-YL1.CfJ('V'1 <br />~l"K'rlXln\1 I~ Iqlo-l-~ ioo.UeClSlln+ t\'AIf.._~JJe ~fi'4;;;'3 <br /> <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 PRce is: <br /> <br />I..\e.c-h\(o ~ \.\. "4.....'1' ~-~..., \-A':', \:1\'f\C\ I ~(b t \(J\ . \'\(\.\ ~\; f\() I C(\>({h~r\- 4- ll)\l', 1'3' <br />r\ :J ~:J .1' ,i <br />-h~' :;=\?(\ 1\ \i..-l~~_ ~ l~\-e n-\ . . . .. .'_ ... __, <br /> <br />6. (Complete one of the following) <br />--X- The amount unpaid, whether due or not, to the claimant for the services or materials is $ { J, ()51.C() <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 />1 The time the last services or materials were furnished was -~\. \ 'I II 2C"f.'Y.c, <br /> <br />~ The time the last services or materials were furnished has not yet occurred but is estimated to occur <br /> <br /> <br />Subscribed and sworn to before me this <br /> <br />'-" -l h <br /> <br />,f~ <br />1J/L.i;Dr/V.1 <br />,- .l-,i.L-c~.u-JJ~ <br /> <br />~!lJ;: ~~:~ ' 2&k. <br /> <br />Notary Public <br /> <br />~""NOIMY._clNIIIIIIa <br />IAENO.\MVERS <br />MtOJnln. Exp. May 1" 2Oll9 <br />(52-147, See 52-148 for amendment; 52-149 for assignment; 52-137 for recording time; 52" 154 for discharge orrelease), <br /> <br />I <br />I <br />I <br />~.~-,.-._.- .k=tt==- <br />Rev. 9/9~ II <br />