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<br /> ;0 () n <br /> m ::r: ~ <br /> -n <br /> c: m <br /> Z n :r <br />,") '" <br />1: ~ 0 <br />,"T1 (I) <br />() (I) <br />~ :I: <br /> <br />-_._-J.~ i i <br /> <br /> <br />Jacob North Printing Co., In~., Lln~~~'__~ <br />i i <br />I, <br />I, <br /> <br />i: <br />11 <br />I <br /> <br />^,STRUCTION LIEN <br /> <br />200606454 <br />/nl ~J{v'o f7r:~/" I<,cb.e YCdt--~-1 <br />:;4{ hi,,!! >;/'Ji// /1'1 f-t~ e '/1( (!,If' D-/tvu...cl 7~4s~/ /{-~/y;sk7~ <br />2. The person against whose interest in the real estate the lien is claimed is: C( Lu ~Y:J /- '1'- P? ff I (, L C, <br /> <br /> <br />-~ <br /> <br />N <br />S <br />S <br />m <br />s <br />m <br />.j::o. <br />c.n <br />.j::o. <br /> <br />l ~.. ~\ <br />'y ~"- r', <br />'-.J ;':t <br />~~ <br />~."~' <br />7\l~ <br />~ <br />~ <br /> <br /> <br />1. The real estate subject to this lien is: <br /> <br /> J"'''';' <br /> ~:':,:"'.;') 0 <br /> c= U) <br /> ~t" => 0 -~ <br /> C- c: l:>- <br />:Xl ~' c.:::: Z ---l <br />~'1 .'1:: r- ....... ,." <br />G') -< 0 0 <br />-~ N <br />0..... 0 ..., 0 <br />." 0 ..., <br /> tk ..... 0".> <br /><:::> :c 1'1"1 <br />IT! f -'0 l;>- et,) <br />n, :3 r Xl <br />(,,7 ,- )> <br />(fl <br /> N en <br /> ::'<: <br /> l> <br /> 0 ...........'''-"'' <br /> -C ~ <br /> (.Q <br /> <br /> <br /> <br />CONSTRUCTION UEN <br /> <br />') <br />I <br /> <br />I <br />I <br />i <br /> <br />3. The name and address of the claimant is: 111~1"" F/ ,1 ~~iEL. <br />fj{')() I '~C~I illt -;:r /" I",'e.-ell ~ "~'/l' - ? 86'1)6 <br />4. The name and address of the person with whom the claimant contracted is: S I'1fd+i- t! u,..,~ -hrut:h lit, <br />CCllAA P'''1/ i 10 _:<? g l'l,"lt Donat. (J~4.5"'"C:dif ZQ/r'/ .(J- Jtcr'fd J <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 />1/'~ //vcl.,0H;;4 L( t{f's/"o/~"5 (('b1/< % (-4,4 ~&K <br /> <br />, ; <br />! : <br /> <br />i' <br />, , <br /> <br />i <br />: i <br />I! <br /> <br />6. (Complete one of the following) <br />-L The amount unpaid, whether due or not, to the claimant for the services or materials is $ c...:::/ €,,"? d. . ft$ <br />_ The unpaid amount is not fixed by the contract, but a good faith estimate in the amount of $ <br />7. (Complete one of the following) <br />---;K"--- The time the last services or materials were fumished was 0 &.< fy c; ,~~ <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 />GENERAl.. NOTARY . Stala of Nebraska <br />DOREEN D. AN <br />My Comm. Exp. 0 <br /> <br /> <br /> <br /> <br />: ' <br /> <br />Si~~Alct~ ~/lFl- <br /><>JOvL 1J;:'~;;l,0A~~ <br /> <br />o/" Notary Public <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 />1 ~ <br /> <br /> <br />, i <br /> <br />J..L..._.~_ <br /> <br />Rev. 9/951 <br /> <br />. .' ,~. -i-. _n. ."".. <br /> <br />i I <br />