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<br />_.~-=::::==:::. ...~:-, <br />, I <br />Jacob North Printin Co. Inc. Lincoln NE 68524 ' . <br /> <br />STRUCTION LIEN <br /> <br />N <br />S <br />S <br />0) <br />S <br />-..J <br />N <br />.J:>. <br />01 <br /> <br /> <br /> <br />()f) <br />::t:'" <br />m UI <br />(')::J: <br />'" <br /> <br />--oY <br />0, C> j <br />I-I oJ en <br />:c~ <br />rn ^ <br />..J5: <br />~..(::.V\ <br />~WN <br />D p <br />~J 7\ <br /> <br />;lO <br />rn <br />.." <br />c:: <br />Z <br />Qno <br />m>~ <br />n(f) <br />,.;X <br /> <br /> t'-,.> <br /> c:.:> 0 (f) <br /> <==> b ~ <br /> t;r.> <br /> A' c: l> <br /> =n ;z:: ~ <br />~r = ~ J"Tl <br />fT1 ~ C7) -< 0 <br />~- I-l 0 -r"'l <br />~ ..." ::--: <br />....,. <br />0 r z (T1 <br />m -U 1>>- C7i:' <br />tT1 :3 r. ::0 <br />ttl' r >- <br />t;I) U) <br />c..> ;><:: <br /> l> <br /> CJ1 -.- <br /> -.J Cf'J <br /> MJ <br /> <br />CONSTRUCTION IlEN <br /> <br />200607245 <br /> <br />Nl/2 of sW1/4 of Section 23-12-10 located <br /> <br />1. The real estate subject to this lien is: <br />in Hall County, ~ebraska <br /> <br />2. The person against whose interest in the real estate the lien is claimed is: Marc ia L. S 1eme rs <br /> <br />3. The name and address of the claimant is: Jim E. Kuszak;PO Box '(In Grand Islarid, <br />6'Y302 <br />Robert Hirsc;mani~30 Hardy Road St. Paul. NE G9H73 <br /> <br />C' If' <br />4. The name and address of the person with whom the claimant contracted is: ~ e .... <br /> <br />5. A general description of the claimant's services performed to, to be perfqrmed or m~terial~ furpis.ged 0)' tq be <br />furnished for the improvement and the contract price is;Im pro v e ill en t s t 0 11 V G S toe K. 1. a c 111 t y <br />inclu.ding bu.t not limited to-cnut8,concretc feed bunks,waste pit, feed <br />storage;mAt2rial s used-concrete,f1y as'i, rock,c"'mte,wood posts,cnl \Jmn, <br />pipe, s!1aft, E'u.e 1 i rental of exa vator, bobcat, t!"ac tor, manare spreader; labor <br />and electrical work <br /> <br />6. (Complete one of the following) <br /> <br />_ The amount unpaid, whether due or not, to the claimant for the services or materials is $ <br />~ The unpaid amount is not fixed by the contract, but a good faith estimate in the amount of $38,880. 8? <br />7. (Complete one of the following) <br />X "al Februar,y 1, 2806 <br />_ The time the last sel'Vlces or maten s were furnished was <br /> <br /> <br />i I <br />i i <br />>U',' <br />,--- <br />~, <br />II <br />Ii <br /> <br />\ ; <br />i I <br /> <br />1 j <br />i <br />I ~ <br />~ ~ <br /> <br />WI;; 8" <br /> <br /> <br />j \ <br /> <br />i' <br /> <br />, I <br />I <br />, <br /> <br />- The time the mst ~ces or maOOrillis were y ~e / Ztimared ro occur . . <br />s;r~~ant~~ <br /> <br /> <br />Subscribed and sworn to before me this <br /> <br /> <br />dluo-(~ . <br /> <br />GENERAl NOTARY. State of NebraSka <br />BARBARA J. SAlADEN <br />My Camm. Exp. Oct. 4, 2009 <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 /> <br />Rev. 9/95 <br /> <br />