Laserfiche WebLink
<br />I <br />J~ <br /> <br />1. The real estate subject to this lien is: ~O(" t '" \-\<>-\.r I SOV't~v~t!it ~Uo.rt.-e1J I \~ <br /> <br />l'Jor~~vv@.st l,\}X\f'Ter ~C_~p.t .bOSn..Cres "wy ~tc.~pt. ~8~~res, I II <br />lloQ. q-l)..-q I I' <br />2. The person against whose interest in the real estate the lien is claimed is: ! I <br />Ii <br />! I <br />i i <br />: I <br />; I <br />II <br />i I <br />i I <br />Ii <br />II <br />I. <br />II <br />, 'I <br />I I: <br />I II <br />j ~ ~ <br />I <br />I <br />I <br />I <br /> <br />I$TRUCTION LIEN <br /> <br />Jacob Nort!'! Printing CO.,lne" Lincoln. N~Ji!l52~___ <br /> <br />6)v\~ <br />H ij\ r <br />;...- <br /> <br />2..V\O <br />en. r <br />6'"' <E. G, <br />~ &; ~ <br />o ~'JJ <br />W /J u: <br />~t" <br />j <br />~~ <br />~3 <br /> <br />200608135 <br /> <br /> 10 n n <br /> m :r.: > r....<,,~ <br /> .." m Con c.;:..;) <br /> c: n :r.: f""::"":::3 <br /> Z -..... , <::r.> <br />n ~ ...-"1"-, <br />::c n 0 en <br />I'll >- ~ :;:t) ~", rr"l <br />() Con V\ ri1 >~: --0 <br /> ~'") <br />:?li: :r.: ... "~ I-" <br /> \J\ c \' I-" <br /> 'Tl <br /> () 1:') r;. <br /> ~,\ <br /> r-t1 [ -0 <br /> nl ::3 <br /> Q <br /> fJ) <br /> -C <br /> f--& <br /> 0) <br /> <br />~ <br />en <br /> <br />N <br />CSl <br />Gl <br />0'> <br />Gl <br />(Xl <br />...... <br />W <br />c.n <br /> <br />Q 0') <br />0-. <br />c: ;r" <br />z"""""; <br />-1m <br />-< c' <br />0-"1 <br />-'~ '~~ <br />:r. ['11 <br />l;p C.::) <br />r-- ;;0 <br />r- :r.,. <br />(I) <br />7" <br />J> <br /> <br />---- .---- <br /> <br />CONSTRUCTION UEN <br /> <br />-R 0\ '" dr--fie-t'" \.e..p 5 <br /> <br />3. The name and address of the claimant is: _Po..v\ tk.."iS R, $tt')..o..T~M"^ nf CP,,'t~o.. ~ <br />J.f\C1 51 5 S~uT" Wpbb Rn~...cl Su;tp {)/Gf(Af\d l>s\t),.~~~. b~~03 <br />4. The name and address of the person with whom the claimant contracted is: _~ a.....A y t> ~ -t" "te.f., <br />7 7 I 3 ~ n r-T" \-\ \NY 28\.. G ro..~J I S 't'\,.~d..,..lJ~. b g S>Q I <br /> <br />5. A general description of the claimant's services performed 1:2z.to be performed or materials furnished or to be <br />furnished for the improvement and the contract price is: I:.,re. RCl6tDf"o.t'it!J1'\ I Cry \/,-,4. \\ , <br /> <br />c.o.f" pe,:t ! -r;'11. f Pi viM b ,n.,9 I 0"" del E'do.. V\. ; V\..'J <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 $ ~. <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 />--.X.. The time the last services or materials were furnished was A lJ9 U S t 1 C) J ;2. 006 <br />- The time the last services or materials were furnished has not yet occurred but is estimated to occur <br />fPrz. 0'1'= CEJ.trf-AL- NE:&f..,tY':;oM /He.. <br />P1B!A: PAt.L DAVIS f<.E:..STOfl...Cs//ON <br />P1~~ <br /> <br />Signature of Claimant <br />)/Ict::. "S><-mINS.K..1 t/'c'!:: ~.':.~O~l'rr <br /> <br />Subscribed and sworn to before me this <br /> <br />//~ <br /> <br />tJt:k~ . <br /> <br /> <br />GENaW.NOTARY -..at,.. <br />KAREN R LItH <br />My Cornm.. .. <br /> <br />day of 5ederY1ber <br />, , <br /> <br />~ CbuA'/ If'; ~::tL <br />Notary Public j(r~ ref\.. e. Lt!.f~ <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 />!be Borth Bal.f of ~he Soutbwest:. Qtau:ter of t:he RfI&'th.. <br />weat Qwlrter (NJ,aw,--) af SectioQ 1I.f.ae (9)./ i'oWaaJd.p <br />'1'welve (12) Rortb, Range RiDe (9) weat.oe the GtJa ...., <br />Ball County, Nebraska, exaeptiDg a oertain, ~:raat deeded <br />to the Sta'te of Ilebraaka as recoMed in, Deed 'Sook 77, <br />Pat. 61 and exaepting a certain traClt. deeded. 'to ~he <br />State of Nebraska as reaordecl in DOClUDtJDt:. Ilo. 93.. <br />108863. <br /> <br />-~ <br /> <br /> <br /> <br />Rev, 9/951 __~___ <br />