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<br />- . ~.- .- _. ~- <br />5. The general description ofihe claimant's services performed, to be performed, or materials furnished or <br />to be furnished for the improvement and the contract price is: <br />3'0 ""!i.'},.s e \. (" uVo.. t./lc..\c.. &4...h ,ll! tv\T... 4'S;}. f\;'l\d lZ.lI'bSq <br /> <br />I'\.) <br />s <br />s <br />en <br />s <br />0::> <br />....... <br />.j:::o. <br />-...,J <br /> <br />1. <br /> <br />2. <br /> <br />3. <br /> <br />4. <br /> <br />6. <br />~- <br /> <br />7. <br /> <br />61 \)(0 <br />t1 0 ~ <br />2- ~j <br />tn':~ <br />~l)l <br />(f) Oli:l (? <br />l(QR-~ <br />o ~ ~ <br />P r <br />t' <br />\-i <br />,:) <br />S' <br />The real estate subject to this lien is: <br />(A'J..~ \)t>"'~~V"o~~ ._. <br />~b\- Cou.'" LLl) J ~\I,){J.'.. C)o\~ (,I) <br /> <br />~Ji~,~-;~~~~~ "d6;~,,>.. <br /> <br />10 <br />m <br />-n <br />c: <br />Qn6 <br />',on )> !-!J <br />n(/) <br />."", :::t <br /> <br />no <br />%)> <br />m (/) <br />n:t: <br />;-r;: <br /> <br />,.,~ f11 <br />C;.,) q en oi <br /><::::::> <br />0";> 0> -4 <br />U) c: :r~ ~[ <br />:z ---j <br />r..., -l p, <br />-.:J <br /> -< C~"'\ oar <br />1-'0 C> " <br />N .." -"".... - <br /> .11I..., 0) <br /> ~"~. 1'1 :3 <br />::n :>- C..l ~g <br />::3 , ::0 <br />r '1::=.. <br />f--l <f) 3 <br />ew ?<; 1-'0 m. <br /> po ...c <br />-C "-" ......... <br /><:::) t;/l -..J ~ <br /> G4 <br /> <br />U) <br />l)\ <br />o <br /> <br />")l <br />~ i< <br />~ ;-.z <br />o~~ <br />"Tl 'd <br /> <br /> <br /> <br />~ tl\ <br />1'1 <br />o <br />C/) <br /> <br />200608147 <br /> <br />CONSTRUCTION LIEN <br /> <br />pl\iA~t.V(l:'s\ I Ll.\o\P E~;' "" <br />b~ il;,fi.. (i*~ t> \1 &..~i~{~~ <br /> <br />. .~- -- <br />TheR:~:'; against whose interest in the real esta.. te the lien is claimed is: <br />ct: ~ Kif: c;\-~ ~ 1Yt, R; ul~ <br /> <br /> <br />~ B~~ l .~~<t. ._ <br />G""'~\, h\to..~~ tJ~ ~~~OJ. <br /> <br />. - <br />The name and address of the person with whom the claimant contracted is: <br />l.- ~ (. \t..:~. c,."". \ ~ 0 \,,:t. ~ <br />:l ') ~ <... IV D ~ c...U',.. <br />c,..~",,^~ 't.s \....."" ~. IV ~ (g~llO::. <br /> <br />(Complete one of the following): <br />The amount u~aid, whether due or not, to the claimant for the services or materials is <br />$ --l~<.o \ 'a _.._' . <br />The unpaid amount is not fixed by the contract, but a good faith estimate in the amount of <br />$ <br />(Complete one ofthe following): <br />The time of the last services or materials were furnished was 51 /9/ clOO Co <br />The time the last services or materials were furnished has not yet occulTed but is estimated to occur <br /> <br />~-RlJ ~ ~~~ c;.~,^D\~Cc.~<~{(PLt,-, <br />Signature of Claimant <br /> <br />STATE OF NEBRASKA) <br />)ss <br />COUNTY OF ) '," <br />The foregoing instrument was acknowledged before me this If)... dayof\~:{Jk...I1!'L-{>-t-"- , 2CP0 <br />by ~; I bert R.. W1JSOVl .._____,__~-.. . _.-.- - <br />of_Q.:er l1()IA C()()[j\.Ltl. OJ) ~::!lL____,a__~J;J/)t1_.:2bt'l..~_ . corporation, <br />on behalf of said corporation. <br /> <br /> <br />_J' I YI rJ I '_ k JAfLnohV <br />~~blic <br /> <br />My commission expires: <br />