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<br /> :'"''''~~') I <br /> .'.~:::'-''':> c; en D <br /> c..:~~) 0 --< <br /> C"? <br /> C;; ;IlO n () ,.,..,'! c:: J> N <br /> ~ ~ )> or',"'...., .~ .."'::.~ z: -j <br /> ~~Q ~~ <br /> (Il ;:::, '. :;,:,:) -~ m 0 <br /> n ~ Pl ,:1Io",J, ~ c:::: -< c:' <br /> h.l~r (') z " ~) \ ."''''~ 0 '"1 0 ~ <br /> % n 0 (,~".<~~ --...J -q .""'11' en <br /> 1:; !-!' -;, "oJ,." <br />N ~ 5:, m ,>.f ..". 1'"':"1 i <br />G n (""J ". T> C~J C) <br />G f1\ - (' ~ :c , . ;\ -"0 ,- :;.:t) <br />Q) W a -' \ P'l ~ :3 r- J;.> CD <br />G ~. ~ . CJ (j) <br />::s \..J) (t) f> CD i <br />CD ~ G ~ G:) ;;><: <br />CD ~ 0 ~:> --...J <br />""-J C \. c:::> -- <br />N tl n- O) .(fi) N <br /> (j) ~ <br /> ~ <br /> ~I <br /> f <br /> <br /> <br /> <br />200609972 <br /> <br />CONSTRUCTION LIEN <br /> <br />1. The real estate subject to this lien is: ""~I NOMonitor Rd . <br />T\u.. ~.a....\-\'" ~o.\t ct...1Ue fV~~.\.""~t ~,,~~,.. () ~ Nw yq). ~~ -,<;'tC"~l.t <br /> <br />1t~'lc;~p:.~.)~;u,r~~;~.J:",~~'\1~J 'R,,<,;;' 1~(,Oj WL~r- <br /> <br />2. The person against whose interest in the real estate the lien is claimed is: <br />~\h.n-3' L. ~ ,J...",,(,. MC.c\Cl"'-o..k1 <br />Yl,c.\ Ai M...IA:JflJ" Rc\ <br /> <br />3. The name and address of the claimant is: <br />Gerhold Concrete Co. Inc <br />PO Box 1386 <br />Grand Island, NE 68802 <br />(308) 382-2032 <br /> <br />4. The name and address of the person with whom the claimant contracted is: <br />Jeremy Wiese <br />8462 West Wildwood DR <br />AIda NE 68810 <br /> <br />5. The general description of the claimant's services performed, to be performed, or materials furnished or to be <br />furnished for the improvement and the contract price is: <br /> <br />Concrete and concrete products <br />$ 7232.56 <br /> <br />6. <br />~ <br /> <br />(Complete one of the following): <br />The amount unpaid, whether due or not, to the claimant for services and/or materials is <br />$7232.56 <br />The unpaid amount is not fixed by the contract, but a good faith estimate in the amount of <br />$ <br /> <br />7. <br />~ <br /> <br />(Complete one of the following): <br />The time of the last services or materials were furnished was: <br />09-18-06 <br />The time the las' services or materials were furnished ~ima'ed '0 occur <br /> <br /> <br />~~ of Claimant <br /> <br />STATE OF NEBRASKA ) <br />)ss <br />COUNTY OF Douglas ) <br />The foregoing instrument was acknowledged before me this ---.:l- day of _November, 2006 <br />Gilbert Wilson , Manager <br />of Gerhold Concrete Co. fuc._, a Nebraska corporation, on behalf of said corporation. <br /> <br />My commission expires: <br /> <br />GENERAL NOT MY . state of Nebraska <br />ZICKA <br />My Comm. Exp. May 10, 2007 <br /> <br />&r~\3v :~ 1\. ~.).3::::S" ~'---~\;S'- <br />Not Public <br />