<br />ISTRUCTION LIEN
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<br />Jacob North Printing Co., Inc., Lincoln, NE 68524
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<br />CONSTRUCTION LIEN
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<br />1. The real estate subject to this lien is: N 1 / ') n F SW 1,1 tl n f' Sect ion 23-12 10
<br />located in Hall County, Nebraska
<br />2. The person against whose interest in the real estate the lien is claimed is: Marcia L. Siemers
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<br />3. The name and address of the claimantis:Jim E. KUR7.nk:PO Rox 74:i ~r~nr'l Islano;NE
<br />68802
<br />and Robert Hirschman; 830 Hardy Road, St. Paul, NE 68873
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<br />4. The name and address of the person with whom the claimant contracted is: S elf
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<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:lmprovements to 1 i vestock Tn ci 1 i t.y
<br />including but not limited to;chute,concrete feed bunks,waste pit,feed
<br />storagp-:rnnt.prinl~ ll~eo-concrete,fly a5h,rock,chute,wood poete,column
<br />pipe,shaft,fuel;rental of exavator,bobcat,tractor,manure spreader;labor
<br />and olectric;)l l/Ork
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<br />6. (Complete one of the following)
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<br />_ The amount unpaid, whether due or not, to the claimant for the services or materials is $
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<br />~ The unpaid amount is not fixed by the contract, but a good faith estimate in the amount of $ 30,000.00
<br />7. (Complete one of the following)
<br />~ The time the last services or materials were furnished was J u 1 y 2 5, 2006
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<br />_ The time the last services or materials were furnished has not yet occ
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<br />but is estimated to occur
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<br />Signature Claimants
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<br />Subscribed and sworn to before me this
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<br />~ GENERAl NOTARY. State of Nebrnska
<br />_-l~ BARBARAJ.SALADEN
<br />~p My Comm. Exp. Oct. 4, 2009
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<br />(52-147. See 52-148 for amendment; 52-149 for assignment; 2-137 for recording time; 52-154 for discharge or release).
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<br />Rev. 9/95
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<br />LL.
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