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<br />_ _ .___L_II <br /> <br />Jacob North Printing Co., Inc., Lincoln, NE 68524 I II <br />---r;' <br />I <br />1 <br /> <br />ISTRUCTION LIEN <br /> <br />,-~~ <br />~ ...., -. <br />0- ~ Q.- <br />R. ~ ~ <br />~~~ <br />~ ~ ... <br />~- ..j a <br />~ <br />f <br />~ <br />"'( <br />So <br />l",' <br />~ <br /> <br />N <br />S <br />S <br />'"'-.J <br />S <br />S <br />Cll <br />.p.. <br />'"'-.J <br /> <br /> <br />~ <br />If) <br />fio'-o <br />O<j <br />~ <br />CN <br /> <br />CONSTRUCTION LIEN <br /> <br />200700547 <br /> <br />1. The real estate subject to this lien is: j.. ~ 7- ..2, .B ,i.,.oC"r ..7 ~ 7 C5 ftD.D-" //b-"V' <br />/2'> -/'.II,e- VI/,.. /.. /J&</if- (!'.)F C /1//).0, ../h~4 c;,v/v"7y .i -0-u4/ly-..J--jl <br /> <br />2. The person against whose interest in the real estate the lien is claimed is: <br />7V) )1,)( /..N,E W/L:,f /? C N <br />3. The name and address ofthe claimant is: /f.J?/L) -M=:/?/?/lf'#fi 5",o'~i.v<:'-F" /C' 8" 4.JL'r.77- <br />Cj'E' ,');;' " '? t!'),2~x 2. 7'''}" tL..J(')~.?J };?UL:;'/'2- /~.g.2.4r~n.. 6 ?1j11~~ <br /> <br />4. The name and address of the person with whom the claimant contracted is: /V'J ",.9>V..../L-- C"~*,/1~h/ <br />",-7).1.4 hI.P C# ?//?c# ,,-:J08' .:J;' _ .5yc. ;I/.A;}".-yJ) &:, ?A,/ R 2J I '/h;.p /I J';f--'// <br /> <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: <t c>>....,- /-= .(~.C//~ I'C 7='",/ P...>V .#c~ <br /> <br />d //rAJ -r jJq):n:fJ., Y)F.i 1:J;T&:fJ /"WfiTLF/?/.l1J -r of L /J.;;lr.12 ,>I5-1:.:r '70 ~ <br /> <br />6. (Complete one of the following) <br />~e amount unpaid, whether due or not, to the claimant for the services or materials is $ <br /> <br />(~ <br />~./Jc8' -... <br /> <br />~ The unpaid amount is not fixed by the contract, but a good faith estimate in the amount of $ <br /> <br />7. (Complete one ofthe following) <br />~The time the last services or materials were furnished was C::_,7 '1- 2. g - .c:2 D(fj, b <br /> <br />~ The time the last services or materials were furnished has not yet occurred but is estimated to occur <br /> <br /> <br />Subscribed and sworn to before me this <br /> <br />d~""a. day of ~~Y'\\.A,.C~~ <br /> <br />~9\.~ <br />Nota Public <br /> <br />2tlo2 . <br /> <br /> <br />I~ GENERAL NOTARY - State of Nebraska <br />~ MARLA A. KNECHT <br />--1.:1:1{" My Comm. Exp. March 26, 2009 <br /> <br />(52-147. See 52-148 for amendment; 52-149 for assignment; 52~ 137 for recording time; 52-154 for discharge orrelease). <br /> <br />Ii L__ <br /> <br /> <br />5.5 <br /> <br />I <br />I <br />Rev. 9/951 tr=~- <br />