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<br /> ,., Q~ <br /> m ;~.....~ <br /> "" m '" C;":..-lo o UJ <br /> c: O:z: <:::";> <br /> Z ......., ~ o --l <br /> n ;;Il1; ,..-::J-" c 1>- <br /> :I: ~ C ...,-, z--l <br /> ::n ~' m <br /> rn ~ CJ:I -1m <br /> n ~ nl ('',. -<c <br />N ~ :c - (~) c::1.'- ~ o '"T1 <br /> tJ\ o \ W <br />cSl .." '1z <br />cSl <:> 200701154 c:::' t.\- ::em <br />-....J rn r -0 1>- co <br />cSl nl 3 1 :::0 <br />-->. 0 11>- <br />-->. (.f) U) <br />(Jl l""V ;:;><;; <br />.j::>. 1>- <br /> CONSTRUCTION LIEN 0 ~"",--" <br /> co (J) <br /> (J) <br /> <br /> <br /> <br />:r..-QpC! <br />PO!g <br />tQ tP" If) <br />;: 0 z. 9-:, <br />~?<ct <br />(j)Js.- <br />_ (Il <br />....) . <br />(i <br />o ~ <br />cfJ ::> <br />p ~ <br />o <; <br />cp ~ <br />r <br /> <br />OWNER: <br /> <br />REAL ESTATE: <br />...JG\.........Vv <br />LAMBERT'S ADD E 12' LOT 2 & <br />ALL LOT 1 BLK 16 & COMP E 12' <br />OF LOT 2~BLK 7 EVANS ADD~ <br /> <br />BRIAN & TONY A BAKER <br />111 9 EAST 6TH <br />GRAND ISLAND NE 68801 <br /> <br />CLAIMANT: <br /> <br />CLAIMANT CONTRACTED WITH: <br /> <br />CONSOLIDA TED CONCRETE CO <br />3440 WEST OLD HWY 30 <br />POBOX 1642 <br />HA~ lINGS NE 68802 <br />(~<._nd. \<:"\<<:1",\0 <br /> <br />BELLAMY CONST/JT INVESTMENT <br />JOHN BELLAMY <br />PO BOX 603 <br />CAIRO NE 68824 <br />(308) 379-3492 <br />(308) 380-3405 <br />(308) 485-0160 <br /> <br />MATERIALS PROVIDED BY CLAIMANT: Concrete material <br /> <br />CONTRACT PRICE: $1172.07 AMOUNT UNPAID: $1172.07 <br /> <br />DATE OF LAST SERVICES OR MATERIALS FURNISHED: Oc+'-":'~.- \(p d-<t:::~<O <br /> <br /> <br />STATE OF: NEBRASKA ) <br />) SS. <br />COUNTY OF: ADAMS ) <br /> <br />Before me personally appeared Brad Sallinger, General Manager for Consolidated <br />Concrete Co., to me well known and known to me to be the person described in and who <br />executed the foregoing instrument, and acknowledged to and before me that he executed <br />said instrument for the purpose therein expressed. <br />1h. <br />Witness my hand and official seal, this ~ day of ~(P('"u.a..j-- 2007. <br /> <br />~ ~-(~- <br /> <br />Notary Public <br /> <br />J;ENERAlIfOTARYoState of Nebraska <br />STEVE KArR <br />My Comm. Exp. '1 3/07 <br /> <br />~~ <br />~[ <br />0(;;- <br /> <br />~I <br />-Cz <br />o <br /> <br />,/ <br />!(.:..50 <br />