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<br />- <br /> <br />88- 102741 <br /> <br />C. Claimant's name and address: <br /> <br />R. W. Sorensen Construction, Inc. <br />2721 West Hwy. 30 <br />Kearney, NE 68847 <br /> <br />D. Name of person/company with whom claimant contracted: <br /> <br />Nancy St.evens <br />d/b/a Nanqy's Cookie Corner <br />Conestoga Mall, A-6 <br />Grand Island, NE 68801 <br /> <br />E. General description of materials furnished: <br /> <br />General construction materials to build a retail food outlet in space <br />A-6, Conestoga Mall, Grand Island, Hall Co., NE, which construction <br />included the finishing of said interior and furnishing materials for <br />the completion of. said job. Contract labor. is included in the services <br />provided. <br /> <br />F. Amount of unpaid account due claimant: $6,491.84. <br /> <br />G. Date last services were furnished: On or about 30 January, 1988. <br /> <br />Dated this 26th day May, 1988. <br /> <br />~~ <br />Clalman --Gary Sorensen <br /> <br />R. W. Sorensen Construction, Inc. <br />2721 West Hwy. 30 <br />Kearney, NE 68847 <br />(30G) 237-3686 <br /> <br />SUBSCRIBED in my presence and sworn to before me thiS....<t.#.. day of <br />May, ;~988. <br /> <br />Address: <br /> <br />" <br />.!c. <br /> <br />J:BlIAL IJTAIIY-M II ...... <br />oIEANNE It. IIOUTH <br />- IrCla &f.... 'M.- <br /> <br />~~< ,t('-'f~ <br />Not y Pub Joc <br /> <br />Attorney for Claimant: <br /> <br />Gary L. Hogg, 111880 <br />Attorney at Law <br />1419 Central, Box 1742 <br />Kearney, NE 68848 <br />(308) 234-4064 <br /> <br />L <br /> <br />~ <br />