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<br />NOTICE OF CONSTRUCTION LIEN
<br />AND PROOF OF SERVICE
<br />
<br />Ann L. Sukraw-Lutz and Kevin Lutz, wife and husband
<br />7037 West Schultz Road
<br />AIda, NE 68810
<br />
<br />FROM:
<br />
<br />Simmons Electric, Inc.
<br />4234 Arizona Ave.
<br />Grand Island, NE 68803
<br />
<br />STATEOFNEBRASKA )
<br />)ss.
<br />COUNTY OF HALL )
<br />
<br />Affiant, Carlos Robert Simmons, president of Simmons Electric, Inc., 4234
<br />Arizona Ave., Grand Island, NE 68803 being duly sworn on oath, states:
<br />1. The real estate which is the subject matter of this lien is described as
<br />follows:
<br />
<br />Lot two (2), AIda South Subdivision, Hall County, Nebraska
<br />The name of the persons against whose interests in the real estate a lien is
<br />Ann L. Sukraw-Lutz and Kevin R. Lutz, wife and husband
<br />The name and address of the claimant is:
<br />Simmons Electric, Inc.
<br />4234 Arizona Ave.
<br />Grand Island, NE 68803
<br />The claimant contracted with Ann L. Sukraw-Lutz and Kevin Lutz, wife and husband,
<br />individually, and as owner of the above-described real estate, in writing and orally on
<br />July 1,2006, to provide goods and services for the improvement of the above-described
<br />real estate.
<br />4. A general description of the services performed, or to be performed, or
<br />materials furnished, or to be furnished for the improvement are as follows:
<br />Electrical material and labor on the above-described property including labor,
<br />skill and materials, a statement of the account for said work, labor, skill and
<br />materials, being attached hereto and incorporated herein by reference as Exhibit
<br />
<br />2.
<br />claimed is:
<br />3.
<br />
<br />"A".
<br />
<br />5. The work, labor, skill and materials were done and performed and
<br />furnished by Simmons Electric, Inc., under oral and written contracts for the erection,
<br />construction, alteration and repair of the above-described real estate, and at the instance
<br />and request of Ann L. Sukraw-Lutz and Kevin R. Lutz, wife and husband.
<br />
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