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<br />~STRUCTION LIEN
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<br />Jacob North Printlnll Co-,,-J.!lhLlncoin. N~"~2!___
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<br />CONSTRUCTION UEN
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<br />1. The real estate subject to this lien is: 31f{ CHc/UJ,ue ,4v'6.~ (.,Q.qN,1) ~,.J(), Ale 6&$03
<br />LoT FIIJE(S~. /w 13w,,~ Irt",C;())/ DA-LF /2,.~l$t-I $g1>>J() ~()Jtil'JbAJI /'1 of IrlUM/Jl ls..,q.,vt1J f/4-LLf/Jtiflt{la
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<br />2. The person against whose interest in the real estate the lien is claimed is: MeJ-15Sl4lSrl'+'l'h~ :I
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<br />Rev. 9/9~ II
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<br />3. The name and address of the claimant is:
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<br />Inf}... bc>rtlL /~;:;.2L PL-V""A'Nb .i fJRA-/,/'\.J
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<br />/303 &-€IJOG.5 !:r'l ~ J$(..~J}I NE 6'&&-0.1
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<br />4. The name and address of the person with whom the claimant contracted is: HlI, flcti1,c, /Y~.L
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<br />PL.vt.'6!/IJ t,.. f lJt~pJ) 130 3 (,--lipnF:s :S":'./ k~ /5~ / /VC 6 &-Be I
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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: I^" ir,q-J LJ:/J //0 / C>~ ..J/.i,," K.. ~...IJt:J.T/'Wf)
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<br />"'5FJ2 .lIe,:;, l,;vsrJl!l-~/) /Y7CTPIiL I B*LIt:..FLe>L~ / AAJn ;;~AAJ<;''''DA''' "h4-'K.
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<br />6. (Complete one of the following)
<br />~ The amount unpaid, whether due or not, to the claimant for the services or materials is $ J 360.5;l.
<br />_ The unpaid amount is not fixed by the contract, but a good faith estimate in the amount of $
<br />7. (Complete one of the following)
<br />1- The time the last services or materials were furnished was 4/6/07
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<br />_ The time the last services or materials were furnished has not yet occurred but is estimated to occur
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<br />Subscribed and sworn to before me this
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<br />Si ature of Claimant
<br />JifSc,v s: ~lUrz, /YJ;/MnJ/~.e -cFFI4ft of J'I1/l.
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<br />Notary Public
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<br />GENERAL NOTARY. Slate of Nebraska
<br />DENICE R. KRUSE
<br />My Comm. Exp. Sept. 25, 2010
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<br />(52-147. See 52-148 for amendment; 52-149 for assignment; 52-137 for recording time; 52-154 for discharge or release).
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