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<br />Jacob North Printing gQ"J!tc;."J.J.!!!:olnJ..~E 685.~_.._ <br /> <br />t <br />~' <br /> <br /> <br />(j) <br /> <br />-.STRUCTION LIEN <br /> <br /> <br /> ~~.~ ~ n n <br />N m :r:: ;po. :~".....,.. <br />S 1\1 -L... .." rn (J'l c:;,:.;) (:) (J) 0 <br />1..--. ~- C <::.::> 0 --1 <br />S ~ (\\ () :I: -..:J <br />-...J n Z ;:0::; :::l...... Q~ f'V <br />S ~S: % ~ 0' ::n ~rn <br />-...J ~ (h ;:1';) ~' c= 0 <br />w m .."'... CO? .-<: <br />U1 ~R n c.n ! C) t-- 0 0 <br />~~ '" ::t:: N C> .." <br />CO '~ <br /> ;;S ~ 0" -..l .." Z -..l <br /> -h .,., <br /> C) ....r :r: Pl <br /> """" ~ 0 i..)., :to.. eX.1 <br /> V\ n I -a <br /> l:L , C m ~ '- .. ;;a <br /> I rn ::3 <br /> l--> co ~ r 1'> <br /> <:) ';::;) IJ1 (J) <br /> \J\ ~ ! G:) ;;><: <br /> , )> <br /> ..------ \:t- f""ii) ...........'~ <br /> N 200707358 (fl (.I? <br /> -.. en <br /> "" <br /> I.r) CONSTRUCTION UEN <br /> 6.dV <br /> <br /> <br />1. The real estate subject to this lien is: 8 D~ s~ IJ a k :t 1- . 1.-o-t J 0(,. ~ Nor4h J1~k.. Foot 0 F ~ <br />lO't tlawthorr")f f:13C!E, CH~oF Qi:II'l<:\Tsl~f\A ~ Ha.ll (!OUti4-~I14.s.b(~S~ I <br />2. The perso~ against whose interest in the real estate the lien ~~ claimed is: .1-a~rj \-\Ol-S 10,.e R.\e.. j <br />1 j(,\~/llst.SU~(s'Solt/trl.t".)1'~ dnJ O~ l....l.'S. Bank NaJ/o/\J) Assoc,-a-h.jtrl.ls"h <br />3. The name and address of the claimant is: ~)F_ kN2. L.) 1\1;\,.-.. <br />IO~ ~. ~A.L:iNFL(.L.O A.~. ::tt ;1155 (Y\~Sd A~, g>5:1o.5 <br />J <br />4. The name and address of the person with whom the claimant contracted is: _L ~ rr'j \-\ Oe5 <br />'XO'D 50. Dak ~+. Qr--al'ld..:1"3 '~r\clI.- I~~_ L:,S"801 <br />) <br /> <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: <br /> <br />ft'\'d-t-Lr;ab \1'\ +~<! <=1lYlou,,+ or tJ j.(,..J,;jr.':li .::Joel Ia.~r of- I1dJ.{oo.Oo <br /> <br />10 r-~n~~h bdS~.M':;;~+ of "O~ So. lJelk ~"L <br /> <br />! I <br /> <br />6. (Complete one of the following) <br />-L The amount unpaid, whether due or not, to the claimant for the services or materials is $ :/I ~ D3). j 8. <br />~ The unpaid amount is not fixed by the contract, but a good faith estimate in the amount of $ <br /> <br />7. (Complete one of the following) <br />.....i-. The time the last services or materials were furnished was Sr..p+. .1DOlD <br />~ The time the last services or materials were furnished has not yet occurred but is estimated to occur <br /> <br />q~~~~ <br />Signa e of Clromant <br /> <br />Subscribed and sworn to before me this <br /> <br />3\ <br /> <br />day of .~j <br />-~~ <br />Notary Public <br /> <br />, Z.YJl. <br /> <br />(52-147. See 52-148 for amendment; 52.149 for assignment; 52.137 for recording time; 52.154 for discharge or release). <br /> <br />,ANGElA UNDBERG \ <br />. NOTAlY POeue. ARIZONA I <br />.....Il"'OPA COUH'!Y \ <br />..-- ., &f>>.ires <br />\ My~20\1 \ <br /> <br />II -I <br /> <br />Rev. 9/95 <br />