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145 - CONSTRUCTION LIEN <br />+1+_ <br />r <br />-4 •�� a <br />y t. <br />0 Its- �s <br />CONSTRUCTION LIEN <br />N <br />C) <br />CD <br />-3 <br />C? <br />1. The real estate subject to this lien is: 2411 ,South u i a i n p S t_ r e e ± _ Gr a nyl is , E - -- - <br />2. The person against whose interest in the real estate the lien is claimed is: GA r o i HQying <br />3. The name and address of the claimant is: T e rj a k Cons-mac io In e. 1547 - . <br />4. The name and address of the person with whom the claimant contracted is: Tim Teriak <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 />Install 89 feet of sidewalk, Amount of 1,189.00 <br />6. (Complete one of the following) <br />The amount unpaid, whether due or not, to the claimant for the services or materials is $1,18 9 <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 />The time the last services or materials were furnished, was 6-27-07 <br />The time the last services or materials were furnished has not yet occurred but is estimated to occur <br />�w <br />ignature of daimant <br />Subscribed and sworn to before me this day of -fnao-kolfi, <br />GENERAL NOTARY - State of Nebraska Notary ublic <br />146 <br />MELANIE MUSTION <br />My Comm. Up. Dm 27,2W9 <br />(52 -147. See 52 -148 for amendment; 52 -149 for assignment; 52-137 for recording time; 52 -154 for discharge or release). <br />Rev. <br />M <br />> <br />e,,`. <br />CI7 <br />�re i91 <br />C/y <br />r•n <br />_ I M <br />Z <br />n <br />�R <br />� <br />CD <br />c <br />rn <br />1 S� <br />C3 <br />[n <br />rn <br />200707718 <br />CONSTRUCTION LIEN <br />N <br />C) <br />CD <br />-3 <br />C? <br />1. The real estate subject to this lien is: 2411 ,South u i a i n p S t_ r e e ± _ Gr a nyl is , E - -- - <br />2. The person against whose interest in the real estate the lien is claimed is: GA r o i HQying <br />3. The name and address of the claimant is: T e rj a k Cons-mac io In e. 1547 - . <br />4. The name and address of the person with whom the claimant contracted is: Tim Teriak <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 />Install 89 feet of sidewalk, Amount of 1,189.00 <br />6. (Complete one of the following) <br />The amount unpaid, whether due or not, to the claimant for the services or materials is $1,18 9 <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 />The time the last services or materials were furnished, was 6-27-07 <br />The time the last services or materials were furnished has not yet occurred but is estimated to occur <br />�w <br />ignature of daimant <br />Subscribed and sworn to before me this day of -fnao-kolfi, <br />GENERAL NOTARY - State of Nebraska Notary ublic <br />146 <br />MELANIE MUSTION <br />My Comm. Up. Dm 27,2W9 <br />(52 -147. See 52 -148 for amendment; 52 -149 for assignment; 52-137 for recording time; 52 -154 for discharge or release). <br />Rev. <br />