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<br />145. CONSTRUCTION LIEN <br /> <br />N <br />IS) <br />IS) <br />-....,J <br />IS) <br />CD <br />.j:::>. <br />.j:::>. <br />CO <br /> <br /> <br /> <br />! <br />I <br /> <br />-,_._....._~. '""."' '.W .""'.'._, '"r_.,~.....", __"."_"'~',_.._'._'....'. <br /> <br />Jacob North Printing Co., Inc., Lincoln, NE 68524 <br /> <br />t: <br />ft <br />~ <br />"\. <br />~ <br />~ <br />~ <br />~. <br />~ <br />tt- <br />~- <br />" <br />~ <br />:Y'- <br />~ <br />~ <br /> <br /> 10 n E <br /> m :r: <br /> -n <br /> c: r~ <br />n Z :x: <br />:z: ~ 0 '" <br />m en <br />n en .. <br />'" % <br /> <br />CONSTRUCTION LIEN <br /> <br /> ....", i <br /> c:..> Q .(n <br /> (:::> <br /> ~(" ~ 0 -j <br /> ~~ c: :r... <br />.:~) ~ \.. Z ~ <br />= -1 fTI <br />C1'l ~, c:::: -< <br />C) , :t'e.. 0 G;- <br />o ~, 0 ..,.., <br />-., CJ1 ....,., .".. <br /> tJ - <br /> ::r: ro' ~ <br />C) " <br />r'1 " -0 ):> GJ <br />rTl ~ ::3 I ::0 <br />Q r- l> <br />(J) ~ (fJ I <br /> 1'. N ^ <br /> \' l> <br /> .- ........'---" <br /> -.J \V~ ~ <br /> C/l <br /> 5 Sf> <br /> <br /> <br />200709448 <br /> <br />1. The real estate subject to this lien is: LJ () / 0 ,;(0 r! 4//1 (3.e...; ..l) F' <br />G-Yn~l .-1]JIt>-c-r/I ) NL:'- k+ I J j.Jov+lwie.w Tlt;v~ ,)u[)('\ 1vt':\,~,\ ),^(:~ofr;:r, <br /> <br />2. ~lperson against whose interest in the real esta~ ~he lien. is claimed is: <br />l/~Htj urv-i - ::J)c,U IdS d/.ure~ cr. ~Y'e~ ;1(~ve <br /> <br />3. The name and address of the claimant is: tJalw-Wt>-r-);..>" ~"u,.6? Coah.c~-vs' lie <br />4,Oblo S:AlorA ~ I ~~:;:sL/,j)r b&RoJ <br /> <br />, ( <br /> <br />4. The name and address of the person with whom the claimant contracted is: <br /> <br />"flJ(~ ;AIuJIY-:5 d JerCL-kd- Akr~ <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 />?/rMtht) ;i:r ~tv !iUJe- <br /> <br />6. (Complete one of the following) <br />X The amount unpaid, whether due or not, to the claimant for the services or materials is $ 922..3, 1.s--. <br /> <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 />L The time the last services or materials were furnished was <br /> <br />lj-::{s -D7 <br /> <br />~ The time the last services or materials were furnished has not yet occurred but is estimated to occur <br /> <br />GENERAl. NOT MY - State of Nebraska <br />AMY L WIESE <br />My Comm. Exp. Jan. 14, 2008 <br /> <br /> <br />J.(JtJ7 . <br /> <br />Ltc <br /> <br />OWI.1~V' <br /> <br />Subscribed and sworn to before me this 5~ <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 />Rev. 9/9 <br />