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<br />fSTRUCTION LIEN
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<br />Jacob North Printing Co., Inc., Llncoll1L~g~~~~!._~ __
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<br />200709759 I
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<br />02430 S. North Rd. Ravmond Burl Industrial Park ~.~o I
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<br />3. The name and address of the claimant is: ~RII1J'" I I (;. WAoilF+-, 01/('- r 1 I"'--H? J - n~ r- 0 f .:;p;/ ru-Il' l_ i I
<br />..2l't02 Deer lIa"V't:fi Trail. Ed-g.!,;:, NE G83Jr7- 29/ ^- W O/t! !fL-V,';;O (;,...a 1-1 [/( ~:.-'L {'/r tiv 41
<br />4. The name and address of the person with whom the claimant contracted is: Mike Dory f: ~4t3
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<br />CONSTRUCTION liEN
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<br />1. The real estate subject to this lien is:
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<br />SUB LT 2
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<br />2. The person against whose interest in the real estate the lien is claimed is:
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<br />JJW Enterprises LLC
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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:
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<br />Tnl':r:lll",,-l nn", n",w 1[.'?" X 1[.'1" u?f1 ~pri",~, ()"",rh"':lil nnnr
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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 $ 1,750 39
<br />_ The unpaid amount is not fixed by the contract, but a good faith estimate in the amount of $
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<br />7. (Complete one of the following)
<br />~ The time the last services or materials were furnished was
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<br />Jlme ] 9, 7007
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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 />Signature of Claimant ". h . J U. -
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<br />Subscribed and sworn to before me this
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<br />\3~ . daY~fj\~
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<br />Nary Public
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<br />! ,,{\~W.:\,:~ ,iAN DYE
<br />~}~~:':.;.::\;; ... ,;O.MMISSION E.. XPIRES
<br />\,';<'.'.::.\ ....: March 31 , 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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