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<br />200709853 <br /> <br />CONSTRUCTION LIEN <br /> <br />I, the undersigned affiant, General Manager of the Claimant, being duly sworn, depose <br />and say that the following statement is true to the best of my knowledge and belief, and is made <br />of my personal knowledge: <br /> <br />On the dates set forth in the Statement of Account attached as Exhibit "A", Gutter Helmet <br />of the Heartland, (the "Claimant") furnished material or labor for, or performed labor upon, the <br />building or land for improvement, alteration, or repair thereof, situated upon, or being identical <br />with the following legally described real estate in Hall County, NE . (the "Real Estate"): <br /> <br />Lot Twenty-two (22), Amick Acres, Hall County, Nebraska <br /> <br />The items in Exhibit "A" were furnished pursuant to a contract made by the then owner of <br />the Real Estate and were furnished by Claimant who is a contractor thereunder. These items were <br />furnished beginning the 26th day of April, 2007, and ending on the 12th day of June, 2007, at the <br />respective dates, amounts and prices stated in Exhibit "A", which is a true and just statement of <br />account after allowing all credits. <br /> <br />The owner of the Real Estate was then Edward J. Swiatek whose last known mailing <br />address is 115 Campbell Ave., Donniphan, NE 68832, and Edward 1. Swiatek whose last known <br />mailing address is 115 Campbell Ave., Donniphan, NE 68832, is now the owner of the Real <br />Estate. <br /> <br />There is now due and owing to Claimant the principal sum of $ E,800.00. Claimant <br />asserts a construction lien against such building, improvement and the Real Estate. <br /> <br />I certify under penalty of perjury and pursuant to the laws of the State of Nebraska that the <br />preceding is true and correct. <br /> <br />Jeff Etherington, Affiant <br />Acting for Gutter Helmet of the Heartland, Claimant <br />229 West 4th Street <br />Sioux City, IA 51103 <br /> <br /> <br />Dated <br /> <br />11 /,2/07 <br /> <br />STATE OF IOWA, WOODBURY COUNTY: <br /> <br />SUBSCRIBED AND SWORN TO before me by the said Jeff Etherington <br />on the 12th day of November, 2007. <br /> <br />~.~dw~ <br /> <br />~reese, Notary Ptiblic <br /> <br />fA\ <br />.. ...... <br />lOW" <br /> <br />KAREN K. FREESE <br />COMMISSION NO. 136415 <br />IIY OC>>MSSION EXPIRES <br /> <br />