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<br />IST~UCIION LIEN~..,,~,,"""_~~_,~~_~,.~~~~~~___________,_____ Jacob ]orth Pr.intlng COil Inc.,.1lncoln, Nl..68524____._ ++---~
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<br />5. A general description of the claimant's servi,ces performed to,..to be performed or materia, Is f.urnished or to be I I
<br />furnished for the i~provement and the contract price i~: lie rn Q ~ (' \ Pt ~ V kL ~,.. \J ~ '"'\.\-"-,) I' I
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<br />6. (Complete one of the following) I i I
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<br />-----A- The amount unpaid, whether due or not, to the claimant for the services or materials is $ -,q 0 .~. / .
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<br />II I - The unpaid amount is not fixed by the contract, but a good faith estimate in the amount of $
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<br />I. The real estate subject to this lien is:
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<br />2. The person against whose interest in the real ~state the lien is claimed is:
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<br />CONSTRUCTION UEN
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<br />The name and address of the claimant is:
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<br />The name and address of the person with whom the claimant contracted is:
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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 />_ The time the last services or materials were furnished has not yet occurred but is estimated to occur
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<br />Subscribed and sworn to before me this
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<br />i GENERAL NOTARY" State of Nebraska
<br />i ~[ KARMIN MAUL Notary Public
<br />I ~ '. ~ Comm. Ex . June 24 2008
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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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