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<br />N <br /><Sl <br /><Sl <br />-....,J <br />....... <br /><Sl <br />N <br />~ <br />-....,J <br /> <br />G: U\ <br />~I ~p, <br />P -" 3 <br />'j Ol:::l <br />~. 5< (j\ <br />H ~ :s, <br />(,-. ...J' 3 <br />'5"""~, ~ <br />, - <br />~ ::s <br /><:...0 <br />Z (l <br />n\, "'\ <br />€' <br />~ <br />o. <br />tv <br /> <br /> 10 ("') () <br /> m :E: ~ <br /> "" m <br /> C n % <br />n Z :;i'li; <br />:r: n 0 <br />m )> ~ <br />n C/) <br />~ :I: <br /> (). <br /> () <br /> <br />>.,~ <br />"."1" <br /> <br />CONSTRUCTION LIEN <br /> <br />~........ . r <br />,_ I~,." <br />;;;c fI"' <br />rn ~:'~... <br />~~-") ~,.."~"" <br />,,,_, ,~-,t. <br />f........ \ <br />'" <br />C~) (- [,. <br />""1 t. <br /> <br />~ ~ <br />" <br />\" <br /> <br />r~.,,,. f <br />~ <::> (f) <br />II':;~;:""" 0 <br />--;0 0 -1 <br /> c: ;p. N <br />0 ::z: -; <br />rr1 -4 m 0 <br />C"? <br /> -< 0 a;- <br /> <.:) ""Tl c::> <br />G) 'T1 ':~ --.J - <br /> X ("T') I <br />-0 1> ~:J t---' <br />::3 r~. ~l.J C) <br />.- 1;.-- <br />t---' (fJ N <br />N ;;><: <br /> l:>- J: <br />f--' ""-",",,,~ <br />CO (fl -.J ~ <br /> (fJ <br /> <br />200710247 <br />1. The real estate subject to the within lien is described as follows: Lot One <br />(1) and Lot Two (2), Fawnacres Eighth Subdivision, Hall County, Nebraska; <br /> <br /><;;:, <br />00 <br /> <br />2. The name of the person against whose interest in the real estate the lien is <br />claimed is one Myrl L. Wieland; <br /> <br />3. The name and address of the claimant is Melvin Legg, d/b/a Concrete <br />Formers, 8637 South Locust, Doniphan, Nebraska 68832; <br /> <br />4. The name and address of the person or entity with whom the above <br />claimant contracted is: Bellamy Construction, PO Box 603, Cairo, Nebraska 68824; <br /> <br />5. A general description of the services performed on the subject premises is: <br />construction of concrete walls preliminary to the construction of a residence on the <br />subject property; <br /> <br />6. The amount due and unpaid for said work performed IS the sum of <br />$10,660.00; <br /> <br />7. That the date the last services or materials were furnished was the 9th day <br />of October, 2007. <br /> <br /> <br />lvin Legg <br />d /a Concrete Formers <br />37 South Locust <br />Doniphan NE 68832 <br /> <br />Subscribed and sworn to before me by Melvin Legg on this loi'-. day of <br />December, 2007. <br /> <br />J;GfNERAl NOTARY-State of Nebraska <br />CARRIE SHEPARD <br />My Comm. Exp. March 21,2009 <br /> <br />l~l~d <br />Notary Public <br />