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200710583
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12/20/2007 2:47:21 PM
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12/20/2007 2:47:21 PM
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200710583
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<br />I\.) <br />s <br />S <br />-....J <br />....... <br />S <br />c..n <br />ex> <br />w <br /> <br />::t: ~ 0, <br />t:-. D C::;. <br />*.' ~ :s <br />-, v\,) \..II <br />':S <:;) 0 <br />L...!\"'><-::-- <br />L- - <br />-.l ~' <br />~ <br />t"t\ it <br />G... <br />~ <br />':l <br />r:, <br />~ <br /> <br />10 <br />~ <br />z <br />Qnc <br />m>!o!' <br />n<n <br />~:c <br /> <br />O{) <br />X~ <br />m Ul <br />n:r <br />"" <br /> <br /> <br />.........,"- ! <br />,._.,1','10'.0, <br />?J ~~ '~~ <br />m ,'i. <br />Co'") ~, ~~"- <br />(:> '~~\ ~ <br />.1 <br />''',' ?L <br />'IiiI._ ",,):,..~ <br />::;-~ ~' <br />c.J iJ. <br />"" ;, <br />I'. <br />(' <br /> <br />~ <br />~ <br />.....0 <br /><:::. <br /> <br />200710583 <br /> <br />CONSTRUCTION LIEN <br /> <br />OWNER: p <br /> <br />KEVIN AND ANGELA GILL <br />14150 W GUENTHERRD <br />WOOD RNER NE 68883 <br /> <br />REAL ESTATE: <br /> <br /> m <br />:'''.'",,;) ~ <br />("::,;:' ("") (0 c:> <br />c::> 0 ~~ <br />-..:: <br /> c: l:> N ::0 <br />CJ :z --; m <br />O"'l --i rr, C) a <br />CJ -< 0 > <br />rv 0 -., a en <br />0 -'1 .".-1;11I' --J Z <br /> :x: i"'~"l I--' ~ <br /> J> C) <br />::D r " :n <br />::3 r l'.~ 0 C <br />\...... U) CJl s: <br /> ;:><: rn <br />c:::J )> ex:> ~ <br />e:f1 ---- '"-'" <br />0) (f) w Z <br /> (fJ 0 <br /> 5, 50 <br /> <br />LOT ONE (1), RICKERT <br />SUBDIVISION, HALL COUNTY, <br />NEBRASKA <br /> <br />CLAIMANT: <br /> <br />CLAIMANT CONTRACTED WITH: <br /> <br />CONSOLIDATED CONCRETE CO <br />3440 WEST OLD HWY 30 <br />GRAND ISLAND NE 68803 <br /> <br />BELLAMY CONSTRUCTION <br />JT INVESTMENTS <br />PO BOX 603 <br />CAIRO NE 68824 <br /> <br />MATERIALS PROVIDED BY CLAIMANT: <br /> <br />Concrete material <br /> <br />CONTRACT PRICE: $ 8,791.36 <br /> <br />AMOUNT UNPAID: $ 8,791.36 <br /> <br />DATE OF LAST SERVICES OR MATERIALS FURNISHED: August 22,2007 <br /> <br /> <br />STATE OF: NEBRASKA ) <br />) SS. <br />COUNTY OF: HALL ) <br /> <br />Before me personally appeared Brad Sallinger, General Manager for Consolidated <br />Concrete Co., to me well known and known to me to be the person described in and who <br />executed the foregoing instrument, and acknowledged to and before me that he executed <br />said instrument for the purpose therein expressed. <br /> <br />Witness my hand and official seal, this ~ day of [)E'a.....h( (' 2007. <br /> <br />~\~*~iC <br /> <br /> <br />J:.. GENERAL IOTARY-5tate of Nebraska <br />JOAN R. KUDRNA ' <br />, My Comm. Exp. 5" )'h~';('! <br />
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