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<br />1'0 <br /><Sl <br /><Sl <br />-...J <br />-->. <br /><Sl <br />(J') <br />0::> <br />1'0 <br /> <br />~~ ~ <br />~0 ~ <br />~~~ <br />~.~&r <br />~ ~<~~ <br />' ~\~ <br />~~~,. <br />~r <br /> <br /> 10 () () <br /> m :r ~ <br /> -n <br /> c: m <br />('l z n :J: <br />1: ~ tJ '" <br />rn ~~) <br />(") en <br />~ :x: <br /> <br />':::J( <br />~..; .$':,'. <br />r'''1 ;";"" <br />(;""") ,. ~.-" <br /><;.;") ''''... <br />..,,"'; '\ <br /><;;} t1 <br />f;~ ~ ':~ <br />c;, ,~ <br /> <br />V) ~ <br /> <br />r~ ~ <br />(:.:::..:.> n <br />~~ en <br />--..:J 0 -.oj <::> -I <br /> c:: l;~ rn <br />Cl z ~ N :JJ <br />r-" -j M I"n <br />c:> a (:) <br /> --< <br />N (:) :r:~ <br />0") C) ,') <::> (/) <br />'1 .'..,:0-- -,... <br /> ",.,,". -..J :;~~ <br /> :~r: 1"1""1 r.:l) <br />lJ 1;"'. C~'l I---' .,,-/ <br />::3 . ~:e :::0 <br /> r :t,:> oc:: <br />I---' Ul ::=~." <br /> ;;><; 0) ;1'1 <br /> )::> 0)4 <br />....s:::. ....................... <br />W <A N:2 <br /> C/l <C> <br /> <br /> <br />~ <br />I <br /> <br />200710682. <br /> <br />CONSTRUCTION LIEN <br /> <br />E;-~ <br /> <br />1. The real estate subject to this lien is: 13:-V4 n. <) IJdd;-!;o/J. .sOL/fA At! /f-fYdC-/;OIJ <br />./ <br /> <br />Ie! :2 {{(Ii (scfI!A fw/f- +r4t'/;v"'17 /0';-_5 tlf;) 6/)Li7~ /;l//~ 101 j(}loci/G- <br />2. The person against whose interest in the real estate the lien is claimed is: ;fJre../ kr////d.? <br /> <br />3. Thenameandaddressoftheclaimantis:-pa{111lt~),s f{t::;!or4!;tJl') of &;.;IN/ /t"?j <br />\:')/5 5, Web); !f.d, &J//?lZ:S/;/J'. /J/ff ~;9;go? <br />./ / <br /> <br />4. The name and address of the person with whom the claimant contracted is: <br /> <br />fI1 {l-Id/ fj(/m~ljtlc.? <br />6l'l' $ t,Y <br /> <br />":;:;)..1/ h;1n,h~1 sl / <br /> <br />& hI' (Jd-.t* /)11, A/ IE <br />/ <br /> <br />5. A general description of the claimant's services performed to, 0 be performed or materials furnished or to be <br />furnished tor the improvemeilrand tbe ~ontracr--pricd5: - ' "'Yc.. ~~1 ,t. .~ - .... V - <br /> <br />fry1t fJ/vilt'r's .THSf';f'Jye. f)ekc/;b'e is j74>f d~- P;U;;p- <br />6. (Complete on ofthe following) <br />V The amount unpaid, whether due or not, to the claimant for the services or materials i:: 1:2. 3 ~ct> <br /> <br />~ The unpaid amount is not fixed by the contract, but a good faith estimate in the amount of$_. <br /> <br />7. (Complete one of the following) <br />~The time the last services or materials were furnished was <br /> <br />/ j- / ?- - 0,/ <br /> <br />_ The time the last services or materials were furnished has not yet occurred but is estimated to occur <br /> <br />PI{ i) I Dry} 5 {?s/vr-t Ii' Clr? crf (; I;r/-YfJ /JIebY4U1 <br />)? iJ \ftf P1~ s //. ftki &.-r sC~J1 <br />0-/!-'?4# ,& r;;JZ~ <br />SigDafure ot' Claimant ~ <br /> <br />Subscribed and sworn to before me this <br /> <br />GENERAl NOTARY. State of Nebraslal <br />ANGELA M PEINERT <br />I IIP.'-y.; ~_ My Comm. Exp. Jan. 18. 2011 <br /> <br />.2 / rt day of n~(~?rn l;eI , ~ ;;10lr'f--- <br /> <br />{J)-rUf~{ 9lz, ;2t~/Ui~ <br />Notary Public <br /> <br />(52-147, See 52-148 for amendment; 52-149 for assignment; 52-137 forrecording time; 52-154 for discharge or release). <br />