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<br />
<br />DATE:
<br />
<br />CONSTRUCTION LIEN
<br />January L:{, 2008
<br />
<br />LIEN CLAIMED BY:
<br />
<br />Jerry's Sheet Metal, Heating & Cooling, Inc.
<br />907 West Oklahoma
<br />Grand Island, Nebraska 68801
<br />
<br />~~:tt LIEN CLAIMED AGAINST:
<br />
<br />~;f
<br />
<br />~ ~ i;D STATE OF NEBRASKA l ss:
<br />
<br />~'~~, COUNTY OF HALL )
<br />
<br />f:, ;--- Monte Hehnke, authorized agent for Jerry's Sheet Metal, Heating & Cooling, Inc.,
<br />being duly sworn upon oath, deposes and says:
<br />
<br />Karleen M. Sundermeier
<br />1405 South Harrison
<br />Grand Island, Nebraska 68803
<br />
<br />1. He is the Secretary of Jerry's Sheet Metal, Heating & Cooling, Inc., and as
<br />said Secretary, verifies this account in writing for and on behalf of Jerry's Sheet Metal,
<br />Heating & Cooling, Inc.
<br />
<br />2. Jerry's Sheet Metal, Heating & Cooling, Inc., by and through its duly
<br />authorized agents, provided materials and labor for work done on property located at 1405
<br />South Harrison, Grand Island, Hall County, Nebraska, legally described as follows:
<br />
<br />Lot Three (3), in Block Two (2), in Normandy Estates, an
<br />Addition to the City of Grand Island, Hall County, Nebraska.
<br />
<br />3. Materials were furnished and used in the course of installation of a Lennox
<br />furnace in said home on the above-described property at the request of Karleen
<br />Sundermeier, owner of said property, and the balance remaining due for said labor and
<br />materials is the sum of Two Thousand Two Hundred Dollars ($2,200.00).
<br />
<br />4. Jerry's Sheet Metal, Heating & Cooling, Inc. claims a lien on the above-
<br />described real estate in the amount of Two Thousand Two Hundred Dollars ($2,200.00),
<br />together with interest thereon at the legal rate.
<br />
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