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<br />1'0 <br /><Sl <br /><Sl <br />CXl <br /><Sl <br /><Sl <br />+>- <br />CJ1 <br />W <br /> <br />~\J~ <br />N 10 ~ <br />~~~ <br />n-.; CJ, ........ <br />"\ ~ t7 <br />'- ~ <br />~'~,~ <br />~?i <br />~ <br />~ <br />~ <br /> <br /> .,IId (") ~ <br /> m :t: <br /> ." <br /> C m '" <br /> Z n ::r <br />lJ '" <br />.c f1 0 <br />"', ):. ~ <br />'") en <br />,~ X <br /> <br /> <br />200800453 <br />CONSTRUCTION LIEN <br /> <br />OWNER: <br /> <br />REAL ESTATE: <br /> <br />SANDRA KAY AGURTO <br />1512 SUGARWOOD CIR <br />WINTERPARK FL 32792 <br /> <br /> /'" .~",). <br /> i'"":~;:..::') ("") <br /> c...-::) en <br /> '. <::;.0 0 -1 <br /> ~:\~.. ,. c: p. <br />:::lJ ~,\' ::-0 z _oj <br />p', S~i-.: z --1 (TI <br />(;;-...... -< C.:,) <br />- " '" /-.I. <br />o ~, 0 <1 <br />"""'l CO --n <br /> ('I. """IIi:'.~ <br />C.:! \,-..,.~\ T [T1 <br />f"'1 f) '.J ::n :I> Cl::J <br />f'l <br />CJ i'; =.3 ::u <br />en t. r :r,. <br />~,....... en <br /> t--. 7<: <br /> (' ):;.. <br /> -!:: ---- ---- <br /> 0 en <br /> en <br /> <br />LOT 4, BELLAMY'S FIRST <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: $ 5,876.87 <br /> <br />AMOUNT UNPAID: $ 5,796.39 <br /> <br />DATE OF LAST SERVICES OR MATERIALS FURNISHED: September 21,2007 <br /> <br />BY:~co. <br /> <br />Gert-eral Manager <br /> <br />STATE OF: NEBRASKA ) <br />) SS. <br />COUNTY OF: ADAMS ) <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 .L.JHLtLY"' ~ 2008. <br /> <br />'A'GrniiA[ !OlARV_ of leI",ka ~\ 1\' ~ u1-ti0- <br />. il~: JOAN R. KUDRNA 0 ary u IC <br />~ ll""~~ My Comm. Exp. .l}-.J3-(}fj <br /> <br /> m <br /> z <br /> -I <br /> rn <br /> :n <br /> m <br />a Cl <br /> ):> <br />N en <br />0 Z <br /> en <br />0 -I <br /> :IJ <br />co C <br />C) ~ <br />rn <br />0 ~ <br />-L; Z <br /> 0 <br />en <br />w <br /> <br />c~ <br />~ <br />