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<br />N <br />iSl <br />iSl <br />0:> <br />iSl <br />iSl <br />.+::>. <br />C,J'l <br />C,J'l <br /> <br />CONSTRUCTION LIEN <br /> <br />~ <br />~ <br />1::. <br />~ <br />n:1 <br />~ <br />8 <br />~ <br />~ <br />~~ <br /> <br />~ <br />~ <br />() Z <br />1: (") r:, <br />.." )> ~, <br />n (I) <br />""::c <br /> <br />OWNER: <br /> <br />AGRICULTURAL SERVICE INC <br />PO BOX 1428 <br />GRAND ISLAND NE 68802-1428 <br /> <br />CLAIMANT: <br /> <br />CONSOLIDATED CONCRETE CO <br />3440 WEST OLD HWY 30 <br />GRAND ISLAND NE 68803 <br /> <br />MATERIALS PROVIDED BY CLAIMANT: <br /> <br />CONTRACT PRICE: $ 2,096.30 <br /> <br />On <br />:r~ <br />mer <br />O:t <br />'" <br /> <br /> m <br /> z <br /> -1 <br /> ITI <br /> :-......., :n <br /> I.',::::;~:) <br /> (;....~ (") (/l m <br /> "- co 0 -, 0 0 <br /> ,~,.,~,: ~" c_ C 10'" )> <br />:::rJ ~,"', ::0 Z -., N r.n <br />r"'tl . .~\. Z -1 rr1 Z <br />c."") ~'" ;~,<.:. -< C> <br />t-> 1...-.: (f) <br />(:) ".~. co 0 "...-] <::) -I <br />"J '1 -'~ :::0 <br /> . , <br />~:.':} (', "","-,- co c: <br />,oJ(::' f-'I <br />r-r; ~1' =n Jo~ CCl S; <br />rTl 0 <br />c-) I, :3 r-- :;:0 1"11 <br />~: I ....~;;otI <br />Vi 1".. <::) ~ <br /> ~ /--\ e/) <br /> f--.< ;;'" ...r: Z <br /> C ~ U1 0 <br /> ~ '--" '--" <br /> N (/) Ul <br /> (/) <br /> <br />~. <br /> <br />I <br />lI\ <br />~ <br /> <br />REAL ESTATE: <br /> <br />SOUTH LOUP TWP PT SE v.. SE v.. <br />13-12-12 4.06 AC <br /> <br />-' <br />c? \. \-... <br />"'-t") <br /> <br />CLAIMANT CONTRACTED WITH: <br /> <br />BELLAMY CONSTRUCTION <br />JT INVESTMENTS <br />PO BOX 603 <br />CAIRO NE 68824 <br /> <br />Concrete material <br /> <br />AMOUNT UNPAID: $ 2,096.30 <br /> <br />DATE OF LAST SERVICES OR MATERIALS FURNISHED: October 3,2007 <br /> <br />STATE OF: NEBRASKA ) <br />) SS. <br />COUNTY OF: ADAMS ) <br /> <br />By.gL~. <br /> <br />. - l General ger <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 Jo.t1 UQ.r1 2008. <br /> <br />---M KudMto-- <br />Notary Public <br /> <br />, J:ENERAL NOTARY-State of lellraska <br />~ JOAN R. KUDRNA <br />" ___ My Comm. Exp. l)"tl3-{;E <br />