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<br /> CONSTRUCTION LIEN -- 50
<br /> ,;:.
<br /> .~
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<br />1. The real estate subject to this lien is: address: 4044 Gold Core Drive, Grand Island, Nebraska 6880 I
<br />Legal Description: Lot Twenty (20), Platte Valley Industrial Park Third Subdivision, an Addition to the
<br />City of Grand Island, Hall County, Nebraska
<br />
<br />2. The entity against whose interest in the real estate lien is claimed is: ASAP Real Estate LLC, a Nebraska
<br />Limited Liability Company and/or ROW, Inc. a Nebraska Corporation
<br />
<br />3. The name and address of the claimant is: M. 1. Shultz Builder, Inc., d/b/a The Dirt Works, 5009
<br />Avenue N, Kearney, NE 68847
<br />
<br />4. The name and address of the person with whom the claimant contracted is: Darold Miller, Miller
<br />Construction, 17350 17th Road, Kearney, Nebraska 68845
<br />
<br />5. A general description of the claimant's services performed or to be performed or materials
<br />Furnished or to be furnished for the improvement and the contract price is: Cut off grass, stock pile soil
<br />compact soil after GEO Tech company inspects, staging of equipment as outlined on signed contract
<br />
<br />The total contract price is $ 9,220.00 (Nine Thousand Two Hundred Twenty Dollars)
<br />
<br />6. (Complete one of the following)
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<br />_X_ The amount unpaid, whether due or not, to the claimant for the services or material is $ 9,220.00
<br />_ The unpaid amount is not fixed by the contract, but a good faith estimate in the amount of $
<br />
<br />7. _X_ The time the last services or materials were furnished was October 5, 2007
<br />_ The time the last services were furnished has not yet occurred but is estimated to occur
<br />
<br />M. J. Shultz Builder, Inc. d/b/a The Dirt Works Claimant
<br />
<br />BY~AAJ K ~,~,uU
<br />J is K. Shultz, Secretary J
<br />TIN: 47-0769905
<br />
<br />STATE OF NEBRASKA )
<br />) ss.
<br />COUNTY OF BUFFALO)
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<br />Subscribed and sworn to before me this ~day ofJanuary, 2008 Janis K. Shultz Secretary ofM. J. Shultz
<br />Builder, Inc. d/b/a The Dirt Works, on behalf of the corporation.
<br />
<br />&:. ...... GENERAL NOTARY. State of Nebraska
<br />""",,!~. ALAN D. KEGLEY
<br />11'5 ,', M Comm. Ex . Feb. 2, 2009
<br />
<br />Uaw ~ ~J
<br />Notary Public
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