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9.2881/29G <br />CONSTRUCTION LIEN 95- 004659 <br />1. The real estate subject to this lien is: 327 N. Cleb rn Grand Island. Ne- <br />(IA 860 Original town of Grand Island) - <br />2. The person against whose interest in the real estate the lien is claimed <br />is:Triule N Cosmanv (Attu Donald Nose) '121 c^ 10th at Omatia.. Nn_ (,Rln�• <br />3. The name and address of the claimant is: Contractors Supply, Inc., <br />545 J St.. P. 0. Box 83022, Lincoln, Ne. 68501 <br />4. The name and address of the person with whom the claimant contracted is: <br />8 drotech, Inc. P. 0. Box 81853 Lincoln Ne. 68501 -1853 <br />5. A general description of the claimant's services performed or to be performed <br />or materials furnished or to be furnished for the improvement and the contract <br />price is: furnish-mat rial to install a new rood <br />6. (Complete one of the following) <br />AI <br />X The amount unpaid, whether due or not, to the claimant for the services or <br />materials is $5.561.94 , with interest charged at 1.33 % after 30 days <br />of delivery. <br />The unpaid amount is not fixed by the contract, but a good faith estimate <br />in the amount of 5 <br />7. (Complete one of the following) <br />X The time the last services or materials were furnished was 5 -30 -85 <br />The time the last services or materials were furnished has not yet occurred <br />but is estimated to occur <br />Signature of Claimant' <br />l <br />t <br />$ �n to before me this y day of ,�E ±.c..� ' , I9u5. <br />,is <br />i !1 % t <br />ti6N6aO '.'eOIARIAL ` <br />iTAt! Of NE09TASKA Notary Public <br />OOF'NAER 6MAIWffiE �. <br />Oct. 23, t 985 <br />(52 -147. Se dment; 52 -149 for assignment; 52 -137 for recording <br />time; 52 -154 for discharge or release.) <br />u <br />l_ � <br />