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<br />N <br />IS <br />IS <br />CO <br />IS <br />W <br />N <br />.p.. <br />IS <br /> <br />STRUCTION LIEN <br /> <br />Jacob North Printing Co., Inc., Lincoln, NE 68524 <br /> <br />~t CJ <br />~~ ~. <br />~~ ~ <br />i?~ ~ <br />hI 6- <br />(r)~~ <br />~b~~ <br />~ t t.~ <br />~ ~ \;-t ~ <br />~ C\) ~"'t\ <br />~~ <br />~ ~ <br />~ <br />Uv <br /> <br /> 10 (") E <br /> m :r.: <br /> -n 1'1'1 <br /> C n :r; <br />n z ~ <br />1: n 0 <br />'11 )>. ~ <br />(") UI <br />"" :t: <br /> <br /> I~ <br /> ~ o en <br /> <:.=> <br /> '" c:;lQ C> -i <br /> ,....--1_ ::n c=l> <br />XI S:\. :z-t <br />\:l -tm <br />m ~i-- :;c -<0 <br />~~- t-" 0-" <br />" CO -"z <br /><::::l t\ ::r:; ITI <br />m t ::D l> co <br />m ::3 .-;:0 <br />0 .- l> <br />W t-" en <br /> 0 :;::>0; <br /> )> <br /> f',,) ........................ <br /> -l:. (I) <br /> tn <br />200803240 <br /> <br /> <br />C';\i <br /> <br />CONSTRUCTION UEN <br /> <br />~ e.. ~12-/ ()tA...) <br /> <br />1. The real estate subject to this lien is: <br /> <br />I II <br />I II <br /> <br />I II <br /> <br /> <br />2. The person against whose interest in the real estate the lien is claimed is: .:J. /lJ. :::j-;iJ fJLtfAtJ LLC. <br /> <br />3. The name and acldm!s of the claimant.., ~d~rMJ)081' ~ J1 x:.JJ1J. <br />~J2 w.~.d 1Jt1J~ .10, rMh____o~. _W3- . <br />4. JJ efd z;;o".ff::;. with whom the clallnant oontrnclA>d .. "" Sl/tUM.J mtffMAJ- <br /> <br />5. A general description of the claimant's services performed to, to be performed or materials furnished or to be <br />furnished for the improvement and the contract price is: <br /> <br /> <br />~ t: c~!::J~~~o~ <br /> <br />6. (Complete one of the following) <br />1- The amount unpaid, whether due or not, to the claimant for the services or materials is $ :J .~1 Ot/.ll. <br />_ The unpaid amount is not fixed by the contract, but a good faith estimate in the amount of $ <br /> <br />7. (Complete one of the following) <br />-L The time the last services or materials were furnished was <br /> <br />~ ~1, 1-.001 <br /> <br />_ The time the last services or materials were furnished has not yet occurred but is estimated to occur <br /> <br />Subscri <br /> <br />(l,kAhA IJ~{;I.'_L- (M~~Lr) <br />SignatureofClaimantotJ ~v€,-~ f)a-o-,. eo. <br /> <br /> <br />-tf, ^ . <br />il ~WWl- <br /> <br />~\~ <br />N ofary Public <br /> <br />~~ <br /> <br />(52-147. See 52-148 for amendment; 52-149 for assignment; 52-137 for recording time; 52-154 for discharge or release). <br /> <br />i i i <br /> <br />~~,\'~~jj,.. <br />/;."f.....P.(.\ <br />:: :GEN[RAL. :. <br />;-\ N;'r;Rv}*f <br />~"lt~R.~~~~~~~~ <br />1'.111,1' <br /> <br />JAN DYE <br />MY COMMISSION EXPIRES <br />March 31,2010 <br /> <br />Lot One (1), Rief-Standeven Subdivsion, in the City of Gr~d Is~and, Hall County, <br />Nebraska excepting a tract of land more particularly descnbed m Warranty Deed <br />recorded' as Document No. 200308995 and excepting a tract of land more <br />particularly described in Deed of Correction recorded as Document No. 2003135 ~~. <br /> <br />Rev. -~~t~-rr <br />