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<br />141':. r.ONSTRUCTION LIEN Jacob North Printing Co., Inc., Lincoln, NE 68524 <br /> <br />'" <br />IS) <br />IS) <br />CJ1 <br />Gl <br /><.0 <br />en <br />'" <br />...... <br /> <br /> <br /> ;c <br /> .." m <br />r\ " "T1 <br />4,.- 0- TT', c: <br />':J h 2 () Z <br />\.I' ~ ::J: ~ '=' <br />;. m ~ <br /> () (I) <br />j) (j\ f1) '" ::J: <br />~ ? 7f; <br />~ -.::> <br />J1\ J.J .. <br />~ <br /> CJ 3 <br />~ c;;j <br />~ ~ <br />". tiI <br />...j <br /> <br />n ~ r--"'~ <br /> ':;:"';> 0 (f) <br />:c .= d "-< <br /> c:...... <br />m CI'l '".1 c:: J".... <br />n :r ","" ej) z -,~,~ <br />'" ~... .....~ r'rl ~ ,n <br /> ::D ~.', <br /> rTj "LJ -< <br /> >, ::, C' <br /> ..;.) '-:.:.~ N 0 "'T1 <br /> ~.l:; -..J """1 <br /> \,": . ~ <br /> , , '-I <br /> ,~ ~ -,,~ <br /> ]".,;,,"- t.,:,! <br /> rr: ~\ -0 r-~ ;:'J <br />0 1'"1' ~ ::3 <br /> t:::, ~ r 1:;;,110- <br />Q (fl (J'l <br /> Q -C X <br /> C' :> <br /> r0 ................ <br /> .....r: CIll <br /> (J) <br /> <br />CONSTRUCTION LIEN <br /> <br />200509621 <br /> <br /> <br />1. The real estate subject to this lien is: \ :lD~~ C,ec~r,.( \bJrJc... ~u- ,t- <br />t e&OiJ CL..& ~ of. S C"-CJ.? ~ S I.....b LQ~ \ + \ ("':.~ ;).. <br />! 2. The person against whose interest in the real estate the lien is claimed is: e....e.l.~)...r ~Je. <br />{J ~..\) do~ f<\ t"-",-t L LC" __ <br />3. The name and address of the claimant is: ~ 0-" -t- t= t"'~~S~ r-. V' C)~ ~ \==I""'..\(~ re("" <br />Q\\",~'o\~ i l~:.l\.{ '=5~~ ~~ ~ (gxg.:l-I <br />4. The name and address of the person with whom the claimant contracted is: I Or 1 S ~\.O\.c y"" , <br />S"Ci:~<v" O--c\le.\.D~ \'V-"'4rY~" / P{"(;()t"..-...,.~r~ \D~L\ P'./>'(<.> ~t:l:.. G.7L. L..,~03 <br />I <br />5. A general description of the claimant's services performed to, to be perfo,rmed or materials fu~shed or to be <br />furnished for the improvement and the contract price is: ~e'-'P.(~ ~\' r~C\..&..~ \VU' <br />Sp\""'~'t.V' l'tr.. c.. c:.e.'''\necc.-\-to., . <br /> <br />_ The time the last services or materials were furnished has not yet occurred but is estimated to occur <br /> <br />~~ --L- <br />(~ -.~~ <br />~at9re.9i Cl~ien~ O-.D ^ FVnb{e. r <br />C...IU-r fen 5 Df\ \ P/lll-t'l b I~ <br />~r6k. dayof ~_, _o2a;>~ <br />~~~~R. /~ <br />Notary Public <br /> <br />Subscribed and sworn to before me this <br /> <br />GENERAL NOTARY. State of Nebraska <br />DENICE R. KRUSE <br />My Comm. Exp. Sept 25. 2006 , <br />(52-147, See 52-148 for amendment; 52-149 for assignment; 52-137 for recording time; 52-154 for discharge orrelease). <br /> <br />Rev. 9/9 <br />