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<br />rRUCTION LIEN Jacob North Printing Co., Inc., Lincoln, NE 68524
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<br />1. The real estate snbject to this lien is:
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<br />CONSTRUCTION UEN
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<br />200804818
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<br />~ OC,pl, S NOll'll! l'?n 1 brC\.h.d T~lcU1.A Nc-
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<br />:2. The person ag'ainst whose interest in the real estate the lien is claimed is:
<br />:r,.Vh " bb,..dO\ H D~ h
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<br />:3. The name and address of the claimant is: Wa....tt'V'"' We... b
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<br />4. The name and address of the person with whom the claimant contracted is: .:J i W\ Hou~ h
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<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:
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<br />New 5;hop i l1oVIIJl* ct .:tYl1prDlIemeVLfs
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<br />6. (Cotnplete one of the following)
<br />-1- The amount unpaid, whether due or not, to the claimant for the services or materials is $ 2'10., iJdbl. t'I~
<br />_~ The unpaid amount is not :fixed by the contract, but a good faith estimate in the amount of $
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<br />7. (Complete one of the following)
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<br />~ The time the last services or materials were furnished was
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<br />"~ r'::he time the last services or materials were furnished has not yet occurred but is estimated to occur
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<br />PEGGY L. FEIK
<br />GeMraI Notary
<br />Itote of NebrOIkO
<br />_eu....lIIIIon E~.. Ma 30.2011
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<br />day of ~
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<br />Notary Pu~~
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<br />Subscribed and sworn to before me this
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