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<br />N <br />IS <br />IS <br />Q) <br />IS <br />0'> <br />.p.. <br />.p.. <br />-.....J <br /> <br />o (JJ <br />o -I <br />c:: :!>- <br />Z-l <br />-1m <br />-< C-' <br />o " <br />-"z <br />:x "1 <br />1> CD <br />. :::n <br />.> <br />(JJ <br />^ <br />l> <br />....c -........ <br />r\,) (FJ -.J <br /> <br /> <br />1. The real eslale 8ubjecllo UUoUen is: 9 .1..5 s, ~(' " I/Y1Q rE'. G rIA. V\ J Ii! C/l1 '/I/~ <br />J PCjQ / ('L(f~cn'P +f OYl: H-aw+hdn1P "0JOi c.e Lnt- :27 <br />2. The person a,ainat whose interest in the real estate the lien i. claimed is: ThJd Pr ~ e 5 efl <br />Jllt.4 3 U), Fa J'JJe1 ft~ (; rtAh1- XS(g,n 4 J Illf.- <br />3. The name and address of the claimant is: AJ.~. a n.({., f {u.; b 1115 '- \1 ~ r ("~ (}./ dwzo..- <br />J (39 JU POfla ( Grand Islq n d ( IU~, <br /> <br />4. The name and address of the person with whom the claimant QOntr~cted is: '.:16 d d + Lor / !=rj7::Sr2I1 <br />L-fILf~ flJ frt'cL!et1!+ue _GrWhcL.1~{qr,cl( VL- <br /> <br />5. A general description of the claimant's services perfonned to, to be perfonned or materials furnished or to be <br />fumishe1 for the i~p'rovement and the contract price is: <br />~t41 fed q (J ~ tI/ /6n AJ sf} Iml-er.lJ. ea.l-e r . <br /> <br />~~~ <br />N~t:7 <br /><:~~ <br />f1')~~ <br />~1:J;tJ <br />~<;::;:;S".::: <br />~"'t7~ <br />~~~ <br />'^~ <br /> <br /> <br />Huffman and 'etkln & Wolt. Wallon ME 68461 <br /> <br />STRUCTtON LIEN <br /> <br />~ ' "-=' <br /> c.:..."") <br /> = <br />" 00 <br /> ,.-.~l;l.... C- <br />Ct\ ::u ~ "- c::: <br />fTl ,.~ r- <br />C)~-..: N <br />10 o '" <br />-., CO <br /> 0 (1. <br /> fTl ( U <br /> P1 :3 <br />200806447 0 <br />(JJ <br />CONSI'RUCrION UEN w <br /> <br /> <br />0 II <br />,:0 <br />N ! <br />0 I~ <br />0 <br />CO <br /><=> <br />0) <br />....c <br /> <br />6. (Complete one oC the following) ,.. J <br />. .,~ <br />L The amount unpaid, whether due or not, to the claimant for ~e servioes or materials is $ 7 !$fE. .j--~ <br /> <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 <..fA III :J. 3 ) dctR <br />_ The time the last services or materialB were furnished has not yet occurred but is estimated to occur <br /> <br />I, <br />ji <br />I' <br /> <br />!\ L . If'( r1M a/vi. V"- <br />~1 Claimant <br /> <br />I' <br />il <br /> <br />-' <br /> <br />Subsribed and sworn to before me this <br /> <br />~ <br /> <br />~y o&~t;) <br />~.//pj-) , .' <br />Notary Public <br /> <br />:;l() 0 () <br />,#~. <br /> <br />, KENNETH J SMITH <br />J. State 01 Nebraska-General Notarv <br />, ::L... My Commission Expires <br />~ June 26. 2012 <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 />-1)- <br /> <br />..... <br />" <br />