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200510039
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10/7/2005 4:35:45 PM
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10/7/2005 4:35:45 PM
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200510039
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<br /> ~ ;0 n E <br /> m :L <br /> "Tf <br /> E c: m ,"".,. (11 <br /> () :J: (.,:~.'~""':'~ <br /> (l Z ^ <:~"':'.:..'" C) Cl ft <br />N ~ () C ,,-,"", 0 ,-, a <br />s :J: c::: J> <br />S m > ~ (.:.::) ~.~~ -,j N ~ <br />n (/) ~.'. '::"-:> ....... <br />U'1 :c ,f:' --., -oj rq a <br />.... ;c;; i..J.' -< (:,~ <br />S 13 tJ\ c c:.' -'1 a ~ <br />s -. 0 .'''t''' -.J -'1 <br />tv ~ 'I"'. en go <br /><D ~.t,:7 '..:C <br /> j.': -'0 J:~ r"-:J t--" ~ <br /> rT) t'.. :::3 r' ..,:~J <br /> r:::':; f~ r-- ].:,:"" 0 <br /> ~. ,0 f;; (j) <br /> " -C a i <br /> ~ /~ <br /> \ :l:-~ W <br /> &? CJ ---- ---- <br /> 0 en CD <br /> <:n Z <br /> 0 <br /> <br /> <br /> <br />200510039 <br /> <br />/' /.)C' <br />~.. <br /> <br />CONSTRUCTION LIEN <br /> <br />CONTRACTING OWNER OR <br />SUCCESSOR IN INTEREST: <br /> <br />REAL ESTATE: <br /> <br />Ben Shafer <br />125 Ponderosa Dr. <br />Grand Island Ne. 68803 <br /> <br />Block 2, Lot 1 Ponderosa Lake <br />Estates 3rd Subdivision <br />Grand Island, Hall county Nebraska <br />(125 Ponderosa Dr.) <br /> <br />Water Works Plumbing Co. LLC <br />6066 S. North Rd. <br />Grand Island Ne 68803 <br /> <br />CLAIMANT CONTRACTED <br />WITH: <br />Ben Shafer <br />125 Ponderosa Dr. <br />Grand Island Ne. 68803 <br /> <br />CLAIMANT: <br /> <br />SERVICES OR MATERIALS FOR CONSTRUCTION FURNISHED BY CLAIMANT: <br /> <br />Services and materials furnished for construction on your property. <br /> <br />AGREED UPON OR CONTRACT PRICE: $12,000.00 <br /> <br />AMOUNT PAID: <br /> <br />o <br /> <br />AMOUNT DUE: $12,000.00 <br /> <br />TIME LAST SERVICES OR MATERIALS FURNISHED: September 1,2005 <br /> <br />By <br /> <br /> <br />S PLUMBING CO. LLC. <br /> <br />Y\.. <br />Mia Hough <br />6066 S. North Rd. <br />Grand Island Ne, 68803 <br /> <br />STATE OF NEBRASKA ) <br />)ss <br />COUNTY OF HALL ) <br /> <br />.. - . \ \\ \\ .\ L , ~ " <br />SUBSCRIBED and sworn to before me this ~day of \) '{\~_, ~. <br /> <br />~ \~.\ <br />---~~ <br /> <br />.J;GENERAL NOTARY. State 01 Nebraska <br />PEGGY L. FEIK <br />My Corrllll. ~ JANUARY 1, 2007 <br /> <br />~~ <br />
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