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<br />t\.) <br />s <br />s <br />CXl <br />S <br />-.....J <br />...... <br />CXl <br />...... <br /> <br /> <br />1. <br /> <br />2. <br /> <br />3. <br /> <br />~~0 <br />~ 0 ""\ <br />~.~6 <br />H"'K Q... <br />111_(:::1 <br />~wo <br />:s- ~ :S <br />~. () <br />~ ~ <br />l1\ d- <br />(b <br />rt::'- l;' <br />~ ~ CONSTRUCTION LIEN <br />t'J . <br />The real estate subject to this lien is: <br />~d.",u.\ ~ ,,_~W\ '-\00"1 OL,(7'n <br />M... r IV "'^"- \'~\I" ! ? "3 15 - 0 0 ~ 0 - I ~l\s "1" 0 00 ~ ClOJ.O <br /> <br />~J~1t~~~~~~~~~h\ ~~rbJ 5..10 L+o() <br /> <br /> 1tI Q~ <br /> m <br /> "TI <br /> c: m CIl <br />n Z n:r <br />%: ~ 0 ~ <br />..., ~ <br />n '" <br />~ :r <br /> .. <br /> ~. <br /> .~ <br /> <br /> I.........;) m <br /> c..;,:) o (j) c:> ~ <br /> <=:> O~ <br /> 00 <br /> '--.'\\.. c J'> N <br /> -..... z -, <br />;D" ~ ~ _.J :0 <br />c:= -i1Tl 0 m <br />fTl ~-- c"') -<0 '=' <br /><;')...1- ~ 0""Tl 0 > <br />0'"", CD 11 :.--:. co en <br />11 U :r: 1'1 Z <br />0 :D- r,) 0 <br />rn l\ " --0 ,;:D en <br />rn ~ :3 r t> --.) ~ <br />0 <br />{f} (j) ~ c: <br /> r...> 7" So: <br /> :D- o:> ~ <br /> N "--""'.~ <br /> ~ U'l ..-- <br /> (f) :z <br /> 0 <br />200807181 550 <br /> <br />i' <br />, ' <br /> <br />\,,' .~: <br />" <br /> <br />The person against whose interest in the real estate the lien is claimed is: <br />~~O~\ SsJ.~.k LLc C/o ~.'Gk lJk;#\~ <br />'8(,,\9 ~1~1 C;V' ~.tE' {)jM.a,^", NE CoRI3~ <br />The name'and address of the,claimallt is: <br />(.,e.v' l n \ .a Co If\ UI' ~ tot, Co J:", C- <br />po go~ 1~'6 ~ <br />Gv-o,V'<~ ~\CJ.",-A tV E ~t~;1. <br /> <br />?;, <br /> <br />4. The name and address fthe erson with whom the claimant contracted is: <br /> <br />5. <br /> <br />6. <br />..,.c. <br /> <br />7. <br />~ <br /> <br /> <br />,;~\ V~\\N\:. \)~~ ~~VIL, <br />~~ ~~~l <br /> <br />The general description ofthe claimant's services performed, to be performed, or materials furnished or <br />to be furnished for the improvement and the contract price is: <br />Ce,^~..l'o.\f.. ~ll(' ~t'l.\-'I"'~~ .J::loo""" ..... ~o r <br /> <br />(Complete one of the following): <br />The amount ':ll}Paid, whether due or not, to the claimant for the services or materials is <br />$ 11 J ;).\\ U . <br />The unpaid amount is not fixed by the contract, but a good faith estimate in the amount of <br />$ <br />(Complete one of the following): <br />The time of the last services or materials were furnished was 51 ')..1 / 100 ~ <br />The time the last services or materials were furnished has not yet occurred but is estimated to occur <br /> <br />g~ <br /> <br />tJ Signature of Claimant v <br /> <br />STATE OF NEBRASKA ) <br />)ss <br />COUNTY OF ~\).-'"\ ) <br />The foregoing instrument was acknowledged before me this <br />by G~<~ ~ ~')~'\.~'<---' <br />of (...,{' <''()"''~ CJ:K,\J'ui~ C ''IJ""'\::,,-z.. . <br />on behalf of said corporation. <br /> <br />\~ day of ~I..-~ , 20(9) <br />.~ "- , 05---'.- \<.,\ '~'(~'-') <br />, a S,-,""'ch\~\$- '-~ ~ L-"-$ corporation, <br /> <br />~ 1\.~~ <br />otary Public <br /> <br />My commission expires: S-'\~-'\.\ <br /> <br />II1I <br /> <br />GENERAL NOTARY. Slale of Nebraska <br />STACEY A RUZICKA <br />My COmln. Exp, May 10. 2011 <br />