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<br />N <br />G <br /><Sl <br />co <br /><Sl <br />-...J <br />N <br />CD <br />->. <br /> <br /> <br />NSTRUCTION LIEN <br /> <br />Jaco~North Pri~ting CO,! Inc"L1~cClln,N.~~~~2~. . <br /> <br />on <br />::t:);I< <br />V'n 0'1 <br />n:::r.. <br />" <br /> <br />w::c. <br />Ci\~> <br />~ t. VI <br />~C~ <br />~. -<, <br />)) <br />~~.~ <br />P1).:5 <br />:s '<. cr- <br />.!:\.,.,.. - <br />. 'S <br /><. ~ <br />T7\ <br /> <br />10 <br />rn <br />.rl <br />C' <br />.-w <br />,"'\ .)/... <br />1: ()C) <br />"'ii\ );... ~i <br />() g: <br />x <br /> <br />\ \ <br /> <br />,-...;, <br /><:';:'.:..JI <br />t'.':.:) <br />0= <br /> <br />o (fl <br />o -i <br />cJ> <br />z...-.-j <br />---lrrl <br />-< C) <br />0"" <br />-q z <br />::c rn <br />)>LU <br />I :':0 <br />r- )0>- <br />cn <br />7' <br />;t> <br />--.-. --.- <br /> <br />"- <br />r~ <br />~,tJ ~ <br />~-1 t-1r~" <br />~,{- <br /> <br />""'1 <br />o U. <br />~ l <br /> <br />......- <br />c= <br />C") <br /> <br />rv <br />N <br /> <br />~ <br />\;) <br /> <br />-'0 <br />::3 <br /> <br />I-' <br />rv <br />I'.) <br /> <br />t'- <br />~ <br />c <br />\AJ <br /> <br />~'I <br />" <br /> <br />(j'J <br />(J) <br /> <br />CONSTRUCTION UEN <br /> <br />200807291 <br /> <br />1. The real estate subject to this lien is: ~1ll1.J 't::>~,<'(l\ifhly) : <..I<:>.)/R ..:5. I qOTI-! Qt')) <br />~D.LJ')P-<'/)TI'pt\h\l'~ ,Se.p (l~ <br />2. The person against whose interest in the real estate the lien is claimed is: .~ <br /> <br /> <br />e. \' <br />3. The name and address ~ the claimant if< J:~ "I' 71.LlJ'tlbiRt ail d bruin <br />3~\ tis..c11 1s\&no,.e. I ~\U.L1cLD..\(,l1C\ I ~r {oR'Rn.~ <br /> <br />.rn CL. <br />- J <br /> <br /> <br />4. The name and address of the person with whom the claimant contrac.:ted is: <br /> <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: n'),...n \et'"i f"l \... n ~\ 'olor:-'\' 0;;:0..... <br />(~b{\. ~ r/J.(l ~. t'1(1 0 \; i ~ ~ rb \f"e N'J(:'~::> D9 \E>~ ,\" C')& 1 (I n d QAt\.;, ~ h) ) <br /> <br />6. (Complete one of the following) <br />--X- The amount unpaid, whether due or not, to the claimant for the services or materials is $ -53 4~o' 8'</ . <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 /> <br />-2L-- The time the last services or materials were furnished was ;::s I J ~.... I 0;:) ~ (")of? <br />7 I <br />- The time the last services or materials were furnished has not yet occurred but is estimated to occur <br /> <br />M~ <br /> <br />/ Eric. ~. Q o..<,e.. <br />/ <br /> <br />Subscribed and sworn to before me this <br /> <br />ENE <br />DONNA M. SAlATA <br />. My Comm. E 1',2010 <br /> <br />~J; !1.a ,) . <br /><>JI _J-O~~of ~ti' ~ <br /> <br />Notary Public '1 <br /> <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 /> <br />I <br />1m <br />I~.... <br />-I <br />D rn <br />N :JJ <br />li1 <br />(-' <br />D... <br /> <br /> <br />I <br />/O,}O <br /> <br />) <br /> <br />Rev. 9/9cl <br />