Laserfiche WebLink
<br />..'-----....-...~--~~_:-~----~L-.,U.-''^^'''.^---..'''''-..--.'. <br /> <br />Jacob North Printing Co., Inc., Lincoln, NE 6~ <br />-----.------ - i I <br />I, <br /> <br />! I <br />i I <br />Ii <br />gal <br />(i <br />at! <br /> <br />II I <br /> <br />~STRUCTION LIEN <br /> <br />~t~ <br />~~ l <br />,~ . <br />'0~. ~ <br />~ Sr ro.'--- <br />,-J f t <br />~~? <br />~ %'\ <br />~ ~ <br />L\J ~.'~ <br /> <br />CONSTRUCTION LIEN <br /> <br /> ;Q n () <br /> rn :r: ).l> <br /> nl '-^ <br /> c. n :r <br />n z: A <br />:x: n t"') <br />m )> U'J <br />.. y\ <br />n en <br />~ :r.: <br /> ~ <br /> <br />V:".,: <br /> <br />I\J <br />\Sl <br />S <br />0'1 <br />~ <br />S <br />-" <br />0'1 <br />W <br /> <br />. ,~ <br />',,, ,. ., ~ <br />~ <br /> <br />C, u; <br /><7) '--i <br />c: )':~:~. <br /> <br />" <br /> <br /><.:.:J <br />..,:~ <br /> <br />-i rT! <br />-< .:- <br /> <br />/~~~~ ~','I~' <br /> <br />Z M"~.,! <br /> <br />---I <br />f---.l <br />c:...J <br /> <br />-'1 <br /> <br />."., . r~ <br />-r; <br /> <br />I,=-) -f'i <br /> <br />rll !' ::n :~... <br />I 1'J ." <br />r;~."l t\ :=3 f'-"- " <br />"': t. r- ::'.. <br /> II, 1-> , <br /> ~ c::.:l X <br /> ]> <br /> _.c '--' "-" <br /> CJ1 eP.> <br /> (f) <br /> <br /> <br />200510153 <br /> <br />1. The real estate subject to this lien is: <br /> <br />L/)f? 75) k- /1 <br /> <br />Kc /11 VIS AJd' t-l17V\. <br /> <br /> <br />2. The person against whose interest in the real estate the lien is claimed is: (!.... e:l-S br()L{'P LLc <br /> <br />; I <br />I! <br />; I <br />: ! <br /> <br />'-/ [) s:- 2. ZtJ/t!A Lc.. ~ <br /> <br />3. The name and address of the claimant is: -r;, t L I '-1 Wl.e /-<' v (' r :r~ c . <br />(0 Y"o.. V'\ c\ Is 'c....N"J, ! ^-I E ~ b 8 & 0 3' <br /> <br />4. The name and address of the person with whom the claimant contracted is: Sea. V'\ <br />L{~S-l Zota- UYlA. I C;'vG.V\d rslc..~, A}E. 08y;'o'I <br /> <br />(IIJ c. AJe.J ('- <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: <br /> <br />-19ss-i'.......hLL, I~<.J.c./( kJk!HV\. Cc.bl~JS, ,"nskJl,('ot,..n~f'" J-ap<: , <br />bet c k ~ ph r k <, t't'p f V' 4-<' "'" 0" clDll t^ "-?- k.I f ~t,t~....., <:. <br />6. (Complete one of the following) <br />~ The amount unpaid, whether due or not, to the claimant for the services or materials is $ <br /> <br />l'vt!k J ( <br /> <br />1.23()'~ <br />, <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 />-X- The time the last services or materials were furnished was <br /> <br />A 1.15 lA.~ t- :5 J, zoos <br /> <br />; , <br /> <br />_ The time the last services or materials were furnished has not yet occurred but is estimated to occur <br /> <br />: ; <br /> <br />~k tl..~P!?<,~fk1- <br />Signature of Claimant <br />IV/ Cd' k- VC.AV\osdC\ II <br /> <br />) .~ 't"- day of Oc7'b pcr <br />l3hrhCLtLU- j"~ h ~liJ <br />Notary Public ~. <br /> <br />Subscribed and sworn to before me this <br /> <br />j <br /> <br />GENERAL NOTARY . SIat8 of Nebraska <br />STePHANIE LILIENTHAL <br />My Comm. Exp. Aug. 14, 2008 <br /> <br />~Dt.6 <br />, -. <br /> <br />, ~ <br /> <br />i ~ <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 /> <br />Rev. 9/95 <br />