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<br />CONSTRUCTION LIEN
<br />
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<br />1. The real estate subject to this lien is: Lot Four (4), Bellamy's First Subdivision, South Loup
<br />Township, Cairo, Hall County, Nebraska.
<br />
<br />2. The person against whose interest in the real estate the lien is claimed is: Sandra Kay Agurto
<br />
<br />3. The name and address of the claimant is: John Bellawy, d/b/a Bellamy Homes, 15283 W.
<br />Nebraska Highway 22, Cairo, Nebraska 68824.
<br />
<br />4. The name and address of the person with whom the claimant contracted is: Sandra Kay
<br />Agurto, 1512 Sugarwood Circle, Winter Park, Florida 32792.
<br />
<br />5. A general description of the claimant's services performed or to be performed or materials
<br />furnished or to be furnished for the improvement and the contract price is: Labor, materials,
<br />machine hire, subcontractor's expense.
<br />
<br />The total contract price is $50,000.00.
<br />
<br />6. The amount unpaid, whether due or not, to the clajmant for the services or materials is
<br />$50,000.00.
<br />
<br />7. The time the last services or materials were furnished was August 22,2008.
<br />
<br />LAIMANT: JOHN BELLAMY, D/B/A
<br />B LAMY HOMES
<br />
<br />
<br />By:
<br />John P. Bellamy
<br />
<br />Subscribed and sworn to before me thi~Y ofSePten:>~~
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<br />
<br />KARLA J. ARNffi
<br />MY COMMISSION EXPIRES
<br />October 1, 2011
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