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ii <br />I I __f 145 -CONSTRUCTION LIEN <br /> ~' ~ <br />~~ ~ ~ <br /> `'~ "~. <br />fV ~ <br />m ~) ~~ <br /> <br />_.~___ ~ <br /> <br />~ o ~, <br />~ <br />~ - ~ ~. <br />. <br />~~ ~ ~ <br /> ~~ ~ <br /> <br /> °'~ <br /> e.o <br />d <br /> ~, <br />lfT1 <br />Z ~ ~ <br />~~~ ~ <br />~~. a <br />200944827 <br />CONSTRUCTION LIEN <br />~~l <br />,___ _ <br />Jacob North Printing Co., Inc., Lincoln, NE 88524 <br /> <br /> ~ ~ a U i C~7 <br /> <br /> <br /> ~ ~ ~~ ~ <br /> ._ ~ ~: <br /> <br /> <br /> ~ ~ <br /> ~, , <br />r~ <br />~ r-- z~ <br />~ r- n -~ <br /> <br /> r~ ~ cx~ <br /> ~ rv <br /> ~ wu <br /> <br /> <br /> ~,a~ <br />1. The real estate subject to this lien is: ~` s ~' a r l ; -~ ~ ~ ~ t ~n ~ 3 !~ ~~- ~ ~- ~ a~' ~' "ti ~`~~. ~ ~ <br />\\ 'Z y 1 <br />b~ ~~ ^ ~ ~ 01 I ~ ~/ (a ~ 1<_. s, ~X r~ 11~ Ch ~c ~' A:~ r'~c/ S ~ ('~._f-' _ <br />2. The pers againstVwhose interest in the real estate the~3i~n is cleaned is: ~~ rl~. ~~~~ Ceti ~ . ~ <br />e- h~7e ~'7 r a, ~r~ <br />~~ ''~ <br />3. The name and address of the claimant is: r. ~ 1171 ~ ~ - ~~,f o ~c\ ~~ \~ ~~~. <br />4. The name and address of the person with whom the claimant contracted is: '~ <br />.~-- <br />5. A general description of the claimant's services performed , to be pe~~ff'orme~ or material furnished.~r e <br />furnished for the improvement and the contract price is: ~~ 1L~~.~.r~c~,~ ~.,f,.,,-, <br />B. (Complete one of the following) <br />iZ <br />`~ The amount unpaid, whether due or not, to the claimant for the services or materials is $ l a ~ 7 <br />_..._ _ _ .The unpaid amount is not fixed by the contract, but a good faith estimate in the amount of $ <br />7. (Complete one of the following) <br />The time the last services or materials were furnished was ~~z~- ~e. ~ b . Zorn ~ _-_ <br />_ -The time the last services or materials were furnished has not yet occurred but is estimated to occur <br />ignature of Claimant`°• `Yxm~h P~~ E~~.••~er' <br />--_._. _~ <br />Subscribed and sworn to before me this ~~ ~ day of °~° 9' <br />GENERAL NOTARY -State of Nebraska <br />aE:NICE R. KRUSE otaxy Public <br />~~... -- My Cemm. E~. Sept 25, 2~tD <br />(52-147. See 52-148 for amendment; 52-149 for assignment; 52-137 for recording time; 52-154 for discharge or release). <br />-: T.. ~ , <br />Rev.9/9~ II <br />