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145 - CONSTRUCTION LIEN <br />Jacob North Printing Co., Inc., Lincoln, NE 68524 <br />} <br />rn s <br />n i <br />,1 <br />27 fl <br />M > �' <br />�.l Cz <br />N <br />C'I <br />2 <br />tom' r� <br />CD <br />O <br />{� - <br />r� <br />CIO <br />N <br />O <br />�; <br />CJl cn <br />ly <br />CONSTRUCTION LIEN <br />200501012 <br />T r1 J6 ( 5) <br />-6(o C \3 Z� <br />1. The real estate subject to this lien <br />is: <br />A n p"Y . 5 wo, 41o, <br />it �t c <br />2. The person against whose interest in the real estate the lien is claimed is: <br />3. The name and address of the claimant is: 14 L <br />4. The name and address of the person with whom the claimant contracted is: <br />Vfctb S 0rA2� -44-v, zZ03 iroNi'r'k B(vU 6a#;"v ---tea t-e- <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 />{d j AiLLrI <br />4c,, , O .4, C l.!D4 63 l toO.j:a /Ah � <br />6. (Complete one of the following) <br />The amount unpaid, whether due or not, to the claimant for the services or materials is $ 00 <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 _ 1 ' <br />The time the last services or materials were furnished has not yet occurred but is estimated to occur <br />Subscribed and sworn to before me this <br />GENERAL NOTARY - State of Nebraska <br />V� DENICE R. KRUSE Notary Public <br />My Comm. Exp. Sept. 25, 2006 <br />(52 -147. See 52 -145 for amendment; 52 -149 for assignment; 52 -137 for recording time; 52 -154 for discharge or release). <br />Rev. 9/95 <br />