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<br />~~ <br />IStRUCTION LIEN ~ Jacob North Printin Co., Inc., Lincolnr N~ 68524 ~_ <br />-___ <br />~~ <br />~^ <br />~~ ~4c~~ ~ <br />~ ~ <br />~~ <br />~ <br />~ ~ ~ ~ ~ z n = ~-~~t. `~ ~ <br />v <br />\ <br />~ ~ rn <br />A rTi ~ <br />~ ~ ~ Q ~ ~ ~ t <br />X ~ <br />~ <br />' <br />~ <br />~ z <br />~ ~ Q <br />..~ I_( <br /> <br />~n <br />y <br />ca ~ ~~ C!, <br />' <br />~ <br />~(, ~ ~ ~ ~ <br />[L7 ~ ,, , C_r~ 1 <br />~ <br />~ ~ ~009U97`~5 <br />N <br />CONSTRUCTION LIEN <br />~„' ~` <br />1. The real estate subject to this lien is: BSI I ec1 ~~a - -ra_ ~ ~..c~~-c~ lV~ jr~~~U3 <br />~.~1. ~'w~ ~ .c_.'C~CX~ . C r ~.T ( ~~. a _E_ e. C'~at.-~~~ /~c' ~ r cr s k <br /> 2. The person against whose interest in the real estate the lien is claimed is: •~ s em Q 1~a ~- e l<l~.s_s c~'r <br /> ame and address of the claimant is: ` ~~~'~ ~5 ~.~-k ~ ~ /~' ~` ~~~''~' ~'~ °'" n (`~ <br />3. The n <br /> pp <br />p.0. [SDK 5~.3a c-~ l.s~~.n._cf ~ ~'c~l~''L~ <br /> ~...,.Gy,~.c ra 11r1 L-.o u °~. <br />r <br />cted is: <br />the person with whom the claimantcont <br />a <br />f <br />ddresso <br />ame and <br />a <br />4. The <br /> n <br />~ <br />// <br />~~ <br />J, <br />A <br />' <br />C <br />{, 7 <br />of r'S ~ ,~ C~ t75~a l O 1 ~ C~ r Ci.~l.. ~ 5 LA..r~-~7 1 V G ~' cgOVJ <br /> 5. A general description of the claimant's services performed to, to be performed or materials furnished or to be <br /> ovement and the contract price is: <br />furnished for the impr <br /> r <br />nS~a..L~ V\ '_w ~1~ r~ac.e. <br /> <br />:~ <br />: <br />~ -- - . =,,. <br />- - - <br /> . <br /> 6. (Complete one of the fallowing) <br /> ~~~ <br />The amount unpaid, whether due or not, to the claimant for the services or materials is $ ,~.~ C~' <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 G ~ ~ ~ n2 Gv - <br /> The time the last services or materials were furnished has not yet accuxxed but is estimated to occur <br /> ~ `Y~'1 ~~~-~ <br />~' <br />~ ;- <br />S' <br />~ <br />~- S <br />f Cl <br /> ~~~._ <br />~ <br />aimant ~~ rr.~. <br />r <br />ignature o <br /> <br /> r. I f'~i ~~~'C E'~7 ~ ~GU <br />Subscribed and sworn to before me this / day of ~. <br /> :. ,- <br /> o a c GkN DIARY -State of Nebraska <br /> BRYAN J. SIMDNSDN <br /> My Comm. Fx~~. Feb. 13, 2011 <br />(52-147. See 52-14$ for amendment; 52-149 for assignment; 52-137 far recd ng tune;~= rge or release). <br /> <br /> <br />