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._�����•� � �.�'=�:�!`:F'�::_s-' ���'`��:,��. -- <br /> �.:..:=-:Y-. ----�- _ <br /> � _ ' _:�;� <br /> ..�.—.,.r_ �— ... �'FJc . .. • +*'—�° <br /> 1 � ' �y � � r.,� ��ri..!��„ � . . <br />., ,r• - -- --------- <br />�.1�.�_ _ '=_...' ' -_..��-'-_-- _ � ___ _-- -- - <br /> 1N•COi�7'IMIC?ION LNN _ ����O i,�� H��nd Velton�W�Wdtun NF;BN4N1� <br /> - CONbfEtUGTION L[EN <br />--- - -_- �_�� _.. <br /> - 1. The erel edate wbjed to t1�lien i� �� `- 1s� �t �►e�h � - <br /> �= <br /> .;;� (irand iriand� NE. 68803 <br /> —+� <br /> ----=-'�°_ 2, The pereon aiteinat wlwre intee�t in the real eatate the Gen ie claimed is: Coad Mil�.ex' <br />_ _ ____ -�y..� _. <br /> - --- 3. T1�e name and addrees of the claiment ia _Johnaon & Meoeintea 411 E. 4th St. _ <br /> .�.�� Grsnd I�Ia�W, NE. 68801_ Steahen Johnson - <br /> � 4, The name and eddrecs of the pereon with whom the claimant oontrac�ted ie: -- <br /> - --:�: ,�z .� - <br /> �����r' Trad�mark Construction Rt.1 Sox 56 5t. Paul� NE. 68873 <br /> - �,r�a�:er• . <br /> �''�.��� b. A B��d�p�on of the claimant's services perFormed to.to be performed ur materinlK fiimiehed ar to be � <br /> .,�_,�,;: - <br /> _ — fumiohed for the imQravement and the aontract prioe ie: <br /> :,���-,.' R�nt of bobcat with op�rator - <br /> =��:!�,_ — <br /> _�.��;;•.�.. <br /> �.r:., - <br /> -��� ' <br /> '��''�: B. (Complete one of the foUowingl <br /> ."_.�':.! <br /> r f � = x The uu d u or nai�to thec���_�_�as�t for the�r��+nr material8 iei$ 220.00 , <br /> , •� ,. �C°ia�e �s'.�� �ee� e-tc. 30.�U Z'iU.uU <br /> ��:-�.- � � . I <br /> -�'•�� 'Che unpaid amount ie not fixed by the oontract.but a pcaxl feith estimate in the amount of� — • _ <br /> .,:d.i.:�� ;2.. <br /> --:---.5:{! .. <br /> 4 `;'' " � 7, (Complete one of the followina) <br /> � <br /> n .._`� ?a The time the lost eerviae�or mAteriale were furnished wne FridaY Sept. 27, 1991 ' _ <br /> ��-_�:� Ttie time the last servio� ur materi� were furniehed hae not yet uocu►red but ia estirnatec� to occur - <br /> ^4���'.5�:.��y1. — <br /> .,'L •��.:�?�" . <br /> ����� <br /> ��f. ;s.�.� ' � n ^ i '� <br /> .',�' .�. .. . <br /> ,�- .,,, . �� Rnature of Cluimant �• �, � • f <br /> �_:'s <br /> �'' .�C'�`/.�.�.�/�'� i � <br /> ��-;t��N-. '-'�"��- r �A �/��� � � i <br /> Uf� �k% <br /> �',. :`�:�.�:,. i � ,19� � <br />_ _�;-`_'1�,,:.i���-.. . dtiv of <br /> • Suberibed and aworn to betbre me this � <br /> �� -°�. . . i <br /> �� ��;y�•,;. �i�MMw11 _ <br /> -��.� .;��� �r�M� Nota bl�c I <br /> " " ,� Myf�aEq►Jr�11.19�l1 I <br /> �L�' �+AYI. _ <br /> — �', I <br /> , .� (6�147.3ee 5�198 for amendment;b2•149 for nsi4ianment;5'l•I:3?for rernrdin�time;�i2-l:'t4 tirr diex'h�rKe c►r�letu3el. j �� <br /> ; <br /> ��-_ , .. .,. �i <br /> _ , � � �ii <br /> :n;: i 'I <br /> �c;. . � 'i <br /> . ; <br /> i <br /> - ... ... 111 �_ _ � . i . .-� <br /> . ., ' } ' . .. '_ . '" ' " _ —� _—_"___ . . ' ' . .. _� _ .���.�.�aPFi?.H,w:,r..���r�.,..a:�sc ""_—__- <br /> �.�"' _ ' _ ' ' ' " ' <br /> ' ,1, . <br /> — /// •:5��ry�-1 .. � . <br /> � .��� ' <br /> � 1� � <br /> � � <br /> �� . _. . . . .. .. � .. .... <br />