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~~~ ~ n <br />~ ~., <br />~ ca -~ a <br />~ ~ ` rn ~;~,j ~ J CP O --~ <br />~ ~ (~ Q Cn ~ ~ Cn ~ ~ <br />~ ~ ~ ~ 7[ O r~i <br />o C U L <br />- W <br />a~ <br />1. '('~ real estate subject to this lien is legally described as: ~, <br />1~Jes~er~ Nei ht5 ~i ~ rd Sub '~ a8 ~1oc~ ~ <br />~ }one G~ c~~ C~r~r~d ~slo~nd ~ ~~,~i County ~ e~ ras Ka . <br />2. The person against whom interest in the real estate the l-en is claimed ~s: <br />~ ~ c1n Pooh r~r <br />3. The name and address of the claimant is: ~ (~ is ~u_rf ~r 1S1Ct~/" <br />~.ncl Roo-~~ ~ ~ ConstruGfi~~n ~-~ 1 be.r ~ CoB~'d3 <br />4• The name ad s of the person th wham the claimant contracted is• <br />R;c.~ ~~r 1105 6r i~cL1 t~.ne C~~~-nd I.sl arx~ ~- (~8~ <br />5. A general description of the services performed or to be performed or materials <br />furnished or to be ' hed for the impmvemerit and the coritra~ct price thereof is: <br />p~ R~ 14C QXYIP..,(~i <br />{, The amount unpaid, whether or not due, to the claimant forthe services and materials <br />is: ~ ~, c~.3Fl . ~O <br />7. The time the last services or materials were fuunished was <br />8. Tltis is an attempt to collect a debt, and any information obtained will be used far that <br />p~~• '~ Paragraph only applies if the underlying debt is a Consumer Debt as defined by the <br />Fair Debt Collection Act, in which event a verification of debt notice will be or has been se ue ~up~ <br />the debtor with the first communication to the debtor, or within five days thereafter, as reel <br />the Fair Debt Collection Act. <br />~CanS~r uC.fi an <br />Q Claimant, <br />8y <br />P ident <br />~ItyVConswLien <br />