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201000591
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Last modified
1/28/2010 2:17:52 PM
Creation date
1/28/2010 2:17:52 PM
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201000591
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~~ ~~ ~ <br /> ~. <br /> rh -r = ~ ~ ca -r C3 ~ <br />~~ ,C a <br />~ e <br />C ~ r ~ <br />N ~ li X n ~; ~ ~ ~ ---! N 1T1 <br /> <br /> <br />~ -~ ~ ~ ~ rn ~ n m -- <br />~ <br />j ~ C~ 1 <br />~ I'~ ~ ~ ~ ~ ~ © C <br /> ' ~' <br /> x.? <br />. <br /> ° ~' ~-' o <br /> <br />_ <br /> ~ 2oiooo59i <br /> <br /> `~-" CONSTRUCTION LIEN <br />1. THE REAL ESTATE SUBJECT TO THIS LIEN IS: NORTH 28 FEET OF LOT 8 AND ALL OF ~~, <br />LOT 7, BLOCK 9, WEST PARK ADDITION, GRAND ISLAND, HALL COUNTY, NEBRASKA ~ <br />2. THE PERSON AGAINST WHOSE INTEREST IN THE REAL ESTATE THE LIEN IS CLAIMED <br />ARE: SALLY A FILLINGER & DALE A FILLINGER <br />3. THE NAME OF THE CLAIMANT IS: <br />BUILDERS WAREHOUSE <br />P.O. BOX 1447 <br />GRAND ISLAND, NE 68802 <br />4. THE NAME AND ADDRESS OF THE PERSON WITH WHOM THE CLAIMANT CONTRACTED <br />IS: TK BUILDERS <br />2130 11TH AVE <br />FARWELL NE 68838 <br />5. A GENERAL DESCRIPTION OF THE CLAIMANTS MATERIALS FURNISHED FOR THE <br />IMPROVEMENT AND THE UNPAID AMOUNT IS: ROOF MATERIALS $3267.41 <br />6. THE AMOUNT UNPAID TO THE CLAIMANT FOR MATERIALS IS: $3267.41 <br />7. THE DATE THE LAST MATERIALS WERE FURAIIISHED WAS: 9-30-09 <br /> <br />BY ~/r~ ~tif.~•..a..~ /~s®7'y'c'~/I ~c~G,y~.. ~• ~6"'~4c°~ <br />WAREHOUSE <br />SUBSCRIBE AND SWORN TO BEFORE ME <br />THIS ~~~ DAY OF ~l ~ ~~ ~. C-,. % ~j <br />} w irl ~ ~. <br />NOTARY PUBLIC <br />Gf)~ERAL NOTARr-Ststieaf Nebraska <br />MICFIAEI. P. CIIRRAHER <br />IYII- Gomm. E~. Now. 20, 2013 <br />
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