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u ~ ~ ~ ~ Iv ~ ~S ~ t' m ~ ~ Q ~ ~ ~ ~ ~ r ~ 4 ~ ~ ~ ~ ~ ~_ ~ ~ a C' fi ~ ~ ~ (1 ~ ~ o ~ ~ ~ 0 W ®1 on ~ c~1 F~SSf~"~ Sib Lod 3 ~ta~ ~, ~ ~ ~-y o f /D, ra,-i d' ~5~a.ncl , I-~a~.~ ~ou n~`(~ deb rases . 2_ The person against whose interest in the real estate the lien is claimed is: ~~ i C~ 0. ~...c~C \ t10~ ~d 3. name and address of the claimant is: ~f A ,^ ~ ~~ O ~D~g1Cl Rb~ i (1~ Qr-d ConStr uC-~i on ~(,ol I Qobe.~ Fs Cou~r~ U.~ xa ~B8 3 Q. The name anda~drams of the person with whom the claunant contracted is. ~`IC1 Q Lo+~ n 1~~D N ,, ~Ia:ncaC~. ~Ive C1ro~rd Yslo~ld ~~ (v~'80 S. A general descriptiard of the services performed or to be performed or materials furnished ar to be sh~ for the improvement and the contract price thereof is: ~~~~~"" 1 o~e~nest~ 6. The amount aid, whether or not due, to the claimant for the services and materials is: rn -n c ~ Z ~ ~ o N ~ _ m m vs n = ~ ~„ ~ ~ " ~ © ~n c .~ . ^' v ~ ? ~ ~ ~ ~ 0 ~ O ~ ~ ~ ~ ~ ~ ~ C o ~ ~ A © ~ F.,r ~ rT1 ~ v ~ as .,.~..~ v --~ ~ ~+ C .-~ ' CON TRUCTION LIEN The real estate subject to this lien is legally described as: ~~ f ° ~ ! 7. The time the last services or materials were furnished was ~] s-2o oq 8. This is ah at ~ pt to collect a debt, and any information obtained wi1I 1~ used fvr that purpose. This Paragraph only applies if the underlying debt is a Consumer Debt as defined by the Fair Debt Collection Act, in which event a verification of debt notice will be or has been served upon the debtor with the first communication to the debtor, ar within five days thereafter, as required by the Fair Debt Collection Act. ~ra11C1 Roo~- n `~lA~~~raY ~t~ ~ ~~---' ay resident 1. trealty~Cougai.icn