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<br /> <br /> nn <br /> X <br /> e% 3: CD <br /> = y t't 1j , a L fV 7 <br /> <br /> <br /> <br /> ux t, r cn a <br /> C-0 <br /> !77 <br /> I-~ <br /> Cf) <br /> CONSTRUCTION LIEN a <br /> 1. The real estate subject to the within lien is described as follows: <br /> <br /> L7 <br /> 2. The name of the person against whose interest in the real estate the lien is <br /> claimed is ; y' L ~ <-c ;l ~ nti~~ ~ti - d~ ..hr~~ FO:3 t e inc~ n <br /> 3. The name and address of the claimant is, <br /> ob ~P~rbC15 6a'~1. GCJ[,rlal~r> Sfctrlc~divC <br /> 4. The name and address of the person or entity with whom the above <br /> claimant contracted is: ~9 Iq G A ae C; n Tn c. _ / <br /> <br /> 5. A general description of the services performed on the subject premises is: <br /> c= i u__ <br /> <br /> 6. The amount due and unpaid for said work performed is the sum of <br /> <br /> <br /> 7. That the date the last services or materials were furnished was the <br /> day of 1e) G, c) t c. . <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> Subscribed and sworn to before me by 46°l'2~ lee"',vg this y day of <br /> <br /> <br /> <br /> Notary Publ' <br /> OR OR= <br /> Capp, Oi, ~bq <br />