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�� �� �� N � 0 �� � � � �� a � — � �� �� �� �� �� � �� �� � �� � �� �� � �a � � � �•� � ��o � � � � � � w � � � � � � � _ 20i104701 a r-.� p � 1 � Q � �� ~ o -�-r o n a ^ ,� c m �.._ � —I N r r'-_ � � � O " I G` N C7 � 0-� m �.._ . � � z � �' �-�: z ,-,-� f"" v' � D w p ""' r � �.� � r A s � ` �� -J o : :, � +*t ; � ._..._... O o �� cn �.�s � CONSTRUCTION LIEN (� + � ,f..�D 1. The real estate subject to this lien is: ��"� �� I�f/1 ��U�. G •4{-- Z,_ l�-P�,�9,c,�,r� t1c�e„d.� �'� .,��dIV%.srvli u- 2. The penson against whose interest in the real estate the lien is claimed is: D� 3. The naine and addr�s of the claimant is: _�r ? (Y� , °�� e.� .°1 �D�6 t„� A�J b� F�- 6�� , � s-� �g�S��i C�.�0. — �t�L�S ��^d� �kro� �Rv�.e.✓ S2�J�cs� 4. The name and address of the person with whom the claunant contracted is: ��a �� .� ��6(r.� � a � ��; �,�.. � �� .�� r ��1 � � �.�.��.. . �.�a �k �. �,�� s � � 5. A general deacription of the claimant's servic� performed to, to be performed or materials fiirnished or to be furnished for the improvement and the c�ntract price is: � e �� .�&� ` r.c,C� u � � [1 � r`e. �� s[ }1Pr� S c�,+� � v� . l � ,�� -- � x � S -�� 6. (Complete one of the following) � The amount unpaid, whether due or not, to the claimant for the services or materials is $ �> 4 '� . The unpaid amount is not fu�ed by the contract, but a good faith estimate in the amount of $ 7. (Complete one of the following) � The time the last services or materials were furnished was ��A �_ ��` , The time the last services or materials were furnished has not yet occurred but is �stimat� to occur � � \ Signature of Claimant Subscribed and sworn to before me t,hi� „ ,7,,�� , ��,-� .�„ , � ; � � ��; • z « , �:,� I ,�.._ c��, : ., j _E— � � � � day of z� a�lJ , - + � ��il_e'`��' Notary Public (52-147. Sce 52-148 for amendmen� 52-149 for assignment; 52-137 for recording time; 52-154 for diacharge or release). . �, _ Rev.