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..�� <br />�� <br />.� <br />0 � <br />� � <br />m <br />� _ <br />� �� <br />-p' � <br />- <br />�� <br />�� <br />� <br />I`° .,� (� <br />n � � <br />� � <br />r 2. 3 <br />� � C� <br />� Q <br />� ��z <br />� � � <br />� � <br />�, \ <br />� � <br />� i <br />n <br />s'� <br />=;; �'� <br />e9 Z i <br />A� <br />� � <br />i <br />I <br />, <br />�-,- <br />� � c� cn <br />� \ `�. p � O <br />f� tl � ,— ��7 � � � <br />e � � �, � � � o <br />7 t1 C � c � ° � °� <br />n�� � T '=� � <br />G7 (,� S f�l <br />Ca / _:., _� y UJ 0 <br />m � r � <br />f , (-' D Q� <br />O I' N � Q� <br />A <br />C � � � � � � <br />m � � � <br />� � <br />CONSTRUCTION LIEN <br />1. The real estate subject to this lien is: <br />1787 S Ne Hwy 11, Wood River, NE 68883 <br />�0�.1066�,°� <br />Legal pescription: Harrison TWP Dibbern Sub Lt 1 <br />Property ID: 400355485 <br />2. The person against whose interest in the real estate the lien is claimed is: <br />Dibbern. Phillia & Lori <br />1787 S Ne Hwy 11 <br />Wood River, NE 68883-9728 <br />3. The name and address of the claimant is: <br />Custom Countertop, Inc. <br />4905 N 56 St <br />Lincoln, NE 68504 <br />4. The name and address of the person with whom the claimant contracted is: <br />5. <br />6. <br />7. <br />8. <br />Dibbern. Philliq & Lori <br />1787 S Ne Hwy 11 <br />. Wood River, NE 68883 <br />A general description of the claimant's services perFormed or to be performed or materials <br />furnished or to be furnished for the improvement and the contract price is: <br />Fabricate and install Granite counter tops in Kitchen. <br />The amount unpaid, whether due or not, to the claimant for services or materials is: <br />$3,222.00 <br />The time the last services or materials were furnished was: <br />May 11, 2011 <br />NOTICE AND WARNING TO CONTRACTING PARTY: IF YOU DID NOT CONTRACT WITH THE <br />PERSON GIVING THIS NOTICE, ANY FUTURE PAYMENTS YOU MAKE IN CONNECTION WITH THIS <br />PROJECT MAY SUBJECT YOU TO DOUBLE LIABLITY. <br />Claimant: CUSTOM COUNTERTOP INC <br />By , �� {' I ����� <br />Subscribed and sworn to before me this °� day 2868o�a// <br />��+ GENF.RAL NOTARY•S�te of Plebraska <br />JiILIA M. COLB <br />MY��nnn.Eap.Marchl0 NotaryPublic <br />` S � <br />� <br />