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� <br />� <br />� <br />N � <br />0 � <br />� � <br />� � <br />e <br />� <br />� - <br />� <br />� <br />� <br />� <br />� <br />G <br />g � <br />A �� <br />� � <br />� <br />a <br />� c'� cr� <br />� � �� a. <br />3 � c m <br />A t' �; r� z � rv <br />� � r r-, � rn —.� m <br />� � � � 1 -° .� � � rb <br />o � �-' � <br />� �,-` - � - � <br />� �- � S P � <br />Pil <br />U� � -� ;- rn O <br />� � � r � <br />� r' D Q� <br />� <br />� R "� N � S7� <br />r�.y `> � W +� � N <br />° ��- � � co � <br />�o�loss2s <br />Return to: Ralph A. Bradley <br />P.O. Box 639 <br />Grand Island, NE 68802-0639 <br />Construction Lien <br />CONSTRUCTION LIEN <br />STATE OF NEBRASKA ) <br />) ss: <br />COUNTY OF HALL ) <br />The real estate subject to this lien is: <br />1510 NORTH DIERS AVENUE, GRAND ISLAND, HALL COUNTY, <br />NEBRASKA, more particularly described as: <br />Lot One (1), 281 Retail Second Subdivision, in the City of Grand Island, Hall County, <br />Nebraska. <br />2. The person(s) against whose interest in the real estate the lien is claixned is/are: <br />Sam's Real Estate Walmart Stores, Inc. <br />c/o Wal-Mart Stores, Inc. Store Planning <br />P.O. Box 8050 Sam Walton Development Complex <br />Bentonville, AR 72712 2001 SE 10�' Street <br />Bentonville, AR 72716-0550 <br />3. The name and address of the person with whom the claimant contracted is: <br />Heath Construction Co. Tom Rucker, Project Engineer <br />141 Racquette Drive 141 Racquette Drive <br />Fort Collins, CO 80522 Fort Collins, CO 80522 <br />4. The name and address of the claimant is: <br />Jesus Castaneda, d1b/a JC Welding <br />1116 W. Oklahoma Avenue <br />Grand Island, NE 68801 <br />� �� <br />5. The general description of the claimant's services performed or to be performed or materials furnished or to <br />be furnished for the construction of said real estate and the contract price is: <br />Construction, design and/or remodel of building structure located on real property described herein <br />including labor and xnaterials furnished <br />6. <br />7 <br />The amount unpaid, whether due or not, to the claimant for the services or materials is Twenty Thousand <br />One Hundred Seventy-Eight and 34/100 Dollars ($20,178.34). <br />The time the last services or materials were furnished was: <br />May 10, 2011 <br />BY: � � <br />sus Castaneda, d/b/a JC Weldi.ng, Claimant <br />SUBSCRIBED AND SWORN to before me this 6 da.y of <br />1. <br />:RAL NOTARY - State oi Nebrasl <br />LUCY NENEMAPI <br />PAy Camm. Exp. April 29, 2012 <br />