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<br />_��-�..-; � CONSTRUCTION LIEN
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<br /> -° >��`-� � 1. THE REAi. ESTATE SUBJECT TQ THIS LIFN IS t LOT 22� BLOCK 3� 2NA aDAITION TO �\,��_
<br /> ._ •' (�, HOLCOMa NWY HAM�S �
<br /> r^':�`�:=s,. I�
<br />•.•_;� _ . 2, THE PEASON AGAINST WHQSE INTBRRST IN THE REAI. FSTATE THE LIEN 7R CLAIM�D ARF.t
<br />�,;-�..
<br /> :'., ' �•� C 6 C HOM�S. LNC. 9CURTIS SMITH
<br />- -.. ,,=
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<br /> •i�k�y`�;�';�. 3. THE NAME AND ADDRE9S OF THE CI,AIMANT iS:
<br /> :�� �
<br />-:.�"y.. .e s.s�
<br /> �.. � "' � BUILAERS WAREHOUSE
<br /> -� ��'^ P.O. BOX 1447
<br />_ . t, ,.
<br /> a`"T?=y'cr s.�,''• GRAND ISLAND� NE 68802
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<br /> -�`�`� �° ' 4. THE NAME AND ADDRESS t7F THE PERSON WITH �'HOM THE CLATMANT CONTRACTED I :
<br /> "��•'=1i..
<br />-�;,�;y�,t+Y'�,
<br /> C & C HOMES. INC
<br /> �;�::'; .•�. �CURTIS SMITH
<br /> -';.,`'l�;:��'�' . 721 STUHR RD
<br /> `^r'''' � p.0. BOX 913
<br />_,*'4-�;s�;ri{�.•, GRAND ISLAND, NE 68802
<br /> - .;.a:.
<br /> '„�,�:,���,.
<br /> "-�-�=°� - 5. A GENERAL DESCRIPTION OF THE CLAIMANTS MATERIAL FURNISHED FOR THE IMPROVF.MENT
<br /> _ - .,. ,
<br /> '`:."'° AND TAE CONTRACT PRICE IS:
<br /> ...:� �,. � SIDING AND ACCESSORIES $2.028.07
<br /> �.S
<br /> ` r.t��� .
<br /> �''` '' " 6. THE AMOUNT UNPAID TO THE CLAIMANT FOR MATERIAL IS: $2,028.07
<br />".w�J:R�"ON�n x
<br /> . 7. THE DATE THE LAST MATERIALS WE1tE FURNISHED WAS OCTOBER lb, 1997
<br />_ , � I_.'
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<br /> � �BUILDER� WAREHOUSE
<br /> � CLAIMANT
<br /> *
<br /> � —
<br /> � SUBSCRIBED AND SWORN TO BF.FORE
<br /> � ME THIS/LDAY OF�pb• , 1998 _.
<br /> , �`��4M�'w�/ -
<br />, „_
<br /> � NOTARY PUBLIC "°" ' -
<br /> ---.� � YICl111dRCAIMIA�l.l1
<br /> _. —.--,--, .._ i �� Ml►Co�.E�O,Men40,2001 � �
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