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<br /> �.��.�� '�1��.3�b CONSTRiJC['IC)N I.IH:N w � � '
<br /> . .. .. � 98�
<br /> . 1. The real estate aubjec�t to this lien is: ���-�L'�u l �.??�1A{1�`'���_��i:LlIG���Lifkt c
<br /> �ss� z ., Sid.�dc�s-�r�y�Is�rlr�, ��zP��'Q,f�r'. `
<br /> � .A� 2. The raon againat hase intere.9t in the real estute the lien ic+cliiimed in: =�G��j1�� .
<br /> �� _�(�,�_�_ ' � � �i�l�
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<br /> � � �: 3. The name and addreas of the claimant is: .�c�,�.L.�1_
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<br /> � 4. The name and address of the person with whom the claimt�nt amtrricted iK: .���.1_X���7`._._..
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<br /> �� 5. A general description of the claiznant'e�ervicea performed to,t�be performed or mnteriul� furnieh�.�or G►tw
<br /> furnia ed for the improvement an the contract prir.e is;
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<br />_- ._. _. _ . � — � — � �— �rr�c�.�c,— _
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<br />_ 6. (Complete one of the followin�)
<br /> ' ._,�.The amount unpaid,whether due or not,t,� the claimant for the services or materi�ls is���q .
<br />= The unpaid ainount is not fixed by the contract,but u good faith eatimute in the amonnt c�f�u .
<br /> ?. (Complete one of the following)
<br />_x' . ' �The time the lust servioes or materisls were furniahed was � '� �J 7 r, ,
<br /> � ' The time the last services or materials were furnished has not yet cxxurred but is estimated tc� occur
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<br />- r GEMEIUL!IOTAAY-Sbri Of Ne�rask� r ' /�
<br /> '• �. r .� �CHRISTINAM.BROY�N / ��,� I s�,' ' J c.
<br /> , �� 6ry Comm.Exp,Fcb.27.:570 Z�-`-�-�-- ���---�-
<br /> - ; SitiRiuturG uf Cluimunt
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<br /> Subsribed and awom to before me this — �—�'�., duy of �)7 , 19 'le.� .
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<br /> Notciry Yublic `
<br /> - � �52-147.See 52-148 for amendment;52-149 for s�si�;nment;52-I37 for recordink time;:5`l�l ri4 fctr ditirhar���c�r rnleuse).
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