|
;°'� .. ., -
<br /> , � � ,.� . .,.,..:
<br /> �
<br /> +.. . �;�,:;�;:= -
<br /> ,1 .. . , ..,v�.;<.R.,..�.��..,:...- "' . ,.a.. �.r.,;
<br /> .
<br /> �� qwyr.•�.;�.., .. _.% . . "a . . . .:.�:-�. ..!)Y�......,_......._.__.—___.. ... ....._ _. ...... . ... . ..... _
<br /> .�1 . ._. . .. . ..� � �-�-�tr-�,_-;.-
<br /> K �I�...�C-
<br /> .. .._, . __'
<br /> • 146-CdN8TAUCTIOM UEN � � � Jacob North PAnting Co.,Inc..Walton NE BB481 �
<br /> .' � rn Cn � r . ;�. �"�_
<br /> � � .� h ::C � Q � ' _ in�.�,_
<br /> , f`�. ''` �
<br /> , � �, :. ��:::
<br /> �f h � . � rn � m � C�: �I f=
<br /> ,� , �•� �
<br /> �► t ..1�
<br /> � c, ' � , N p p � v �;�:
<br /> i C f� .�i �� � 'Tt � 1� ... __,.
<br /> 2�,._
<br /> S f�l �'.•�
<br /> :.t 1� � � � � � ,� �; .
<br /> 4
<br /> . �' . ) ` �•f � ; .�a f A p'� �
<br /> � �` 1 . I n � N W � — �.
<br /> ''�`°'� ^, �' CTION LIEN � -� `�� �
<br /> ' � �f��3�� COKSTRTJ w � �
<br /> � �� —
<br /> � �o-� �+5 R�hek 2. ` -
<br /> ' 1. 'The real estate subject to this lien is:
<br /> � �dk�cl ros� l a�e ��-�-; ����. ��i �1��o n --
<br /> � C�� C �I-�oimes �
<br /> •� 2. The pereon againat whoae intereat in the real estate the lien is claimed is: —
<br /> �: �.u� � '.hr;s Sm��l.. -
<br /> �.
<br /> 3. The name and address of the claimant is• �`�,Os-� � L�__ ��/��,yy�7�_�� f
<br /> � 'a w � .` �
<br /> 4. The name and addresa of the person with whom the claimant contrac2e is: -
<br /> ���5.��. `�n�� "7�� �.CJ �7� 1 S Clfc� �L
<br /> 6. A�eneral description of the claimant's services performed to, to be performed or materials fumiahed or to be
<br /> � furnieh for tlie improvement and the contract price is:
<br /> - - �-- -- . �� _ -�.�` � ///A /l��w. _.G. C ..._ ��O L /1 D � i f. A A A �
<br />_ . �' I �Q L!DC� -•�ILL t GUl�Qh.Q� �
<br /> � 6. (Complete one of the foAowing) �,�
<br /> , . �
<br /> �The amount unpaid,whether due or not,to the claimsnt for the services or materials is$���
<br /> '� The unpaid amount is not fixed by the contract,but a good faith eatimate in the amount of$ .
<br /> 7. (Complete one of the following)
<br /> � �The time the last services or materials were furnished was ���� " �� •
<br /> The time the last services or xnaterials were furnieh�ed hae not yet occurred but is estimateci tu occur
<br /> ' �,
<br /> . t
<br /> ' � GENEAAL!IOTAAY,�t1 d Nmt�k� � - " �� � �
<br /> -� � ��CHRtSTINAM.BROWN Si ature of Cltumant
<br /> ,, � �„��,.:,� bfy Con+m.Exp.Fd.27.2000
<br /> Subsribed and sworn to before me this ���v� day of � _, 19�2.
<br /> . �l iy�_
<br /> Notary Public -
<br /> �
<br /> i (�i'L-147.:�e�i2•148 for timendment;52-149 for eabi�nment;52•1:�7 for recordin�time:52•lfi4 for diachur�e or release).
<br /> I
<br /> -- - I �
<br /> �
<br /> 1 -
<br /> �
<br /> �
<br /> i I�
<br /> I I
<br /> ; li �
<br /> i
<br /> � �� � ,
<br /> � ;� I
<br /> .. . : - _-�
<br /> ao�.siss� ;
<br /> , -
<br />
|