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<br /> 145-CONSTRUCTION UEFI ' �- �
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<br />`. � � CONSTRUG°I'ION LIEN � � � � � -- �-- -�
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<br /> i. The real estate aubjed to this lien i� --�'y 4�"-
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<br /> � �' 2 'I`he Person against whose interest in the real estate the lien is claimed is: Cht�j���n . Sa _: ��:�--%':Y-
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<br /> - 3. The naine and address of the claimant i���i r-��e a �c c�n.h��� ��..5� T^r .�� ` _--�__:: `
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<br /> " 4. 'I'he name and addresc�of tlie g�son arith whom the claimant aontracted i� C•h�'i�i riPa �a ' ,,�;::�_�:. �..,,
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<br /> � 5. A general description of the claiman�e services performed to,to be performeci or materials fumished or to be � :,. r ''�
<br /> - furnished far the unprovement and the conhact price is: ''
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<br />• . 6. (Complete one of the following) ," k?� � --
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<br /> �The amount unpaid,whether dus or not,to the claimant for the servioea or materials is$ ��� • � '�.`+ '
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<br /> � The unpaid ainount is not fixed by the oongad,but a good faith estimate in the amount of$ . �����_�_
<br /> � � 7. (Complete one oF the following) ��� ' •
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<br />�.•";:�''�� �The time the last services or materials were furniahed was � ���O . - _ .� -
<br />. •- - The time the last services or materials �vere furnished has not yeL oocuaed but is estimated to oacnr ��^;,_�Y
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<br /> . . ��t�'��� Signature of Claimant ` � ��, �,�* , _ �
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<br /> • � 8ubsribed and awom to before me this �� day of ,19 LL. � ._._
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