|
� � � �
<br /> � � V
<br /> n �
<br /> � � r=S7 (AJf .� � y � � � rn
<br /> �,� n � ''� p � � �� � c''�v
<br /> � -� �^` `�' �
<br /> � = " �' � ,�.
<br /> ., , �' � .�.-
<br /> F--�
<br /> � s r*a �
<br /> C�,�`� :� �, > c� � tn
<br /> n-� 'i � � � �
<br /> ,�(V_ V,J� � � _ � :�- N v,
<br /> �,o � E� ;
<br /> � � �, � ` m � `� �
<br /> � �
<br /> w .�`. �p
<br /> \. ° �,�', N �.
<br /> z
<br /> � CONSTRUCTION LIEN �
<br /> i
<br /> v �' 98� 1C;2�22
<br /> v � �,
<br /> � 1. The real estate sub�e�t to th�s lien is Lot 1, Brentwood Fifth (5 ) Subdivision, in the
<br /> � City of Grand Island, Hall County, Nebraska.
<br /> . �
<br /> 2. The person against whose interest in the real estate the lien is claimed is North �
<br /> Central Assist Living L.L.C., 706 No�th Lindenwood Drive, Olathe, Kansas 66062. �,
<br /> 3. The name and address of the c�aimant is Continental Fire Sprinkler Company, 4518
<br /> S. 133"' Street, Omaha, Nebraska 68137.
<br /> 4. The name and address of the person with whom the claimant contracted is Eby
<br /> Development, PO Box 2571, 706 North Lindenwood Drive, Olathe, Kansas 66062.
<br /> 5. A general description of the claimant's services performed to be performed or
<br /> materials furnished or to be furnished for the improvement and the contract price is
<br /> installation of fire sprinklers for$32,956.00.
<br /> 6. (Complete the following)
<br /> X The amount unpaid, whether due or not, to the claimant for the services or
<br /> materials is $9,311.00.
<br /> The unpaid amount is not fixed by the contract, but a good faith estimate in the
<br /> amount of
<br /> 7. (Complete the following)
<br /> X The time the last services or materials were furnished was December 3, 1997.
<br /> The time the last services or materials were furnished has not yet occurred but is
<br /> estimated to occur
<br /> CvKfinehT"e / Fire SpKih�lP�c Co.n��� y
<br /> Signature of Claimant
<br /> STATE OF NEBRASKA )
<br /> COUNTY OF DOUGLAS ) ss.
<br /> The foregoing instrument was acknowledged before me on March 24, A.D.,
<br /> 1998, by ✓fKf-r T�iUrNyHitf � �n1s+►���,•l o��n�hP.►�w���tspri•�k�� `p/"����
<br /> �
<br /> Nebraska Corpo�atian, on behalf of said Corporation.
<br /> �
<br /> Notary Public
<br /> a�.,..::�K�,� �.-:.,�
<br /> � �±�G���Tfasl �(it�'+��S ��� r,z Y ��Y�G;�j �
<br /> �
<br /> � � ._�;�' K:f:,:,,•u !. e �1 _r��: d �
<br /> �� �' �r/ ' � 1 ; J�.��',+�.r.��,.� �
<br /> � a�. +.� .�,..<..� . s. .., �.....�,:� T�
<br /> I
<br />
|