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<br /> : .� ���� P.O.BOX 930220 , _'�
<br /> � � BUILDING CORP VERuNA,Wi�3553-0220 � �
<br /> 1 (608)845-9700/(608�256-1355 `
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<br /> � �,�.�,��d� _ 97 �o�3s ` "_._:--,T -
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<br /> ` . '� (a) The real estate a�h;Prr r� the lien, wirh a descriprioa thereof sufficient for . , : .:`��
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<br /> � identificatioa is: ,._l.ots S=b-7 5�,,};o.., i..��e,,;,��.-ri�l�ge=i'o.�,�.�,a=..�2kqe�o .� . � � -_=�',�
<br /> � -i 5700 South Locust . _ '"�--
<br /> : �____
<br /> � � Grand Island. NE . - -
<br /> •. •i - - ---
<br /> (b) The name of the person against whose inter�.0 in the real estate a lien is ctaimed is: A��
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<br /> ' 1�LkP an[�Amv T i 1 ianth�l ' 'S;_�,�_,�
<br /> , (c) The name and address of the ciaimant is: cle.a�v »ld�nc�corp ... _ �_-
<br /> Flwy 69 / 190 Paoli St ; Verona, WI 53593 '���
<br /> �.�:
<br /> (d) The nazne and address of the person with whom the clai�ant contracted�s: � � - - _ _
<br /> � Mike Lilienthal 5700 South Locust Grand island NE 68801 �
<br /> • '-'R.� .' 'y.•
<br /> (e) A general description of the services performed or to bs gerformed or matenals _ , � -_
<br /> fiu�nished or to be fiunished for the improvement is: materiai and labor for a �f . . __
<br /> • 60' x 120' x 15' Post-Frame builciinq _ _ �
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<br /> . � and the conuract price thereof is: 336,360.00 .
<br /> .' � (�The amount unpaid, whether or not due. to the claimant for the services or materials ; _ �;� _
<br /> , �: �'7.z72.0o or if no amount is fixed by the contract a good faith estimate •`
<br /> n �'"""`f� �.a
<br /> � of the amount designatsd as an estimate is: � - . _ _ {��.;'. _
<br /> -- (g)The dme the tast services or materials were furnished was: 2 i,s�l9� �' �:,. _
<br /> � � or if that time has not yet occurred, an estimate of the time is: - �;��r �
<br /> 3 ,:_-
<br /> - . The name given in the lien in accordance with the reyuirement _ :•. �- m��_,
<br /> of(b) of this form may be the name of the contracting o�mer or the name of the record -=�°'
<br /> holder of the conuacting owner's interest at the time of recordiag tlie lien. `�=�
<br /> ��
<br /> . � Dated this the �� � day of ✓��'�'� , 1997. -_ - - _
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<br /> . ,'>'• •�ST 0� Wisconsin , 1 ;,� „��r••:�r�•-
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<br /> � Subsrn'b 9an9'swom to before me this �� day of��� • -�^^N��
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<br /> Notary Public. -�Gxf ii-i-9y • � _
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<br /> building . . . ,for your future! � . � � � =
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