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LIEN CLAIMED BY:
<br />LIEN CLAIMED AGAINST:
<br />STATE OF NEBRASKA)
<br />)ss:
<br />COUNTY OF HALL )
<br />Middleton Electric, Inc.
<br />2716 West Old Highway 30
<br />P.O. Box 447
<br />Grand Island, NE 68802 -0447
<br />Shafer Construction
<br />1004 North Diers Ave., Suite 300
<br />Grand Island, NE 68803
<br />TOM MIDDLETON, duly elected President of Middleton Electric, Inc., a Nebraska
<br />corporation, being first duly sworn upon oath, deposes and says:
<br />1. He is the duly elected President of Middleton Electric, Inc., a Nebraska corporation
<br />and as said President verifies this account in writing for and on behalf of said corporation.
<br />2. Middleton Electric, Inc., by and through its duly authorized officers, entered into a
<br />verbal contract with Shafer Construction to provide labor and materials for the electrical
<br />requirements relating to construction of a home upon the real estate hereinafter described and the
<br />contract price for the improvements constructed upon such real estate by Middleton Electric, Inc.
<br />including change orders through April 10, 2003 totaled Four Thousand Fifty and No/ 100 Dollars
<br />($4,050.00).
<br />3. The materials and labor were provided upon and in respect to that real estate located at
<br />Grand Island, Nebraska, legally described as follows, to -wit:
<br />Lot Six (6), Westwood Park Sixth Subdivision, in the City of Grand
<br />Island, Hall County, Nebraska.
<br />4. The amount unpaid and due to Middleton Electric, Inc. for materials and services
<br />provided in accordance with the invoices through April 10, 2003 at Four Thousand Fifty and
<br />No /100 Dollars ($4,050.00) together with interest thereon as provided by applicable law.
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<br />CONSTRUCTION
<br />LIEN
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<br />DATE:
<br />May 21, 2003
<br />LIEN CLAIMED BY:
<br />LIEN CLAIMED AGAINST:
<br />STATE OF NEBRASKA)
<br />)ss:
<br />COUNTY OF HALL )
<br />Middleton Electric, Inc.
<br />2716 West Old Highway 30
<br />P.O. Box 447
<br />Grand Island, NE 68802 -0447
<br />Shafer Construction
<br />1004 North Diers Ave., Suite 300
<br />Grand Island, NE 68803
<br />TOM MIDDLETON, duly elected President of Middleton Electric, Inc., a Nebraska
<br />corporation, being first duly sworn upon oath, deposes and says:
<br />1. He is the duly elected President of Middleton Electric, Inc., a Nebraska corporation
<br />and as said President verifies this account in writing for and on behalf of said corporation.
<br />2. Middleton Electric, Inc., by and through its duly authorized officers, entered into a
<br />verbal contract with Shafer Construction to provide labor and materials for the electrical
<br />requirements relating to construction of a home upon the real estate hereinafter described and the
<br />contract price for the improvements constructed upon such real estate by Middleton Electric, Inc.
<br />including change orders through April 10, 2003 totaled Four Thousand Fifty and No/ 100 Dollars
<br />($4,050.00).
<br />3. The materials and labor were provided upon and in respect to that real estate located at
<br />Grand Island, Nebraska, legally described as follows, to -wit:
<br />Lot Six (6), Westwood Park Sixth Subdivision, in the City of Grand
<br />Island, Hall County, Nebraska.
<br />4. The amount unpaid and due to Middleton Electric, Inc. for materials and services
<br />provided in accordance with the invoices through April 10, 2003 at Four Thousand Fifty and
<br />No /100 Dollars ($4,050.00) together with interest thereon as provided by applicable law.
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