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HomeMy WebLinkAbout20080292S PSrrual PGs FDEEST~ PD.~. CK# 4 b COMP. I VIII VIII IIII VIII VIII III I I III II II III IIII CHG ACCl'# St.tll 20080292 RET FEES: CASH. R.0.0. CK# REC' - 1.(DaG~ ~ .~h RETUR ~ ~ -` NUM ~ ~ _ ° RD. COMP ~~ !~?=,3oZ (~KInQo~ ^lE 6 ~/~~} COMPARE ~ CADAS - Ap ~ CONSTRUCTION LIEN ADAMS COUNTY, NE INST. N0.~ ~ ~ 2 Date I - -p Time..~'~/o p/1'1 S~;¢Mdil~P~ ~ ~~ (~ REGISTER OF DEEDS 1. -The real estate subject to this lien is: Lot One (1), Burlington North Subdivision, City of Hastings, Adams County, Nebraska, according to the recorded plat thereof, also known as 800 N. Burlington St., Hastings, NE . 2. The Contracting Owner and person against whose interest in the real estate the lien is claimed is: Bank of Doniphan, 118-120 W.~Plum Street, Doniphan, NE 68832. The name and address of the Claimant is: Indoff, Incorporated, 11816 Lackland Road, St. Louis, MO 63146 4. The name and address of the person/entity with whom Claimant contracted is: Bank of Doniphan, 118-120 W. Plum Street, Doniphan, NE 68832. 5. A general description of the claimant=s services performed or materials furnished for the improvement and the contract price is: office furnishings and the contract price is $109,411.07. 6. The amount unpaid for the materials supplied and services performed for the improvement is: $79,302.35. 7. The date the last materials were furnished or services performed was: September 28, 2007. Indoff Incorporated, Claimant STATE OF MISSOURI COUNTY OF The foregoing instrument was acknowledged before me this day of January, 2008, by p~4 ~'~, ~i9.~~, on behalf of said company. _ Return to: H. (,CDT/ Stalnaker, Becker & Buresh, P.C. ~~ Pubik - NotrwY s~U STATE OF MISSOUkI P.O. Box 24268 FrankUn CoutMY 3r31~ Omaha, Nebraska 68124-0268 ~ CORN"a'~'