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1. The estate subject to tlvs lien is: /' ~~? I~GG~~ ~~~~Glc~~ - _~~~ -~"C~~/~,
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2. The person against whose interest in the real estate the lien is claimed is: ~ ~~
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3. The name and address of the claimant is:
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4. The name and address of the person with whom the claimant contracted is: ~ ~ ~ ~ ' ~~ --~~ ~ ~ ~
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5. A general description of the claimant's services performed to, to be perfo ed or aterials fin-nished or to
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or the improvement and the contract pn is
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6. (Complete one of the following}
` The amount unpaid, whether due or not, to the claimant for the services or materials is $ .~ ~ ~~ ~J.
The unpaid amount is not fi.Yed by the contract, but a good faith estimate in the amount of $ _
7. (Complete one of the following)
The time the last services or materials were furnished was ~~~`~ ~ ^ C`
The time the last services or materials were furnished has not yet occurred but is estimated. to occur
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Signature ' f Claimant C~ A ~y ~ im/~os ~,
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Subsribed and sworn to before me this ~%l day of -1~~G ~-C~~ ~~1'~';
ia;Yl.C".v'."_'~fr~de:' 3+94.M 1.
t. SFNERAL IdOTANY-State of Nebraska %~~ - G'=`'
~ LUANA J. UN ER N ry Public
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(52-147. See 5148 for amendment; 52-149 for assignmenty 52137 f
recaording time; 52-154 for discharge or release).
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FILED BY ~,bv` ~~'c---~-.--,
RE/T/URN TQ' /!~(~p/lL ~ ~.S/1! E'
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DOCUMENTARr BTAMP
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WARRANTY DEED
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1 N S ~1-. ~J 0._~St~21 ~ °~'
01 JUN 12 ^ _PM 4~ 0 ~ ;~j
REGISTER OF CEECS
ADnMS COUNTY
JOSEPHINE CHASE, a single person, GRANTOR, in consideration of One Dollar and
Other Valuable Consideration received from GRANTEE, GABRIEL SANCHEZ, a single
person, conveys to GRANTEE, the following described real estate (as described in Neb.
Rev. $tat. Section 76-201):
Lots Nine (9}, Ten (10), Eleven (11) and Twelve (12), Block One (1), Cole's
First Addition to the City of Hastings, Adams County, Nebraska, according
to the recorded plat thereof.
GRANTOR covenants with GRANTEE, that GRANTOR:
1. is lawfully seized of such real estate-and that it is free from. encumbrances; but
subject to covenants and other limitations of record;
2. has legal power and lawful authority to convey the same;
3. ~ . warrants and will defend title to the real estate against the lawful claims of all
persons. /1
DATED: '/ ~°~ , 2001.
Jo p 'ne GI ase
STATE OF NEBRASKA )
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COUNTY OF ADAMS )
The foregoing instrumentwas acknow ed before,me on ~
2001, by Josephine Chase, a single pers ~j
Notary Public
3:18070
GECEA6L ROTARYdVU of NchruRa
i DAVID H. FISHER
--"-~ MY Comm. &P. Mar. 22, 2~?!3.
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