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HomeMy WebLinkAbout20080772._~., ~a~_-.~ i0C T//AX_ CK# %EES~P~.PDI~.CK#~_ CHG ACCT # RET FEES: ,-CASH R.O.D. CK# REC' D ~~~~ o ~ P RETURN .~~r~c~Q~'~„~~.)n.r'e. ~o r >s~ Po 80,E t 4 7 Grand Z~fand t~k, 6~88Da. I!III~IV~~IIWUIIIIWCdYI~NINiIV I~uM ~-- r~D. COMP '~ ~ ~ ~ I I' ~? ~ COMPARE ~~~ CADAS =-- AO ~ --- CONSTRUCTION LIEN ADAMS COUNTY, NE FIL D INST. No.~ U'7 7 2 Data -a - o ~ Time.,.LQ!„~,~ • m . G~ O~ REGISTER QF DEED$ 1. THE REAL ESTATE SUBJECT TO THIS LIEN IS: LOT 1 M.S.M. SUBDIVISION CITY OF HASTINGS, ADAMS COUNTY NEBRASKA, ACCORDING TO THE RECORDED PLAT THERE OF, AND LOT 2 M.S.M. SUBDIVISION PART OF THE NORTHWEST QUARTER (NW 1/4) OF THE NORTHEAST QUARTER (NE 1/4) OF SECTION 8, TOWNSHIP 7 NORTH RANGE 9, WEST OF THE 6TH PM INCORPORATED LANDS OF THE CITY OF HASTINGS, ADAMS COUNTY, NEBRASKA ACCORDING TO THE RECORDED PLAT THERE OF. 2. THE PERSON AGAINST WHOSE INTEREST IN THE REAL ESTATE THE LIEN IS CLAIMED ARE: COLLEGE VIEW ASSISTED LIVING LLC 3. THE NAME OF THE CLAIMANT IS: BUILDERS WAREHOUSE P.O. BOX 1447 GRAND ISLAND, NE 68802 4. THE NAME AND ADDRESS OF THE PERSON WITH WHOM THE CLAIMANT CONTRACTED IS: PAUL PANKONIN 1016 S PLEASANT VIEW GRAND ISLAND, NEBRASKA 68801 S. A GENERAL DESCRIPTION OF THE CLAIMANTS MATERIALS FURNISHED FOR THE IMPROVEMENT AND THE UNPAID AMOUNT IS: $6429.86 ~U~~j s~'I~~,ry~'~s- 6. THE AMOUNT UNPAID TO THE CLAIMANT FOR MATERIALS IS: $6429.86 7. THE DATE THE LAST MATERIALS WERE FURNISHED WAS: 12/19/2007 ~, BY i ~ ~.c?~ C-' BUI ERS WAREHOUSE CLAIMANT SUBSCRIBE AND SWORN TO BEFORE ME ~L~ww 1`y C9 ~ !t~ ~I' THIS ~{~-DAY OF F e~ ~ O (~ Cd GENERAL NOTARY -State of Nebraska MICHAEL P CARRAHER My Comm. fxp. Nov. 20, 2009