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Home My WebLink About894605 CLAIM OF LIEN FORM cou.~,~.~C~.~ ~ ~ 8 9 h 6 0 5 RECEIVED " !LINCOLN COUNTY CLERK BEF_O~_E ME~ the undersigned~Notary Public, personally appeared . · ,h. ,e~eln),(the, agent~ofthe lienor, heroin) whose address Is tclT2 tM"~_ .G~~',~hr~o., ~h~'r'h;~q andthatlnaccordancewltha , contract with lienor furnished labor, service~ or m~_a. te[H~ls consisting'of: Agent ,~,...~ ____ appeared to me (or p~¢~ ...... e bS~ ~ t~e w~in ins~u~nt a~ ~~g~ ~ me ~at ~sh~ey ex~t~ ~e In hlsmer~eir au~o~ ~N(~), a~ ~ by h~er~ir s~na~r~s) on the ins~m~t ~ ~(s), ~ the ~t~ u~n b~ ~ ~ ~e ~(s) ~, ex~ ~e instmmenL WITNESS my hand and official seal. (Seal) Affiant /.~,~Known .Unknown ID .Produced ,/Z,/~2 /'//f~'/~,~/~,~ i~ ~'~4Lw,.,*:~ .~.~,~ %