#10-3438 Index of Schedule B Documenmts

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(' ' i;, '• -r"' ·-Prepared by: recording requested by, and return to: Jerome M. Jehn Builder's Millwork, Inc. 840 N. State Rd 37 Mondovi, WI 54755 (715)926-3833 (715)926~33)2 Fax ···········Above this Line (or Official Use Only•---~···· \'\. . '( -STATEMENT OF LIEN-CORPORATION Vy (M.S.A. § 514.08) COMES NOW, Builders Millwork, Inc., as party which has suppJled labor, skill or material for the improvement of property and would state as follows: 1. 2. 3. 4. 5. 6. 7, 8. 9. 10. The undersigned corporate lien claimant hereby provides notice of the intention to claim and hold a lien in the amount of $22,565.90. Said amount is due and owing to the undersigned for labor performed, or the skill, or material, or machinery furnished, specifically: Supplied miscellaneous millwork, wood doors, a11d wood frames to the property located at 1535 Bohns Point Rd, Orno MN 55391. The name of the claimant is Builder's MHlwork, Inc., 840 N. State Road 37, Mondo.vi, WI 54755. Labor, skill> or materials provided to Adam T. LaFavre and Kathy LnFavre, 1535 Bohns Point Rd, Omo MN 55391. Labor, skill, or material was first provided on March 14, 2007. Labor, skill, or material was last provided on October JO, 2007. The property to which the above was provided is described as: {N 1 LOT I, BLOCK J, BETH AND BRIDGET ADDITION, LOT 1, EXCE~AT PART THAT LIES SLY OF A LINE BRG S 73 DEG 02 MIN 33 SEC W FROM THE ANGLE POINT ON THE SLY LINE OF SAID LOT I THE WL Y SEGMENT OF SAID SLY LINE HAS AN ASSUMED BRG OF S 67 DEG 20 MIN 00 SEC W. On information and belief, the above-described property is owned by Adam T. LaFavre and Kathy LaFavre, 1535 Bohns Point Rd, Orno MN 55391. The undersigned Hen claimant's post office address is 840 N. State Road 37, Mondovi, WI 54755. The_ lien claimant hereby acknowledges that a copy of thls statement was served personally or by / certified mail within the 120-day period provided by the Minnesota Code on the owner, the _ g9' I:) . ·,Q~