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Home My WebLink About20051802 Recorded at the request of RENTAL SERVICE CORPORATION 3200 Harbor Lane North, Suite 100 Minneapolis,MN 55447 Please Return this instrument to the above. NOTICE AND CLAIM OF MECHANIC'S, MATERIALMAN'S OR PROFESSIONAL SERVICES LIEN NOTICE OF INTENT TO FILE A LIEN STATEMENT TO THE OWNER AND TO THE PRINCIPAL CONTRACTOR: Take Notice that the Lien Claimant set forth on the Statement of Lien contained with the attached, claims a Mechanic's Lien for material or equipment supplied to or labor performed on the project situate upon the real property described in said Amended Statement of Lien, for the amount stated. If payment is not made within ten (10) days, the Claimant intends to record said Statement of Lien in the County wherein the real property is located. Thi nyticee is in ursuant to Section 38-22109(3)C.R.S. *** r signature\ Rental Service Corporation 3200 Harbor Lane North, Suite 100 Minneapolis,MN 55447 Attorney's Name and Address Type Name and Address of Claimant Above AFFIDAVIT OF SERVICE OR MAILING-OWNER STATE OF COLORADO ) COUNTY OF WELD ) SS. City of Greeley County of Weld first duly sworn upon oath,deposes and says that this Notice of Intent to File a Lien Statement was(personally served upon)*(mailed by fully prepaid registered* or certified*mail,return receipt requested,to the last known address of)*the owner or reputed owner or his agent, as follows: Weld County Board of Commissioners,Courthouse,Greeley,CO 80631---Northern Colorado Medical Center, 1801 16"' Street, Greeley, CO 80631-5154 on the 25th day of May, 2005 n n iiVt' n. i ltn eti-) Subscrib and sworn efore me in the City of Scottsdale County of Maricopa, State of Arizona this 25th day of May,2005 My commission expires November 10,2006 /- OFFICIAL SEAL" Witness my hand and official seal Amy L. BAfcs r vtary fvPu.,licc tizona t�{�m�a CAU0 ' ... t M, al-�issbn iras 1 �J6 - s Notary Public 0 C`h n\b(N t(A-1i Oing 2005-1802 b 1O -- i S -cam R n : cw-1 1r AFFIDAVIT OF SERVICE OR MAILING- CONTRACTOR STATE OF COLORADO ) COUNTY OF WELD ) SS. City of Greeley County of Weld The undersigned, being of lawful age and being first duly sworn upon oath, deposes and says that this Notice of Intent to File a Lien Statement was(personally served upon)*(mailed by fully prepaid registered* or certified* mail, return receipt requested,to the last known address of)* the principal or prime contractor or his agent, as follows Te Pro-Tec Sy ms, Inc., 2241 Hawken Drive, Castle Rock,CO 80109 on the 25th day of May, 2005 40,,k ; 4-\ Subscribe d sworn to be ore me in the City of Scottsdale County of Maricopa , State Of Arizona, this 25th day May,2005 - - ,� "OFFICIAL SEAL" My commission expires: November 10, 2006 (..._�L. Amy L Sines Wetness my hand and official seal. ary Public-Arizona i �- t r No ti County, " xM :.ot rri�ion iras Ill '2006 Notary Public AFFIDAVIT OF SERVICE OR MAILING PRIOR TO FILING LIEN STATEMENT** ) STATE OF COLORADO ) ss. City of Greeley County of Weld The undersigned, being of lawful age and being first duly sworn, deposes and says that this Notice of Intent to File a Lien Statement was served pursuant to Section 38-22-109(3)C.R.S. ***,as evidence by the Affidavits of Service or Mailing,at least ten(10)days before the time of filing the Lien Statement with the County Clerk and Recorder. �C1//j+r i - C-,I ir�\ Subscribed and worn to ref re me in the City of Scottsdale County of Maricopa of Arizona, t ' 25`h day o ay,2005 �.,�, "OFFICIAL SEAL" ..�e; Am L. Bikes My commission expires: November 10,200.6 Amy r ., . Notary Public-Arizona Witness my hand and official seal. Maticepa County �_� M Commission ¢a5 I11 ----_�- --- Notary Public 'Strike according to fact '4o be completed I0 or mere days after mailing or set-vice of Notice of Intent to File a Lien Statement,but prior to filing a lien statement. 'tde-22.109 Lien Statement. (3)In order to preserve any lien for work performed or materials furnished,there must be a notice of intent to file a lien statement served upon the owner or reputed owner of the property or his agent and the principal or prime contractor or his agent at least ten days before the time of filing the lien statement with the county clerk and recorder.Such notice of agent shall be served by personal service or by registered or certified mail,return receipt requested,addressed to the last known address of such persons.and an affidavit of such service or mailing at least ten days before filing of the lien statement with the county clerk and moot der shall be filed for record with said statement and shall constitute proof of such service Recorded at the request of RENTAL SERVICE CORPORATION 3200 Harbor Lane North, Suite 100 Minneapolis,MN 55447 Please Return this instrument to the above. NOTICE AND CLAIM OF MECHANIC'S, MATERIALMAN'S OR PROFESSIONAL SERVICES LIEN STATEMENT OF LIEN TO ALL WHOM IT MAY CONCERN: KNOW YE,That Rental Service Corporation 3200 Harbor Lane North,Suite 100 Minneapolis,MN 55447 Wishing to avail Itself of the provisions of the statute in such cases made and provided, makes the following statement of lien: FIRST. That the name of the owner or reputed owner of such property to be Charged with the lien is: Weld County Board of Commissioners Courthouse Greeley,CO 80631 Northern Colorado Medical Center 1801 16`"Street Greeley,CO 80631-5154 SECOND. That the name and mailing address of the person claiming the lien is Rental Service Corporation 3200 Harbor Lane North,Suite 100 Minneapolis,MN 55447 X a subcontactor Principal Contractor. That the name of the person who famished the material or performed the labor or services, or supplied the machinery, tools or equipment for which said lien is claimed is Rental Service Corporation 3200 Harbor Lane North,Suite 100 Minneapolis,MN 55447 That the name of the principal contractor: Tenn Pro-Tec Systems,Inc. 2241 Hawken Drive Castle Rock,CO 80109 THIRD. That the property to be charged with such lien is described as follows: City of Greeley Account#R3119386 Parcel#096107231001 HOSPITAL ADD-A- GR 3131 HOSPITAL ADDITION BLOCK A(HOSPITAL)BLOCK B TOG WITH VAC PT OF HOSPITAL RD BETWEEN N LN 16 ST&S LN 15 ST SITUS: 1801 16 ST GREELEY 806310000 SITUS: WELD 000000000 Also known by street number as: Northern Colorado Medical Center, 1801 16h Street. Situate in the City of Greeley County of Weld State of Colorado. That the said lien is held for and on account of Rental Service Corporation 3200 Harbor Lane North,Suite 100 Minneapolis,MN 55447 FOURTH. That the amount of indebtedness due or owing the claimant for which said lien is claimed for materials furnished, labor and services performed,machinery,tools and equipment supplied is$2,309.08 together with interest thereon at the legal rate. Claimant By Aj\VAr STASAUL-AA OF COLO • O ) ) ss. County of Weld I, SARAH SOMAR,being of lawful age and being first duly sworn upon oath, do say that I am Prelien/Lien Clerk, for Rental Service Corporation,the claimant herein named;that I have read the within statement of lien and abstract of indebtedness and know the contents thereof; and that the same is true and correct,to the best of my knowledge, informationand belief,and is made on behalf of the claimant. ^ 1 L_ vC liA roir, Subscribed an sworn to- a ore me in the City of Scottsdale, County of Maricopa, State Of Arizona This 25th,d f May,2005 My Commission expires: November 10,2006 Witness my hand and official seal. CAF rly IAL SEAL' �" Amy Bilks ?, I_ car b+ubl c-Anzor i rounry r pa..,, P bIiE° nss Eclos?t') x -Erin Denver.insert-City and" � Name and Address of Pelson Creawbg Newly Created Legal Description(t 38-35-106.5,CR.S.) Hello