Correction Sheet
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1
2
3Notice #
0555- 10336
OKLAHOMA PRE-LIEN NOTICE
Okla Stat 42-142.1 & 42-142.6
Owner / Reputed Owner OR Public Agency
The undersigned notifies you that he has sor
* * CERTIFIED MAIL * *
intends to supply labor, materials or equipment or
NEW REAL PROPERTY OWNER, LLC
performed work or services as follows:
9876 OWN PARKWAY
Claimant
PHOENIX, AZ 00009
ABC CONSTRUCTION SUPPLY, INC.
IONA HOUSE
555 CENTRAL RD.
ABC REAL PROPERTIES, INC.
SUITE 999
GLENDALE, AZ 00008
LOS ANGELES CA 99999-9999
Tel: 800-555-1234
Original Contractor (or Reputed Contractor)
* * CERTIFIED MAIL * *
Fax: 800-515-1235
012345
Claimant File #: INVOICE# 0555-001
GENERAL CONTRACTOR, LLC
0001 GENERAL DR.
Description of Work or Services
GENERAL AZ 00009
SUPPLYING BLOCK & CEMENT TO SUB, INC.
Tel: 555-555-1234
PER INVOICE # 0555-001
Fax: 555-665-4321
License # / Class: 012345 B-01
Project Name / Location
RENNASIANCE BUILDING A
Construction Lender or Bonding Company
9876 OWN PARKWAY
MONEY TO LEND, N.A.
CITY, STATE, 00000-0000
ONE LENDER WAY
Per Official Records of County Recorder # 2009-9876543
CHA CHING, CA 00001
TRAVELERS #11-102011
Bond Number:
Sample County, Oklahoma and / or identified by
Person or Entity Claimant has Contracted With
Assessor's Parcel Number
543210
SUB, INC.
123-45-6789
123 SUBCONTRACTOR LN.
The date of supply of material, services, labor, or
SUBCONTRACT AZ 00009
equipment is on or after the date of this Pre-Lien Notice
Tel: 555-888-5555
or started on:
Fax: 555-888-5544
License # / Class: 543210 L-31
01-Nov-2011
The dollar amount of the material, services, labor, or
equipment furnished or to be furnished exceeds Two
Thousand Five Hundred Dollars ($2,500.00) and is
estmated to be:
$ 250,000.00
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