### PROPERT Y SUMMAR Y Date : 06/27/2007 Omah aLea dSit e Remedial Actio nContrac t #EP-R7-07-0 6 Mont hof : Jun e Propert y Address ; 430 3 Patric k A v A . EXECUTIV ESUMMARY A. I Issue s Encountered : A. 2 Issue s Resolved : A. 3 Uniqu e Findings : A. 4 Othe r Relevan t Information : CONFIRMATIO NSAMPLIN GDATA/RESULTS : Fl-306@6 " F2-93@8 " Bl-200@6 " B2-50@6 " Easemen t - 10 9 @ Scrap e ATTACHMENT S 1 ) Property sketc hprovide db y EP Apursuan t t o contrac t specification s 2 ) Signe dAcces s Agreemen t includin g acces s agreement s require dfo r crossin g othe r propertie s 3 ) Pre-Excavatio ndigita l vide o clip/photograph s 4 ) Post-Excavatio ndigita l vide o clip/photograph s 5 ) Documentatio n- Complete dClose-ou t Checklis t 6 ) As-Buil t sketc h­ i ) Shal l includ efina llea dlevel s v ) Legen d ii ) Contaminatio nlef t behin darea s vi ) Contracto r identificatio n iii ) Propert y addres s vii ) Dat e iv ) BVI D numbe r 7 ) Othe r item s t o b e include di nth e individua l propert y file , i f available , o r obtaine dinclude : i ) Pre-excavatio nagreemen t detail s (i f an y ar e mad e wit hth e property owner ) ii ) Excavatio ndigita l vide o i nMPEG , WM V (Window s Medi aVideo ) o r SW F(Flas hPlayer ) forma t and/o r photograph s iii ) Signe dfor mverifyin g satisfactor y restoratio n iv ) Descriptio no f area s no t meetin g Interi mRO D cleanu p criteria .

HNOLOCIES , INC
.Tota l Quadran t Squar e Footag e t o b e Excavate d = 238 4 PropertyClassification : 80 0 Tota l Dri p Zon e Linea rFootag e t o b e Excavate d = 0

Dejaiplio n o ( post excavatio n areas : F1 , fron t yar d left-han d quadrant : F2 , fron t yar d right-han d quadrant : B1 , backyard left-han d quadrant : 82 , backyard right-hin d quadrant ; DZ , dri p zon e (1- 3 foot are a o fsoi l aroun d th e foundatio n o fth e house)

# PRUDEN TTECH
. ADDRES S 

### 434 4 Parke rSt
. 430 3 Patric k Ave . 310 8 Hamilto n St
. 256 9 Spauldin g St
.

333 1 Spragu e St
. 261 2 

### N . 19t h St
. 

### 222 7 1/2 Willi s Av e 340 5 Californi a St
. 221 9 N . 20t h St
. 

### 151 8 Willi s Ave . 223 5 N.20t h St
. 262 1 IM.lSt h Ave . 222 1 Evan s St
. 

### 285 6 Spauldin g St
. 291 4 N . 25t h St
. 321 4 Californi a St
. 432 0 Patric k Ave . 432 0 Sewar d St
. 261 5 N . 22n d St
. 392 7 N.19t h St
. 

### 260 8 Pinkne ySt
. 145 8 Pinkne ySt
. 341 6 

### N . 16t h St
. 

### 244 0 Templeto n Dr . 321 0 TaylorSt
. 206 6 N . 18t h St
. 241 0 N . 21st St
. 450 4 N . 21s t St
. 411 9 N . 24t h St
. 351 9 N . 19t h St
. Sq
. Ft . 28 8 216 0 292 5 323 7 162 5 73 8 71 5 384 0 289 0 380 0 213 5 148 0 205 7 306 8 210 5 138 2 82 1 161 2 1120 1120 360 6 241 8 231 5 302 2 1026 0 516 0 337 9 702 7 80 0 INSTAL L DAT E 6/6/200 7 6/6/200 7 6/6/200 7 6/6/200 7 6/6/200 7 6/6/200 7 6/6/200 7 6/6/200 7 6/8/200 7 6/8/200 7 6/11/200 7 6/11/200 7 6/11/200 7 6/11/200 7 6/11/200 7 6/11/200 7 6/12/200 7 6/12/200 7 6/13/200 7 6/13/200 7 6/13/200 7 6/15/200 7 6/15/200 7 6/15/200 7 6/15/200 7 6/18/200 7 6/18/200 7 6/19/200 7 6/19/200 7 6/20/200 7 3 0 DAY 7/6/200 7 7/6/200 7 7/6/200 7 7/6/200 7 7/6/200 7 7/6/200 7 7/6/200 7 7/6/200 7 7/8/200 7 7/8/200 7 7/11/200 7 7/11/200 7 7/11/200 7 7/11/200 7 7/11/200 7 7/11/200 7 7/12/200 7 7/12/200 7 7/13/200 7 7/13/200 7 7/13/200 7 7/15/200 7 7/15/200 7 7/15/200 7 7/15/200 7 7/18/200 7 7/18/200 7 7/19/200 7 7/19/200 7 7/20/200 7 WATE R O N PROPER- P X X X X 

### lo t lo t X X X X 

### lo t

X X 

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### don' t us e wate r don' t us e wate r HYDRAN T

X X X

X

X

X X X X

## 210 7 Pinkne y St . 221 8 Ohi o St . 220 4 Burdett e St . 4001 N28thAve . 251 0 Spence r St . 230 5 Spragu e St . 261 5 N24t hSt . 

## 413 4 N

## 19t hSt . 

## 311 5 N

## 16t hSt . 301 8 Sewar dSt . 500 1 Wester nAve . 432 3 Wakele y St . 461 7 N28thAve . 500 6 N23r dSt . 382 0 N19t hSt . 380 2 N18t hSt . 

## 341 1 N

## 16t hSt . 392 7 Florenc e Blvd . 281 7 Prat t St . 281 9 Prat t St . 

## 221 7 N

## 16t hSt . 

## 154 2 N

## 17t hSt . 

## 171 0 S 

## 15t hSt . 193 1 S . llt hSt . 202 2 Castela r St . 392 5 N22n dSt . 411 0 J ACreighto nBlv c 261 8 Lizzi eRobinso n 

## 451 4 N

## 41s t St . 381 9 Florenc e Blvd . 332 4 Myrtl eAve . 71 9 N33r dSt . 172 0 N33r dSt . 450 9 Lafayett e Ave . 

## 134 2 452 8 364 0 290 0 

## 109 5 276 8 

## 1094 220 5 

## 104 3 38 9 46 8 90 9 54 2 

## 400 0 

## 150 1 251 6 402 6 260 0 

## 218 4 167 5 358 5 434 0

30 0 

## 1182 350 4 60 0 

## 381 0 899 4 60 0 88 0 

## 259 0 

## 104 9 108 9 119 5 6/20/200 7 6/21/200 7 6/21/200 7 6/26/200 7 6/26/200 7 6/26/200 7 6/26/200 7 6/26/200 7 6/26/200 7 6/26/200 7 6/26/200 7 6/26/200 7 6/26/200 7 6/27/200 7 6/27/200 7 6/27/200 7 6/27/200 7 6/28/200 7 6/28/200 7 6/28/200 7 6/28/200 7 6/28/200 7 6/29/200 7 6/29/200 7 6/29/200 7 6/30/200 7 7/3/200 7 7/3/200 7 7/3/200 7 7/6/200 7 7/9/200 7 7/9/200 7 7/9/200 7 7/9/200 7 7/20/200 7 7/21/200 7 7/21/200 7 7/26/200 7 7/26/200 7 7/26/200 7 7/26/200 7 7/26/200 7 7/26/200 7 7/26/200 7 7/26/200 7 7/26/200 7 7/26/200 7 7/27/200 7 7/27/200 7 7/27/200 7 7/27/200 7 7/28/200 7 7/28/200 7 7/28/200 7 7/28/200 7 7/28/200 7 7/29/200 7 7/29/200 7 7/29/200 7 7/30/200 7 8/2/200 7 8/3/200 7 8/3/200 7 8/6/200 7 8/9/200 7 8/9/200 7 8/9/200 7 8/9/200 7 X 

### lo t X 

## don' t us e wate r X X X 

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### lo t X X X 

## seede d X X X X

### 442 1 Parke rSt
. 430 7 Binne ySt
. 191 2 Wirt St
. 262 0 N 19t h St
. 211 5 Ohi o St
. 302 2 Van e St
. 513 4 N 17t h St
. 500 5 Bur t St
. 

### 510 4 Izar d St
. 212 0 Wir t St
. 34 7 N 35t h St
. 241 8 MarySt
. 286 2 MarySt
. 371 7 Dodg e St
. 351 7 Jackso n St
. 421 6 Brown e St
. 442 7 Spauldin g St
. 462 4 Cumin g St
. 110 9 S 27t h St
. 90 3 S 37t h St
. 321 6 Marc ySt
. 140 8 

### S 16t h St
. 

### 511 6 Nichola s St
. 154 8 

### N 19t h St
. 

### 400 3 Ohi o St
. 243 2 Laure l Ave . 242 1 Bauma n Ave . 332 3 France s St
. 210 9 Bancrof t St
. 242 2 S 20t h Ave . 254 4 Ree s St
. 120 4 Par k Wil d Ave . 181 3 Missour i Ave . 91 1 Fores t Ave . 110 9 187 6 110 3 192 7 218 7 42 0 107 2 199 7 27 9 708 1

130 86 2 81 1 77 5 155 6 1040 339 6 84 6 102 0 185 8 36 9 98 1 108 0 186 9 92 5 62 2 9 5 392 8 60 0 62 0 50 0 61 8 22 0 50 8 7/9/200 7 7/9/200 7 7/9/200 7 7/9/200 7 7/9/200 7 7/10/200 7 7/10/200 7 7/10/200 7 7/10/200 7 7/10/200 7 7/10/200 7 7/10/200 7 7/10/200 7 7/10/200 7 7/10/200 7 7/11/200 7 7/11/200 7 7/11/200 7 7/11/200 7 7/11/200 7 7/11/200 7 7/11/200 7 7/12/200 7 7/12/200 7 7/12/200 7 7/12/200 7 7/12/200 7 7/16/200 7 7/16/200 7 7/16/200 7 7/16/200 7 7/16/200 7 7/16/200 7 7/16/200 7 8/9/200 7 8/9/200 7 8/9/200 7 8/9/200 7 8/9/200 7 8/10/200 7 8/10/200 7 8/10/200 7 8/10/200 7 8/10/200 7 8/10/200 7 8/10/200 7 8/10/200 7 8/10/200 7 8/10/200 7 8/11/200 7 8/11/200 7 8/11/200 7 8/11/200 7 8/11/200 7 8/11/200 7 8/11/200 7 8/12/200 7 8/12/200 7 8/12/200 7 8/12/200 7 8/15/200 7 8/15/200 7 8/15/200 7 8/15/200 7 8/15/200 7 8/15/200 7 8/15/200 7 8/15/200 7 X X X 

### lo t X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X551 5 S 32n d St
. 472 3 S 16t h St
. 151 1 Dorca s St
. 1942 S 16t h St
. 311 4 Woolwort h Ave . 12 2 S 51s t St
. 510 9 Cumin g St
. 81 9 N 50t h Ave . 202 0 S
. 7t h St
. 540 8 Florenc e Blvd . 541 6 Florenc e Blvd . 31 9 N 48t h St
. 442 1 Marc ySt
. 472 2 S 17t h St
. 472 6 S 17t h St
. 473 5 S 17t h St
. 501 1 S 18t h St
. 503 0 S 18t h St
. 213 5 Monro e St
. 361 2 Monro e St
. 504 0 S 38t h St
. 481 1 Dougla s St
. 90 6 N 49t h Ave . 480 4 Underwoo d Ave . 380 8 Harne ySt
. 500 9 Izar d St
. 33 8 N 35t h Ave . 51 4 Willia m St
. 122 8 S llt h St
. 110 6 S 22n d St
. 430 7 Patric k Ave . 244 9 Bauma n Ave . 286 4 Titu s St
. 285 1 Crow n Point e Av e 48 5 251 5 65 0 154 7 64 2 210 0 107 5 42 5 470 0 218 2 320 2 226 0 66 5 181 2 61 0 175 0 80 2 186 0 112 5 332 0 62 5 120 5 495 0 278 7 123 5 340 0 261 0 310 5 50 0 111 5 220 8 250 9 64 2 285 1 7/16/200 7 7/16/200 7 7/16/200 7 7/16/200 7 7/16/200 7 7/17/200 7 7/17/200 7 7/17/200 7 7/17/200 7 7/19/200 7 7/19/201 7 7/19/200 7 7/24/200 7 7/27/200 7 27-Ju l 27-Ju l 27-Ju l 27-Ju l 27-Ju l 27-Ju l 27-Ju l 27-Ju l 30-Ju l 30-Ju l 30-Ju l 30-Ju l 31-Ju l 31-Ju l 31-Ju l 31-Ju l 31-Ju l 31-Ju l 31-Ju l 31-Ju l 8/15/200 7 8/15/200 7 8/15/200 7 8/15/200 7 8/15/200 7 8/16/200 7 8/16/200 7 8/16/200 7 8/16/200 7 8/18/201 7 8/18/200 7 8/18/200 7 8/24/200 7 8/26/200 7

26-Au g 26-Au g 26-Au g 26-Au g 26-Au g 26-Au g 26-Au g 26-Au g 29-Au g 29-Au g 29-Au g 29-Au g 30-Au g 30-Au g 30-Au g 30-Au g 30-Au g 30-Au g 30-Au g 30-Au g X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X281 7 Prat t ST
. 412 4 N 28t h St
. 460 3 N 29t h St
. 541 6 N 33r d St
. 331 8 Charle s St
. 311 0 Charle s St
. 

### 257 4 Camde n 260 4 Camde n 654 3 N 24t h ST
. 256 9 Evan s St
. 257 8 Prat t St
. 257 3 Manderso n St
. 211 5 Pinkne ySt
. 481 3 Capito l Ave . 502 4 Capito l Ave . 323 3 Emmet t St
. 252 6 Gran t St
. 261 3 Parke rSt
. 251 9 Mapl e St
. 82 0 N 42n d St
. Il l 50t h St
. 90 4 S 30t h St
. 244 5 Spauldin g St
. 581 4 Florenc e Blvd . 250 2 Ame s Ave . 41 5 N 47t h St
. 81 0 N 34t h St
. 120 0 130 3 1249 100 0 281 8

192 122 9 89 2 108 5 321 0 512 6 60 0 1838 129 0 95 8 278 4 338 7 138 9 290 0 288 1 123 1 92 9 246 2 248 4 138 7 142 9 130 0 1-Au g 1-Au g 1-Au g 1-Au g 1-Au g 1-Au g 1-Au g 1-Au g 1-Au g 2-Au g 2-Au g 2-Au g 2-Au g 2-Au g 2-Au g 14-Au g 14-Au g 14-Au g 14-Au g 14-Au g 15-Au g 15-Au g 15-Au g 15-Au g 15-Au g 15-Au g 15-Au g 31-Au g X 31-Au g X 31-Au g X 31-Au g X 31-Au g X 31-Au g X 31-Au g X 31-Au g X 31-Au g X

1-Se p X 1-Se p X 1-Se p X 2-Se p X 2-Se p X 2-Se p X 13-Se p X 13-Se p X 13-Se p X 13-Se p X 13-Se p X 14-Se p X 14-Se p X 14-Se p X 14-Se p X 14-Se p X 14-Se p X 14-Se p XTota l Quadran t aq'uar e Footag e t o b e Excavate d = 238 4 PropertyClassification : 80 0 Tota l Dri p Zon e Linea rFootag e t o b e Excavate d = 0

/." . .t.--';.-. i -•„•>':':LiJ'.T.'.' : 

### ;^J^d^iC;-:!~c-dJ U



### -Patrick-Avenu e

I i i i Omah a Lea d Sit e Concret e Omaha , Nebraska Excavate d Are a PropertyNumbe r Existin g Structure Scal e OLS - 2708 1 Fence Permanen t Landscapin g 1 Inc h = 2 0 fee t o r1 gri d = 5 x5 f t PropertyAddres s 430 3 PATRIC KAV E Quadran t Boundar y Stree t Boundar y Tree/Shru b 

# • F 

# vHG L £— hydroocoLotji cln < 

### T

# • Pos t Excavatio n Concentration s (pprn ) B 2 PlayAre a D Z Easemen t Garde n Descriptio n o fpost excavatio n areas : F1 , fron t yar d left-han d quadrant ; F2 , fron t yar d right-han d quadrant ; 61 . backyar d left-han d quadrant ; 62 . backyar d nght-han d quadrant ; DZ . dri p zon e (1- 3 foot are a o fsoi l aroun d th e foundatio n o fth e house )

## Agr60n»6n tf o aiio wacces s t o Omah a Lea- d th e propert yi n orde rt o conduct . Sit e Remedia l environmenta l samplin g an d t o remov e lead-contaminate d soi l Actio n Pruden t Technologies , Inc . (Prudent) i s unde r contrac t withth e U . S . Environmental Protectio nAgenc y (EPA) t o clea nup lead-ccmtaniinatt^^lLJt£.Jium6^o f ttfoo^de|^ncate di nOmaha , Nebraska , includin g th e property locate dat nfOO*l 5 VQJL/TU^JrcjM/j L. Hi e EP Arequest s you r peziui3=it mt o aUmn r Prudent t o performa301 ! cleanu p at thi s propert y t o remov e lead-contaminate d'Oil . B y signing thi s form , di e property owner grant s permissio nt o Prudent t o perfor mdctivitie i relate dt o th« : cleanu p includin g soi l sampling , removal o f lead-eontafiiinate dsoil . an di-esLuiaiJo no f th e ief«=iice d property . Afte r obtainin g tli e owner' s signatur e o nthi s form. Pruden t Technologies , Inc . wil l contac t ih e property ' owner (an dresidents ) withi nth e nex t fe w week s t o coordinat e performanc e th e work . I f

yo u hav e an y Question s abou t th e soi l cleanu p planne dfo r you r property , pleas e contac t Prudent ' s Administrativ e Cler k

fo r th e Omah aLea dSite cleanup , Ms . Cyndi aKind s a t (402 ) ?04-!004 . Genera ! question s abou t th e Omah aLea dSite cleanu p ca nb e directe dt o th e EP APubli c Informatio nCenter s a t (402)731-304 5 (southOmah aoffice ) o r (402 ) 991-958 3 (normOmah aoffice) . 

### Property Acces s Grante dBy : (Y)#ri/// \A i / / ^-fV/ ^ t < / ^Pl < BX * Pnn t H am» ) 

### P»opeit>
- Owne r S ^> ~ 1 0 ~2&Z> / (Dat* ) ' 

### PROPERTYINFORMATIO N {T o b e complete db y resident and/o r propert y owne r - pleas e print) RESIDEN TNAME : RESIDEH TADDRESS : I F RENTAL . PROPERT YOWNE D BY : OWNER' S MAILIN G ADDRESS ; OWNER' S TELEPHON E NUMBER-HOME : ( } t OQ t b 3M | | WORK : J ] AG E O F HOME? : 1 0 YEARS
. HO W LON G HAV E YO U LIVE D HERE ? 7, 0 YEARS
. HA S TH E EXTERIO R BEE N PAINTE D O R COVERE D WIT H SIDIN G SINC E 1378 ? X VE S JQ
. H O NUMBE R O F OCCUPANT S UNDE R 7 YEAR S OLD : NUMBE R O F OCCUPANT S 7 YEAR S OL D AN D OLDE R NUMBE R O F CHILDRE N UNDE R 7 YEAR S OL D WH O PLA YI N TH E YAR D FO R 5 HOUR S O R MOR E PE R WEEK : COMMENT S O R SPECIA L INSTRUCTIONS : (I.E
. DOGS
. ENTRYGATES
. ETC. )
____ _ _
AUTH03JT YFO RENVIRONMENTA LRESPONS EACTIONS : Th e activitie s t o b = implemaUe db y EP Aur.d;;
- ^: : agreemen t are pursuant to Sectio n104 o f CERCLA , 4 2 U . S . C . 9604 . EPA' s right o f acces s to the property 1 1 prcwide dfor i nSectia i IC4(e ) o f CERCLA , 4 2 U.S . C 9fi05(e) , whic hprovide s aitr, ' fa
- "(Jetsmiir.::- ^ l

J-. e :':?e i ::: r response , a - choosing o r takin g an y respons e actio nunde r thi s tide , s - otherv/iseriifcid; ^ ± ; pro^isicn i o f th e title. "

# EP APropert y Clos e Ou t For m Propert y # : c Propert y Address : Date/Time : /a
. 

### Owner' s Name : Quad s Excavated : Contracto r Grou p />n,.fi.'.-t- r i ) 7 

### Excavatio nGenera l Ye s N o 

### 1 .I f necessary , wer e th e correc t quadrant(s ) excavate dan drestored ? 

### • / 2 .I f necessary , wer e th e correc t area s o f dri p zon e excavate dan drestored ? 

### </ Gradin g So dan dVegetatio n Ye s N o 

## 1 . Doe s th e gradin g aroun dth e perimete r o f th e hous e i nexcavate darea s generall y slop e awa y / 

### fro mth e house ? 2 . 

### Ha s so dbee nlai di nal l area s tha t were excavated ? i / 3 . 

### Doe s th e so dappear t o b e generall y health y an dgrowing ? (Onl y evaluat ei f inspecte da t a3 0 da y tim e period ) / 4 . 

### Ar e sodde darea s generall y firman devenl y graded ? 

### J 5 . 

### Ar e th e joint s betwee nth e so dstrip s generall y tight ? (Onl y evaluat e i f inspecte dat a3 0 da y , / 

### tim eperiod ) 6 . 

### Wa s th e property grade dsuc htha t wate r wil lno t poo l o nth e property ? 

# s 7 . 

### Wa s damag e t o landscapin g o r plan t material s avoided ? 

# »/ Gates , Fence s an dRetainin g Wall s Ye s N o 

### 1 . D o gate s ope nan dclos e freely ? (I f applicable ) • 

### 2 .Wer e al l gate s o r fence s take ndow ndurin g restoratio nactivitie s reinstalled ? (I f applicable ) •' 

### 3 .Wa s damag e t o gate s o r fence s avoided ? (I f applicable ) l/ 

### 4 .

Wa s damag e t o retainin g wall s avoided ? (I f applicable ) v/ 

### Foundation , Sidin g an dGutter s Ye s N o 

### 1 .Wa s damag e t o th e sidin g o r tri mavoided ? 

# s 2 .

Wa s damag e t o th e foundatio navoided ? 

# . / 3 .Wa s damag e t o window s avoided ? 

# / 4 .Wa s damag e t o window s o r doo r screen s avoided ? 

# y 5 . Wa s damag e t o downspout s o r downspou t extension s avoided ? 

# s Sidewalk s an dDriveway s (Concrete ) Ye s N o 

### 1 . Wa s damag e t o drivewa y surface s avoided ? i/ 

### 2 . Wa s damag e t o walkwa y surface s avoided ? 

# s

### Owner s comments :

Inspectio nnotes :



## Removal an drestoratio nactivate s complet e includin g th e 30-day so dwarranty : EPARepresentativ effc^tLu * Date : s/qb ?Tota l Quadran t Squar e Footag e t o b e Excavate d = 238 4 Propert yClassification : 80 0 Tota l Dri p Zon e Linea rFootag e t o b e Excavate d = 0



# -----H- . , Patrie k Avetriu e

Omah a Lea d Sit e Concret e Omaha , Nebraska Excavate d Are a PropertyNumbe r OLS-2708 1 Existin g Structur e Scal e Propert yAddres s Fenc e 1 Inc h = 2 0 fee t o r1 gri d = 5 x5 f t 430 3 PATRIC KAV E Permanen t Landscapin g Pos t Excavatio n Concentration s (ppm ) 

# HG L F 1 B 2 Pla yAre a Quadran t Boundar y Stree t Boundar y
—Hydi-jGwilnyit
. lr « F 2 D Z Easemen t Tree/Shru b B 1 Descriptio n o fpost excavatio n areas : F1 . fron t yar d left-han d quadrant . F2 . fron t yar d right-han d quadrant ; B1 . backyar d left-han d quadrant . B2 , backyar d nghl-han d quadrant ; DZ . dri p zon e (1- 3 foo l are a o fsoi l aroun d th e foundatio n o fth e house)
.OLOGIES . INC . 

# SER A Propert yCompletio n Agreemen t Thi s agreemen t document s th e completio n o fremova l activitie s performe d o n th e belo wliste d property . Th e propert yowner' s signatur e indicate s tha t th e propert yowne ri s satisfie d wit h th e restoratio n o fth e subjec t property , an d tha t n o item s ar e i n question , now . o ra t an ytim e i n th e future , excludin g an y remainin g so d warrant y(9 0 day s total ) excep t thos e item s liste d below , i fany .

PropertyID : r \ — ir~ ) S< A PropertyAddress : v AI X 

### 0^ , 

### V a \r\ i f Jfe ^ ( J.ki_ D \ VNs OLJ"\-JLjiJLV < »/

> \ *r*V_ 9 vJ\Ax * J|<L - Phone t \ \

i^ v^ v\ ^

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_

_

^

^

r

\ vA Restoratio n Item s i n Question :

Item : Item : Item : Item : Item : Item : Require d correction s t o complet e th e property :



### I agre e restoratio n i s completed , excep t a s note d above . L

J I d o not agre e restoratio n i s complete d

Owner' s Signat i Dat e

### Propert y Detai l Informatio n Pag e 1 o f 3

.BBBiB B 

### r T > 

### C\A L• 

### --• ; - - : . , ;r--'I F' 

# • (Rpffp r Mtirnssey ~ I 1 

# = (Dougta s Count y Assessor

Prin t thi s pag e Owne rInformation : Owne rName : HETRIC KMARILY N Mailin g Address : 430 3 PATRIC KAV E OMAHA , N E 68111-000 0 

### Propert yInformation : Ke yNumber : 197 1 000 0 0 8 Accoun t Type : Residentia l Parce l Number : 081971000 0 Parce l Address : 430 3 PATRIC KA V OMAHA , 68111-000 0 

### Previou s Assesse d Value : $4020 0

Curren t Assesse d Value : $4020 0 Ta xLev yInformation : CIT YCOUNT YBUILDIN G DOUGLA S COUNTY OMAH APUBLI C SCHOO L DISTRIC T EDUCATIONA L SERVIC E UNI T01 9 METROPOLITA N COMMUNITYCOLLEG E CIT YO F OMAH A PAPI O NATURA L RESOURC E DISTRIC T OMAH ATRANSI TAUTHORIT Y


### Tota l Levy Vie wDougla s Count yTreasurer' s Ta xHistoryInformatio n Las t Updated : 3/23/200 7
« Perfor m a Ne wValuatio n Searc h

.0109 6 .2614 4 1.1993 0 .0150 0 .0674 0 .43387 .03844 .0487 1 .0000 0 .0000 0 2.0751 2

http://webarc.co.douglas.ne.us/dcassessor/details.asp?Name=&Address=4303+patrick+av .. . 4/23/200 7

### Propert y Detai l Informatio n Pag e 2 o f 3 i 

### Parce l Characteristics : Lega l Description : CLIFTO N HIL L LOT1 BLOC K1 5 5 0 X 8 2 Parce l Size : Acres : 0.0 9 Sq
. Ft. : 410 0 Please Note : Th e legal descriptio n above i s a courtesyprovide d fo rassessmen t purposes an d i s no t intende d fo r us e i n legal instruments . 

### Sale s Information : N o Sale s Dat a Availabl e Buildin g Characteristics : Buildin g Number : 0 1 Buildin g Size : 104 0 sq.ft
. Yea rBuilt : 1895 Condition : Fai r Quality : Fai r Exterior : Fram e Sidin g Units : 1 Bedrooms : 1 Baths : 1 Garage : Garag e Size : 

### PropertyPhotos/Sketches :

430 3 PATRIC KA V

RANC H PARTIA L eStvTT
Clic k Here T o Enlarg e Imag e Clic k Here T o Enlarg e Imag e 

## Vie wParce l Ma p Th e Dougla s CountyAssessor' s offic e make s everyeffor t t o produc e an d publis h th e mos t curren t an d accurat e informatio n possible . N o warranties , expresse d o rimplied , are provide d fo rth e dat a herein , it s us e o rinterpretation . ©

Copyrigh t 2003 , Dougla s CountyAssessor' s Offic e 

### http://webarc.co.douglas.ne.us/dcassessor/details.asp?Name=&Address=4303+patrick+av .. . 4/23/200 7Fin d Recor d dea n U p Quer y Lead Remainin g Quer yPropert yDamag e Quer y Clos e 

### Sampl e Area : 2708 1 - 430 3 PATRIC KAV Owner : Resident : Contract : L J Owne rOccupie d Owne rName : 

## IHETRIC KMARILY N Owne rAddres s 1 : Residen t Name : HETRIC KMARILY N Propert yAddress : 430 3 PATRIC KAV Contractor : JPRUDENT200 7 Group : 1 Owne rAddress2 : (430 3 PATRIC KAV E City : State : Zi p Code : 

## (OMAH A|N E |68i n Owne rPhone : Alternat e Phone : |/.jp|T \ i-r o CC4. 7 1 T

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### SOS-34 M Zi p Code : 6811 1 Residen t Phon e Assessment : Qualifyin g Grou p |80 0 Assessmen t XR F Date : Assessmen t Ma xXR F Value : 914.0 5 

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