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<br /> CONTRACT'dN(3 OWNEA OR BUCCF.$.90R IN
<br /> INIZREB't5 REAL ESTATE:
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<br /> ..�Jass �
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<br /> CLAIMANT: CLAIMANT CONTRACTED W1TFi:
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<br /> �pbo�� (Phone)
<br /> $ERVICFS OIi MATERIAI.4 F[1RIIISHED BY CL�UMANT: �.!'F.L3QR......�.:.........1�11.�..�..�.� .R...I.../.�....I.................
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<br /> corrrx�cr Pxie�: i�•..�..�.7..�.d..j.................. AMOUNT UNP in: s�,�..Y�'....�'.��..._.,rtJ, ��,
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<br /> ............/}G'C�Q'� i•y' fNl'�'Rt�
<br /> TIMF I.ABT'SERVICFS OR 1NATERIAL.'3 FURDTISHED: ..r�.."':.�...�.''..Z..�'"...... ?f ..........................�..................................
<br /> 9tate of....`,��.�....
<br /> / /�Q ee. ........ .. ........................................................................
<br /> .......................1.�.GLeC�r:..........Coanty . ' S' re o Claimanit
<br /> On thi� .......�.�.. dqy of ...... ... . . .. . .......... ,19 Q.SI.,before me n Notaiy Public in and for
<br /> ..
<br /> said counb'�Personally cs�me .... . . . .. ... ... .�.............................to me known to be the ideatiral peiyon or
<br /> p�rwn� who �xuted the to in�Crum�nt,aad�nowl�d the ume ,hu, or roinnt�r��d ani
<br /> �d. fE�IL10�11�IMtlnt1�
<br /> GRACE SCHNASe
<br /> f�wa R4001 ................................, .. ....... ....... ......�........._..............
<br /> Notuy Public.
<br /> My commiwion expire�tha................._..........dqy o�..................__............................,19.............
<br /> 3TA'1'�OF....................................................................1 Entered on nuraaical indeu sr�d giled for reoo�d
<br /> S.�
<br /> County of......................................................................�-- in the Regi�ter of flea�Offioe of�aid County the �I
<br /> ....................day of........................................, 19............, at......................................o'cicek and........................minute�..................M.,
<br /> endreoorded in Bouk.............................of..........................-••.at paga..............................
<br />- ................................................................................R�.of Deed�
<br /> By......................................................................................Deputy
<br /> � -- --- —�-�-
<br /> -- ..�.
<br /> Rev.6/95
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