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<br /> ` �� 221—MECHAN2C'S LYEN z��e x r c�ner L Supply ]ious, Lincoln, Nebc P �
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<br /> �� All u5t 18. � ,
<br /> � Lien clain:ed by: .. .. .:... . ...�-- --... _ . . .__....... .:_..ry.��--- �
<br /> = Glenn Hollister 'd/b/a Wa1�er Td' He"rme's and"'""" f
<br /> � �ilistes...Cr�nt..C.act3x'ig.:. .... �ga:nst:Mable A Hermes, St. Ten � i� ' '
<br /> 72U W 17th gt ��
<br /> ` � ' poniplzan. NE 68832 ......::. .:Grand._Island, NE-- 688�1 .. ..-- � �
<br /> Addxess ... ...._..,.... .............. . . .........
<br /> � _sy77:._.. Dr. Cr. �
<br /> ; 3
<br /> May 23r t ough June 28, 1977 �
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<br /> { ,Invoice __of Chicago Lumber__Co for mat.erzal_s _Nos
<br /> „ 21873.`3 036' 32133.32131.32067 32286.32221.32373 � --- �(
<br /> ; 3�-37�-:-3- 3-�9}.-8y '.r3{a�l�. 3-'sz''-9�5.3-3�4�z''�5, 33-3-2?j3-3S0-2-� -- ------ --- --- ��
<br /> j �� 33803,3 063 34064,34428,34387,�4379,36012 36217,
<br /> ; ��� �:6�23,3 309 �o�a7. 7. �TF3' �7' � � 1
<br /> � � -- -- - ------- ---- ---- --- ----- ---- --
<br /> � � Inv fo Mi ler' s Appliances, Inc_ No. A4361 � p
<br /> � for ran e-h od' ---------- -- ----- ---- q,� - ---- r --- �E
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<br /> a �riv:-'�'"r m nieT�s�Iea£3n & �ir �ond--"3a�ed""SJ`2617? --- " ""--" " "- # i�
<br /> , � matez' -- --�� - ----- -------------- ------�- -- 6 32 � _ �,
<br /> ; TOTAL l,687.86 +E
<br /> ' �� •- ---- -- ----- --` - �--- ---------- ------ -�---- �
<br /> - � ` IE La'bo'r p r�o mec7 �rom I�3ay 2 3,�--1"577--�TirougTz-J'urie-28-;-' "" '- �E
<br /> % �� ��9-'�'� --� ----------------------------------------------- ---�.-7_5.0-. 4 I -- --- � �E
<br /> --'-
<br /> _ :_Total_labor_and material _ _ 4,437.86 ( � ,
<br /> 3 � 7/29/77 Pa ial payment for labor ancl matera.als ` � $ �79:$ �
<br /> �i --- -------- ----- � -----. .----- --------- -------- ----�---- -------- �------------- ----- ------ � � �
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<br /> ; � Less mo t advanced at start of project + _ 850 0�
<br /> --- -- ---------------------------------------------- --- - -
<br /> t � � -------Total_due------------�---�-. 3Q� QQ-- ----- ----------- � ��
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<br /> , � Ne}�raska
<br /> j State of ' ..._...l {�
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<br /> ; � ..,__ , .._Hall... .......... Cot�ntyJ ��
<br /> � ' ' Glenn Hollister d/b/a Hollister Contracting � ��
<br /> i � �I�iant', .....__ :.-- ........:.....................�------ -._.. .------•-----..._-----..---�--��-•---•--�---.............---...---....._...__._ berng first � p{
<br /> + j dulv sworn, on his oath says that the foregoiug aterniaed accoz�nt of work,labor,shill...................:. ..:......... , f ��
<br /> .,�.
<br /> " s � �saterials,and imprnve�nents is traae a�id correct: tltat s¢me were dorie arcd¢erforme�l and furxuhed by the unders�gned �! `
<br /> ' f .. . .. . . . . . . ... ' ��
<br /> ' ; � for the said_I^I.a,7.�s:X'._.F7.,----�i�JC:ttlQS---s"3S14Z..Ms�Y?.1.�_.P.o-.:._H�rmes�---.�t....:ten..... .--•--.- •--.---- , ��
<br /> � � und¢s az , vet'bal -_- contract .- j
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<br /> , ! 8..:_..:_ remodelin dwelling �
<br /> � far the � ...: --...-•----.....-•----•-•---Of a -------... _... . ............•�--�--...__
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<br /> � on tke follozuang lot psece or parcel of land vi :4-••----•---._...----.............._--�-•---,..._....:.---...--�--...---•-�---..._---....._:_- 1
<br /> ` g Lot Seven (7), Bloc7c Twenty-Two (22), Schimmer's Addition in �o
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<br /> � Grand._Island�, xall Count Nebraska � �l
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<br /> 1 Tlawt at the tsn:e sa�d contract was s�oade¢nd labor and matersals furnished and delavered thercunder... ...... .:...... � ��I
<br /> ± � W�1ter W Hermes and Mable A Hermes, : ze�sethe owner of sa:d premues' � �5 Y
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<br /> ` May 23, 1977 and Uee � #�
<br /> � f � That t)ie date of tlie first stem furnished and delivered was ...-----._..--.•-----------------_---.--•----..-_..........._..._ � ��
<br /> � date of the lasl itean was..._:...._+Tt1T1�e:..2�..---.J._9.7_.7....... ......... .-•-----...------._ :....... -------.......--�- --..._._._.... ,
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<br /> � f1$sant fxariher states that said labor was¢erfortned on, arad nnaterials were fuo nished for, delivered at, and :�sed in � �i
<br /> r , � said building or prenzises on and between the dates specdfied. f
<br /> ¢ �
<br /> � Tha1 the prices thargeB therefor are foir and reasonable, a»d that there%s nozc�due on s¢id a�count the sum of t �
<br /> � ------------
<br /> �� One Thousand Three Hundred Eight & no/100 � j
<br /> �� :_ ....�..............•-•-----••--�-----....-----...--••--•--------...._._,. Dollars, that said' d I
<br /> ; �� to ether with interest thereon at the rate of 9% per annum and cost of fi �;ng
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<br /> ; '�� j thiS li�n ;.. Glenn Hollister �lal��ts ¢ Iscn on tlae s¢id p+•eniises foa�tl:e full amount of � ��
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<br /> said account, to wit: Tha sunx of $.l:t 308 00` ....__..togetlter with interest thereon at the legal rate, i �{
<br /> ' � ram rhe..£irst `..da� o. allow . .y law � ;
<br /> f ...,..._. 1 f ......__ .w_ 79 aud further a�'iant says not
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<br /> ;,, � ; Don�-p�"han; •TJ�...,. � ,
<br /> SLs4�, Sa�scribed in nt� reserace¢nd sze,�or�s to he ore ane tbu "�'.
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<br /> k (See reverse side for instructions) DUA►�ff,I�,� .Votar Public. ,
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