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I � <br /> :: i _ > >,; <br /> �,' $$1—�CHAxiCs L� �7-_.�.�7_4.41 '1'he Hu9m�n Gen<r�l SuDP1Y lloux. Lincoln, NeLr � <br /> � f.. � . . . . ... . ___.... . . ._... _ ....___ ...._... _. ... . . . . _. . .... . . .. ._ . . .. ....,,...«.. ._... <br /> ' Liew cl�med b�: ...--...__.Decembe..r....2.�., _......f 77 <br /> ) . ____-........... . y.....__ , <br /> � i Hoppe. Lumber & Concrete..Company Agais,st:...Jot►n_Dhillon,._.Inc., . , ....__,_ .._._ ' I <br /> ' i '�� 325��1�ort�i��E1m�Street 1012 S. Shady Bend Road <br /> Add•ass._.Grand, I.s.land.s_..Nebrastca 68801.. . .............G�qzt�1..�.s.1,szL�,...N�t�?r�akca....6.8.&Ul.. ' <br /> '; 1 ig...-----... Ut. Cr. i <br /> ! _____ _.For__concrete__f�rnished �nd__building____;'i_________�_ ; <br /> ----------- - ------ ---------- -- � <br /> --�teri���__�u.rs�i_stx.ed._f_o�_��k�s�e���is.l- -_---,i&15_,7�. _y� ---------(--------- <br /> ----------- --- ------ - - <br /> --------------- ----- construction.----- --- - -- ----------- , ' <br /> - --- - ---- -, <br /> --------------- ------ ---------------------------------------- . --------------------------tst�tement-- -�r_ ed�E�hibit <br /> --------------- ------ <br /> °A'� and i cor orate}d her�- <br /> - --------•-------------------- ------------------------------:--- -------------- ------ ------------------- <br /> --------------- - ��-�.------- in jjas tho h ully �set <br /> -------------- - I�--------------------------------------------------------------------•�r------------- ----- --•---------------- <br /> --•----------- --------------------------- - -- - --------- --------- fo�+th her in. <br /> ----��--------- ------- ,-------------- ------ ---------I <br /> , ------ <br /> ' -------------- ----��------------------------_ ----- --- I �---•---- <br /> ------------------- --------------------- ------ ------------- ---- <br /> ,� , , <br /> -------------- -----�-- -------------- ------- -- --- - --- -- <br /> -- --------- --�------------ ------ --------�---------- ' <br /> , �,, � <br /> ------------ -----; --------------------- ------- -- --- <br /> ---- -- ----- ;'---------�---- <br /> . ---- ------------------- <br /> 'r I <br /> -------------- ------�,�--- ------- - -- -- -------_ ---- --------- <br /> __-------- ---- ---- -- ----- ------- ---- ------ � <br /> -------------- -----''�---- --- -.. -- ----------- - --- - - ----- ._- ----- ------- - ---- -- <br /> ----------- - ---'�: .__--- ---- - -- --- - ---- --- - --------------.._.__._ :' - -- -- <br /> „ <br /> - -- <br /> -----------� --- - ----------�-- --- <br /> Srarc of_...Nebraska. _....__.. <br /> _ <br /> He 11 ss. <br /> .................- ........._.._....... Counf�, <br /> A�ar�, ._Robert Peshek, Vice-President of Hoppe Lurnber & Concrete Co be�n9 �;�Sr <br /> __..... .. _..__....._...... <br /> duly su•or„, on his oath sayr thut Nee foreqoing itemi_�ed cucount of work, lnGor,skill_.....__.._. -_ ._ ___ ___.___ ... <br /> fnaterials, and i»tprovrments is true and rorrert: that same u�e�c donr und rrrfurmed and furnisk�•d h� the undersigned <br /> fo. th� sa;d ....John .Dhillon, .,Inc._,___. ._ _ _ <br /> _ __. ..___ __ ___ _ _ _ _.._._ . _._. <br /> uxder a° -.._-.__.YEZ�al_ ......_..._ -_..... contract._.. ....... <br /> _...._ ____ _ _ __. . ____ ____ - <br /> ro.ehe'._..m�terir�l.__fuzni_�h��i...for_ r�siden.��al_.construct.i.on _ _ <br /> _. _ _ _. .._... . <br /> , _. . .....__ _____- -_. _ __ __._ _..._. ... .. _ _ ._..... _ - -._.. _ _. .. __ .__.. _. ._.. .._ ......._......_. <br /> on thc fo!lox�hn�lot, piere nr parccl of land, :���:�._..I�Ot..3.,...Bi.�hop...He.ights _Third__S_ubd_ivision� ' <br /> . .. <br /> _..... _k�.11..County... .Nabze.ska.--......._. _ __ ..__ __ ___. ____._.. <br /> _._ ..... ....... <br /> ... ........_. ...__.__. _._ _ . ........ __....._... ..___ .. ...._. _ ._______ __ _ _..._.__..._ ..__ ._ ._. _. . _ <br /> . ............. ... .. . .......... _..._ __. _...__._ .._.. _..__......__ _ . __. ..___... ..___ .___..._..__ <br /> T'hat at thr tiuie sniJ contract zn�as rnade rrnd labor axd wtaterials Ji+rnished n+�d dc[iz�ered thereuxder...__.._...__...._ <br /> John Dhillon, IriC. � _ ....._x.�as tJie oxe�rter of said prcmises" , <br /> .. ..... __ _.....- -..... ._..____ ___ _...... __ _____ .__. <br /> .....___.... ._._.__.___. ._...... ._ ___... -..._. .. __._..._ ._.._.._.._ .._ __ . __ _ _ _ _.... _ . _ _ _._ .... ._. . ._ .__ , <br /> _... . .._._.... .... .... . ___ __ _ __ _ ... _ _ _ <br /> _ _ ___ .._.._._..__.. __._.. <br /> ...... ... _... _... ._ __._..__...... .._ _._...____. _.._ __... _ _ .__ __ _ _- <br /> 7'hat the date of fl�e frrst item furnished a„d delivered u�s__ _F�.t?X.U�0.��C__�$�1977___, .__ __ und thr <br /> � _..- <br /> date oj tke last item u�as.._..September 10 1977. <br /> -.....� . . ......_ ___._.. ... .. __._..___ _ _ _._ _ ._ _.._.._._..... ____. <br /> Aj/'iawt further states tkat said laGor was perjormed on, and raateruils ze�ere furnishe�d �or, d<�lix�ered a!, and ased rn <br /> said bui/diwg or p�crsaises ort and 6etweex the dntes sretij�eJ. <br /> That tkn prires �harged tbeiefor are fair and reasonah/e, nnd ehat there sr nor,� due on said r.rcount the sum of <br /> I Fifteen Thousand Seven Hundred Sixtv-Eight and 49/100 -----, <br /> . _....., .,�... rFar .s,:id. <br /> __ .,..,.,�, . <br /> Hoppe Lumber and Concrete..Coa�any <br /> � _ ._ _ _ __ _ _ . - _ rinims n lirn un the saiJ j+rri��ie'es fos Ihe Jull amaunt of <br /> _.._._..... _ _. . _ <br /> ; f$ 15.�.76�..�k4..._._.... __....togcther ;vith interest fhereon at tJie legal ratr, <br /> � sa+d accox+it, tu-sxnt: The sr� u _ . _. .. <br /> i 1+'o+w the---lOth _ .day of...... Sep.tcmber .... � __ . ., ry�� ._.., axd furthcr ogrant say�s not. ., <br /> �1�1��111���rr�M�� ..................• ---/.._. " . ..... . . ....�y. -�.....y.� __.... _..._ <br /> � ) Y p <br /> I /�.. <br /> �t �A�1► !_�-t91..�.G1.l�l.'..l..1-r C���..�!�.. � � , ,w <br /> �.M K ............. ..... �., <br /> � ._........................ ... ...............-----........._........._.........___. <br /> , � ' <br /> CFA7. CsFhsrrih�d iw m�� p•r�enrr ard rTrorn tn hcf�re mc !l:is.._...__ _< _�_ _ <br /> �� i /� . _. ..__ . <br /> i day of ............h�(: :.>-'.._ _____. .._._ .._.. .../f�. l/. .. <br /> ___ <br /> ' , /L�✓..'.'i� --- <br /> �tT'�.` -,� <br /> (See revcrse side for instructions) Nor,�>l ('uldi<. <br /> -:.._ a s:� ... _.. _ .. . . . .. _ . .. , : � <br />