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<br /> �� I 'jZi�+KfiCHAKl .� j.�.� A The HuHman Cienenl Suyply Iiouce, L culn, Nebr. '
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<br /> I! I LieK cloirwed by: .......•--...__...........December...22�....-.--........._.....ry.77....;
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<br /> ;i •-••HoD.� ?-- _ _-.�..0 .� ��.B..�QJ97i2�t�1y....._. Agaiwsr.--�-�---��--John Dhillon�....Inc.•......._.. ...... � '
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<br /> I � 32�orth Elm �treet 1i512���S: sri8ay Bend Road � ' �
<br /> �i Add��sr....Grand._.Islancl_,...Nebr�s,k.�,}___68$O1, .....Gr�a.►d...Is1�nd,...N�t?r�ll3�Sdd...f2.&��
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<br /> i� _reaidential_construction_______________ ___ _ _ 3 660 6 � '
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<br /> �����' � Ag�o,.r=, .RQber..�_P�she.k._Yi�e-�resident..�f_.Ho��e. Lumber &._Conczete..C.o., 6Mny ��se '
<br /> ! � dwly su�orn, oa his oath says that the foreyoing itemiced acrouet of work, la6or, ,rki/l........_....____ __ ._. _ . '
<br /> ;' i twaterials, axd smprovrmexts is true and corsect: that same were done and perfornied and fiirnrshrd hy the underrigned ;
<br /> ; � for tke said_......IChn..Dh.111Cn�....II1C�.y -........... .... ....__..___.___._ . . _ i,
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<br /> � fovtkea IOSCerial furnished for residential construction ;
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<br /> ;! ; on the follouKng lot,piece or purte!of IanJ,vi�:•__..LO�_,.�z,.,,Bi_$hop,_,Heights..Third._.Subdiyision�. !'�
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<br /> ' � That at the ti���e said rowtract was +rtade axd dabor and materia[s furnished and dclivrred therexnder_ __...... _._.. '
<br /> ' _ .-.--..--....... .... JOhn.Dhi110t1x...IT1C..:....---._.. .._.._.... .............___.___.... ....:z�as the ozammer o/said p�e�eres' '
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<br /> '� : That the date of ll�e j�rst itewt furuished axd delivered z�ns_ ...1�1T1C..27.,_-19.�_7.�_ ...___.._ _ _..__.. and the
<br /> ; date af ehe lust ite�n was.....p►_?:1$u8t.-?5�--.-19.77. ......_. '
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<br /> � ' Affiaxt jurther states ihat said lahor was perforr�ed ox, awd nu3tesials were furxishrd for, d�liz�erzd ut, and used in ,
<br /> � ; said brildixg or Qre�nni.res ow axd 6efweex tke dates specified.
<br /> Tl+at the ¢riees cha.iged tkerefor a�e fair awd feaso+�a6le, axd that there is nozc� due or said a�couwt the su+ra of '
<br /> ;; f Thirteen Thousand Six .H�red__Sixty and.62,�100_------------ ��oua.s, «r snid' i
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<br /> {i { Ho�pe Lumber a21$ COIIC1Yt� CO�laA�±. .. ._claims a liex or the said premises /or the frll ar�orwt of I
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<br /> �f � snsd oetor�t, lo-wJt: Tks arau of ,f_�:�.�.6�2Qa.�?Z..._..._..._.......__-...toyether with irterest thereox at !he legal �ate. , �
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