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<br /> r4,�a�+z,rs. .«�.�.�.,,.r ro.....e,...........
<br /> ' 77- (�0'7 567
<br /> December 29 77
<br /> .._.................. .........__..........._..........._...._...____._.... ._...._..............._....., 19._._..._
<br /> ( DON WItdI+'REY, d/b/a, WZNFREY ELECTRIC �
<br /> P.O. Box 421, Grand Island, NE 68801
<br /> � S.M. Shakelf ord & 'Susan Shakelford
<br /> To......2�006'"Ea�'t" Capi�t'aI._Avenue...._.._............_.....__.......Dr.
<br /> Grand Island, Nebraska �68801 �,
<br /> Dnte Item ' � Price Amount
<br /> SEE ATTACHED EXHIBIT "A"
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<br /> STATE OF NEF3fiASKA,
<br /> Ha 11 Y �'�'
<br /> ___ _.._........._..._...._.____Count ,
<br /> ..DQ�..Flin.fx.ey......d1..h1.a.....lelinfra�...Electr.ic............ ......_.._. being first duly �wo�a deporea and as�ys:
<br /> i11 'fhxt the foirgoing is a true and mrrect account of wo:': done and materials furnlsheci.and the lolbw,it� �
<br /> �s n statement and �lption of the work done and materials furnished, and a description o! the aitld�s �
<br /> repaiKd, altered and enhanced in value by.....e1�.�.C.x'.k�.��. F!lOx'k... .�.i1�.�.s�.]..l.�.t.�s?1R.,.....t.n,��.�r.�a1.$_...._....
<br /> tor .....__... _ . . ..._.... _ _ ____. _ ._ ._ ._._. .. .......
<br /> _ ...._.....
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<br /> �D��riptipn;� Part of the South Half of the Southwest Quarter of Sect ion
<br /> Three (3), Township Eleven (11) , North, Range 9, West of the 6th P.M. , Hall
<br /> County, Nebraska, more particularly described as beginning at a point 1383.2�
<br /> East of the SW corner of Sec. 3, thence North 516' ; thence East 55 ' ; thence
<br /> South 516' ; thence Nor h 55' to th oint of be innin�
<br /> 12) That the work done, asate� furnlshed an�a�icies repaind a�id alterea�were at the request and wit3�
<br /> the aunsent of the owner.__S._.M......Shakelf ar.d...and._.Susan Shake.lf ord
<br /> i3} �t the date of the first item hunished was._.December ._6..,..__.1977
<br /> ._ . .. ...._. ___...._...
<br /> suui the date of the last item was.. . ...... . ....... .... ___. .. ----.
<br /> . ._ .. ..D.�.c.�ber....22, 1�_77 . ______....._........ . .. _.
<br /> ' t4) AlYiant furtber saya that said work done, materials furnished and the articles p
<br /> re�paired and altered w+cs�e
<br /> on and hetwred�the dates cpecitied �t the prioes char�ed therefor f � y��tt,aee
<br /> E�due oz�aajd aciwunt tlre sum ot 5....�.--{-�.�..`..'"....................._...__..._and that said �on�inPre��d/b/a.--Rrnft Y
<br /> .,�,tric ...._.....claims a liea oa seid property for said amount, with intereat at._.9. . ...... �z
<br /> ha�...._3�.c.emhEr•_22.....147Z_....... ._...__..._..........._.._....._.. P�'cent per siuxLn �
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<br /> ....„�,/_.o-i".T._..._.`2c�..�_... ......_.. . I �;.:.
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<br /> . ��wra�r-wrrw.r� � _. ._. ._._._......ti..._. _. _ .�
<br /> .tc�+w R.awaww� 9u�txibed is�mY Pi'eeenoe and swwott� one me thlc.�`1't_.�.. ____. "
<br /> �rraw�.ts.s.o�.e.��e► dayoi....._...pe�4::-::..!I�Q^ _,ls_�7 `
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<br /> My ca�runissfon e __..... ............._....................'................._..,19..._....... �
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<br /> \ Notary Htblic "
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