|
f1r;)' I
<br /> f1��i
<br /> y 221•A—MECHANICS LIEN(Revised 1962) The tiridmon 1,enerol Sapplr
<br /> HouleLlnenln,Nebr.
<br /> ,
<br /> '1
<br /> February f) t9j Lien claimed by:
<br /> •
<br /> ' S.A.'oster Lumber CotnpA;ny,, a'Nebrtiskaigainst .._.H . Dena1d Tracy h..
<br /> ` ddipoution 222 Nerth Aarr
<br /> iCi ant9 I1�larld,,. Ile b8&)1
<br /> P,, Nay .7__..Z - lak .#..72954._._.Slhitrge.: I i4:`L.. '_.. ...::. ....._..: {
<br /> t
<br /> Nay...L. Z' Tia1tg �..IR04$ Q1).4reg 18) 90
<br /> Pt "� „Max.7~---7.5: .Tiakn _.f.t..22.9.4.E ' i`uaxt�4- 451 29
<br /> 1
<br /> " .t otl..2.__...7. .T1altat.G`.:Z424.5 OrgsL.:t . 22 7;.. '
<br /> f , Finance charge to date January 26i 1976 29 40
<br /> i ,
<br /> r
<br /> r •, �
<br /> �. }r
<br /> r - 1 f
<br /> I
<br /> '. 1. ..._.�.._�_.___..Jt Tota1 IL 9.90: 54_ i'
<br /> IState of Pte.kx:A.41411
<br /> H€t l l ss.
<br /> County
<br /> A nt Fps .�fi._Si d.I 1??� , Pres e � o S 0A. Fog ter Lumber Company�1° P y , being first I
<br /> i: dulysworn,on his oath says that the foregoing itemiced aecount of work,labor,skill I
<br /> ;, materials,and improvements is true and correct: that sante were done and.performed and furbished by the undersigned,
<br /> for the said l
<br /> under a*,....oxlil contract f
<br /> a for the* .Hui.1dir1 ..... ........... of a...Qa.ragi t' 1.
<br /> pieceparcelof _. Loi 5.. Block 31. Pa c t t n i,
<br /> on the:followinglot, or land,vi-:--....__... n_..... 41 �x::..31�d...�X:...fL..s.I1sJ ..._.... �I
<br /> _4Iti.iti.Qt1...t.u..C.istY....P.P... r.anicl_..1.aland.,...Hu.1.1._.flauni r,....N br.a.sica ii
<br /> 1.
<br /> I1
<br /> i That at the time said contract was made and labor and materials furnished and delivered thereunder .1I
<br /> was the owner of said premises' i
<br /> It
<br /> t :
<br /> i1 That the date of the first item furnished and delivered exms...I`ID.?Leint r.....7.,...:f X75 and.the it
<br /> ,t
<br /> date of the last item teas November 7., 1975
<br /> Ajflant further states that said labor was performed on, and materials were furnished for,delivered at,and used in
<br /> I1 said building or premises on and between the dates specified, I
<br /> 1 That the prices charged therefor are fair and reasonable,and that there is now due on said account the sum of ,i
<br /> !; Nine Hundred Ninety and 54/100
<br /> Ninety Dollars, that said'` ;1
<br /> S rl Foster Lumber Company ii
<br /> claims a lien on the said premises for the full amount of ;
<br /> 4 said account, to-wit The sum of$ 9.9Q.a5.4..._. together with interest thereon at the legal rate, ;; •
<br /> 4 from the a.6 day of Ja,Puars tp76 and further affiant says not. 11
<br /> Sta. 'oatex..S4unlbfar.. ml1any4_.N 4x.4.0.ka,covnor.at•1.n.... 1
<br /> ....................... . President I
<br /> Ctt1 t.
<br /> 7a4 t[EN R SHIHN Subscribed in my presence and sworn to before one this
<br /> 6th 3
<br /> I
<br /> Iiih`day of .........Februapy f ,1q (
<br /> f:Gr..: .t ,c c.�-1,Y
<br /> I • (See reverse side for instructions): Notary Public.
<br /> OF STATE
<br /> Entered on numerical index and filed for recordH h
<br /> ss
<br /> ' County ;.. .__.........- .._ _..:.: ......:._.....<...} in the Register of Deeds Office of oak!County the ,'
<br /> day of. - _.. at 19 — ........._ o'clock and _minutes......................M... ,,
<br /> e - and recorded in Book.,.... _ of at page
<br /> it
<br /> Ilea. of Deeds
<br /> RY 1),Jtuty ,�
<br /> ff
<br /> ` I q .,f
<br /> ', i
<br /> r �;; `,
<br />
|