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<br /> 221-A—MECHANIC'S LIEN (Revised 1962) The H H o Ge erul Supply House, Lincoln,Nebr.
<br /> March 8, 1976 ' '~
<br /> Lien claimed by: t 9
<br /> Ii Spelts-Schultz Lumber co. Of 0.raf).d..laland Against:..Goxrz..11,ae...Howazd
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<br /> c ' Address Greed Iaf and,,.,Ngbraaka b&tiAl 218 N. Darr, Grand Island NE 68801 ''
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<br /> II ty 76 Dr. Cr. ,'
<br /> 41s I = '-
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<br /> Copy of materials incorporated - see attached li
<br /> I1 !I Exhibit A $ 857 13
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<br /> , r ;I Less payments: 10-6-75 $ 5Q L.
<br /> } 11-11-75 i1 30 00
<br /> 4
<br /> 12-6-75 [ 30 00
<br /> g 12-8-75 r 30 00
<br /> i 1 •
<br /> 2-17-76 �I 40 00
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<br /> IIr
<br /> ar I. E
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<br /> , Total I -477 L1-3
<br /> vState of
<br /> Nebraska
<br /> ss.
<br /> i _ Hall County}
<br /> d ! Affiant', John W. Schultz,_jr„...PF..esldent.,...SDe1X.s-S.chjultz..Lumbt'x..Io.....of...Grand being first
<br /> duly sworn,on his oath says that the foregoing itemised account of antsxl„xln moxxkul c
<br /> Island
<br /> materials,and improvements is true and correct: that same were done and rtsnfnXttilittltnit furnished by the undersigned I
<br /> ( I for the said Cora Mae Howard
<br /> 6. ander a' verbal contract
<br /> improvements
<br /> V''' forthc'
<br /> of a building
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<br /> L.;',-.' on the following lot,piece or parcel of land,Mc:. Lot 4, Block 31, Packer & Barr's
<br /> second addition to the city of Grand Island, Nebraska
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<br /> That at the time said contract was made and labor and materials furnished and delivered thereunder
<br /> Cora Mae Howard
<br /> was the owner of said premises'
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<br /> That the date of the first item furnished and delivered war Sentember..11.,...19.7.5. and the .
<br /> date of the last item was December 8, 1975
<br /> Affiant further states that said lithottracastOmflonnaricsattxonticmaterials were furnished for,delivered at, and used in
<br /> I said building or premises on and between the dates specified.
<br /> That the prices charged therefor are fair and reasonable, and that there is now due on said account the sum of
<br /> f I Six..bundred_.seventy-seven...and..1311o11 C$6.7.7._la). _Dollars, that said° i
<br /> Spelts-Schultz Lumber Co. of Grand Island, Grand Island, Nebraska
<br /> f.,,' claims a lien on the said premises for the full amount of
<br /> said account, to wit: The sum of$..f72...13 together with interest thereon at the legal rate, I
<br /> from the-..11Tb`r44day of September ..— , 75 ..,.and further affiant says not.
<br /> Spel.fs-SJiul Lum o ,Co , 1}drI'sly1nd
<br /> al , n" �, By:l �. p
<br /> 1 7 . Joh- 9. sc',IP - de.
<br /> SEAL " ubsc in myor,.`tiOdawmrn . befotre me this ,f.L.1e.
<br /> 1 d r ,......4?...'-• ,a 4..„,_,),,, . �IL.1Lnt7M'Nebraska
<br /> .0',2 I ....7.ft...
<br /> • i r , e—�•
<br /> JANUARY
<br /> Ennio. I Ls( f [11
<br /> - r 3.k`.. 29.19- 1 ,Li..�P.GL ✓,.�! LS'•_�Cct�...
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<br /> (See reverse side Thr instructions) Notary Public. `-..'k
<br /> I � iNr °°fi^
<br /> I STATE OF Entered on numerical index and filed for record a ':i
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<br /> County } in the Register of Deeds Office of said County the !
<br /> .day of 19 at o'clock and minutes M.,
<br /> ', and recorded in Book..._.................._. of at page
<br /> Reg. of Deeds
<br /> Hy Deputy
<br /> LL : :.
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