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<br /> ` 5TATE OF NEBRASKA )
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<br />�� MELVIN A. BEEft5, d/b/a MEL'S H�ATING & ATR CONDITIONING, `� {,��x�
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<br />� beinp, firet dulv ;.worn an oath, deposes end sa;ve that the itemized
<br />;y� a�count att¢ched hereto i� for work, labor, skill �nd materials
<br /> i� and is a true and correet account of the work, labor, skill and
<br />�� materials done and perPormed by Me1's Heating & Air Conditioning
<br />'�� for J'effre,y W. Kelly and Nancy S. Kelly, the ovmera oP a �tract
<br /> �� of land located within Hall County, Nebraska, upon which Tdel's
<br /> �
<br />,� Heating & Air Conditioning installed heating and sir conditioning,, '
<br />� said trac•b of land more particularly desaribed as:
<br />,;�
<br />�� The North Sixty-Five I'eet (65') of Lot Trro (2)
<br /> and tne South Ninety-Fiue I�'eet (95') of Lot
<br />� Three (3) in B1ock Four (l+�, Replat of F.iverside Acres,
<br />� an addition to the City of Grand Island, Ha11 County�
<br /> Nebraska.
<br /> f�
<br />;�. That at the time the said labor and materials were furnished and
<br /> , ;
<br /> � delivered to Jeffrey W, Kelly cind Nancy 5. Kelly, they were the
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<br /> owners of the land deseribed in the Count,y of Hall; that the labor
<br /> � was performed an and the me�terials f'urni�hed for and delivered at
<br /> and uaed in the inatallation of heating and air conditioning of
<br />:� said dwelling between �1:.�a`.� ��, 1•�'�d. � \ and �
<br /> � � 19 nG
<br /> � Af�iant further atatea that he does hereby nlaim a 7ien :�
<br /> �
<br /> ; on said dwelling 3n the Fu11 amount of the balance of the account,
<br /> y
<br /> to-wi:t: ONE THOUSAND I�'IVE HUNDRED NINE and 10/100 DOLLAFtS (�1;509.10),
<br />'� .
<br />,'; together with interest thereon as proVided by law,
<br /> . . � . . . . . � � - . . f;�
<br /> j FURTI�R AFFSAIJT 5AITH NOT. . Y,,I;� '��'
<br /> MELYTN-A. BEERS, d/b/a � ' � �
<br /> ; MEL'S HEATING & AIR CONDITTONING (
<br /> ,. �,� .I �.u�
<br /> �'/,/i� � �'��.
<br /> sar/,��1��/�y.2.� C[ 4� , p���_ °
<br /> �, , MELVIN A. BEERS "
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