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<br /> I 221•A—MECHANIC'S LIEN (Revlsed 1962j it�� Ane:�o��c����r�� ;u�piy i��se,Li�coi�,i•r<br. ,
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<br /> ' !i .........FitkU�e..�1�Gtxi�a..�I�,Q......................................... dgainst:.....Fd..JeTI}c]U�.S...P�,xSADd].i�sd..k1�S........ i
<br /> ` '' Address..2623 W..Forrest,.Grand Island,..NE..68801.................................................................................................. j
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<br /> ` %, ': I A/}ianP, ....---_�e..�,azl,sc�fl,..Esesident,...F.uttlr�.Ele.ctric,...Inc........................................-....--_...., being(rst i
<br /> � ,!; du(y szuorn,on his oath snys that the forrgoirtg itemi:ed accow�f nf work,labor,ski!1......................_-_..........-_--.-.-----.•-_. i
<br /> � i �natcrials,and improvemcnts is lr�ec and ccrrect: thut smae wcre dane mid/�erfarvied and furnished by the undersigned 1
<br /> '� ' i for fhe said....._......Fd.Jenkiris,...PerSOAali.Zed..Fia[�s................................. _.........................---....----......-------•--••- -- �
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<br /> i ' I on the�o!/owing lot,piece or pnrrcl nj Im:d,sh�:'.....Illt..�.44..SE.HL'tqhtS.Fatlrth.�uhd1V.].S].OA�.......__-•.-.-- -- {
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<br /> IHall_CountY.�..Nebraska....._...... .............. ..... ...............................................................................................- --• �
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<br /> `I ; I' � Tl:at at thc lime said cor�tract ua.r madr mid latiar mui n�atcrinls jernisiicrf nnd drliv��rzd tl�crcunder---........._........_ '
<br /> : ; " I Ed...IC:n1t7L1S...kP.TSQI]c111ZC'C1..HS�Sa.........................--.................._....._..........---........_:c�u tJ�e o;xmer ai said ¢reonis:s' j .
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<br /> � T'!mt the date of fhe �rst itern jur»ishcd and delivered tt'cs.........................�C�a.-.aQy_-],9.7$.r.---....._.. and tke ;
<br /> �. . j date of the last item xoas....g��:uarp.._23,...1.�7b_-----_...... .....................----�--•---- !
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<br /> � � Affiant fusther sta!es that said labor tans perfor�r.c�ori, r.r�d mnt�ricls zecre fa�'riished for, dclivered at,and used ies �
<br /> � taid building os pre>niscs on and 6ctwren the dates spcci/ird. '
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<br /> That the p�ices charged lhrre(or ere fois m:d reasoneble,mid ll:at tJeere ia r�nzu due on said aeeount fhe sum oj i
<br /> ! i -----One Thousand ZWo Huncired Fo and no/100---------- �
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<br /> ' ' � ..............��g.F.lartrjL*..Tne_....---....._..............................claims a liru o�� t1�e said/�remisfs JoY t{tC(Itll atnount of ;
<br /> ° j said account, to-vr't: The sum a� t......1.,29II�OD••--•-�-��--�--- --�-����---•tugeiFrer rvitl� interes: Shcrcon nt the lcga! ratc, �
<br /> ' rom the..,z�IK�....._.do a k:Qb.X17r'��X-------------•-........-...................---� Ig.--��--.., msd further a�rynnt says noi. !
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<br /> i` :. . i w JANELIE LEMBURG ...,'_'......�../......" -_•' /7������ . . ' .
<br /> � � �� � GENERAL NOTARY .....�7'l1'-�-'...`.c-`.'=-.-"'�!:�.................................... _.._...............__-"'_'•"'_-""_'-'.... i
<br /> ' � �, Gene Carlson, President.
<br /> I State of Ne6rasha
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<br /> 4 _. Ny C^mmfs lon EKpires.._..............."_"....""'....._........... i
<br /> �EAL n��� 1 i��� J'ubscribed in ray presence and suorn to beJore me this.......�2.�}..._.................... �
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<br /> � day of ...............r7a]t--..._.....................,.�..� ............<„_--•-•, 9.�i�...../�
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<br /> ' i (Sec reverse side for instructions j Notary 'c. :, ,_,'
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<br /> � ��.� in lhu R"l;�ster ofrD,ed.s Otlice of nid Couni� du� ! � � i�" ' .
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