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<br /> �I 221•A—MIECIiANIC'S LIEN (Revised 19Fi2) 7ha}7uRman Cen<n�aupp�y Nauee,Llncolc,Nebr. �i . .
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<br /> ij S�nt�mber 76 .. .� ' �.. '!
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<br /> ��� S..[�._..�"oster..Tumber._Companyt.._a.,.Nebra.eka,qgai»sr:A2n�,1.d....P.11.t:s�.h?x.... �
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<br /> i� Address.f�?2�...��.�.�5'.a K4........ ......... ........... ..............�:��od....i�.�..Y.�x.,...Pty.a................._............_..-----.. {;
<br /> ` f� tg............ Dr. Cr. �!
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<br /> $ �' A8'iantl, .�'o9.�gx...�l��d�uf�',...Presi�ent._�f--_S..A..__.F�ster...L,umber.,C�mpan�!_.........., ber'nghr.ct
<br /> if duly sworn,on hi�oath says that the joregoing itemized account o(work,labor,skill.. ..........................._--.--.---....... ... `;
<br /> � ;; materials,and improvernents is f�ue and cor�ecf: that smne xverc dorie and prrforntcd anJ furnislted bp the sindersigned �;
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<br /> i F `: 1 under a ................................................................ contract.........................._...........---...........----...................._......._......................_.... 1;
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<br /> ii on the following lot,piece or parce!o/land�Ztl�:�.I:S�.�._!}p._.S<�.-ri.�%��..._4'.�5.�.?.�'.�.}j...�.y...i..�'s.�'c.�...J.._6eQ.�...�..._....••__ �';
<br /> '' exce�t wester� i .
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<br /> �j That at the tin�e snid conEract u�as mnde and labos and materials(urnished and delivcred thcrcundes.........__..._._
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<br /> ` '•� That the date af tlie first itcm(urnished nnd delivcred xcas./.i;t�11...R. 1?.7_.�..............•_-_--..._.._.........---. and the r
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<br /> 1� , ;; date of the last item was..._S.�'7t,emt�,ert...�.?a-..�:a7h.._.............------........-•----�---.............-----•�---.................-----........._
<br /> ti ' Aj�'iant further stater tfwt said labor was per(orrned on, and materials:aere furnished for, delivered at,and used sn
<br /> � ��� said building or Osetnises on and bctween the dates specij�rJ.
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<br /> That !he p�fcet dwrged therefo� a�e fais and rearonable,and tleat these is nom Jue on arsid accoun! the sum of
<br /> �' ' �� ..R7P...�hnu_sa.e�...�.t�h.t...hundx.��...thir*;�...ti•�.�...�.nd....$?;a.L20_--...............----..........Dolfa�s, rhaa sa,d° ii
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<br /> : �+ ..._...._..........:........................_---••_--................................._.................clai»u a lien on the said yrernises for the fu11 amount o( ;'•
<br /> - ' ;' faid account, �o-wit: The sum of$.l�.8��.���...............................••-..together wit/s intesest thereon at tAe legal rate, ;'
<br /> " rom the_. �O da o ��d��-l�rt
<br /> � ._�... .... y f.... �:..`.'.............. .-•--•----..........., i9...Tn and furthes a�'iant .rays �ot ,�
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<br /> , :'' 3.A. r�Q�r,.er. Tun� r,�m,anv . � '. bna.s!. �o^aor�.t• n
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<br /> �� �" .... �..._. �� �fY....���%' Pr �1....�..,�.................................
<br /> �� Jo Ann Schulte • t�` • • - i ;
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<br /> GENEItAL �;V7ARIAL .................. ......... ........_.._...... '..._.---..................
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<br /> !.� +I 87r.-���RABKA Su6scsibed in my presence and swosn to befose me fhu._..�..�.�.th..._....................•_._ ( �
<br /> �! I COYMISSION rxniaes d6y Of S2�te(P.b@P .�.-�=•---..._.. ....--•- -.. , 19 �......
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<br /> ;C February 26,1980 �.. �, - ��
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<br /> 'I � (Sce reverse side Eor instructions) j Notasy Pu6fic. � .�,
<br /> �� STATE OF....._.._.....,.._.............._............_................... � Entered on numeriad indes and &led [or remrd � � � `
<br /> 4 ��ty ,,,_} in lhc Register of Dceds O(3ice of said County the �'' •r �
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<br /> ii� ......._._..._..__.dny of._......_......__........_........_........ I�J..._----.., at..._...........................o'clock and...........................tninutes......................ht.�� ' n �
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<br /> j nnd recorded in Book..._.._.............._.................af..............._...._.._............at page..............----�--...---................ I
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<br />�. . :. ................._...._......._...................._..........................Reg. of D��cYls i ���, �� .
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