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<br /> MECHANIC'S LIEN
<br /> September 24, 1976
<br /> (, Lien claimed by: Pollock Wel1 Drilling Co., a Nebraska corporation.
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<br /> h� Lien claimed against: Donald A. Mast and Linda A. Mast, husband
<br /> � and �aife, as joint tenants with right of
<br /> �� survivorship, and not as tenants in common.
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<br /> � STATE OF NEBRASKA� COUNTY OF HALL:
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<br /> Under oath, Robert A. Pollock declares:
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<br /> ''= 1. He is President of Pollock L4e11 Drilling Co., a Nebraska
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<br /> corporation, conducting and carrying on a well drilling business in
<br /> $ Central Nebraska, called in this Mechanic's Lien the "Claimant."
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<br /> ` 2. On or alaout June 23, 1976, the xeal estate described in }
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<br /> '� Paragraph 3 of this Mechanic's Lien was owned by Donald A. Mast
<br /> x and Linda A. Mast, husbar.d and wife, as joint tenants with right
<br /> ' �; of survivorship, and not as tenants in common.
<br /> a 3. On or about June 23, 1976, Owners were the owners of the
<br /> � followinq described real estate in Ha11 County, Nebraska:
<br /> ' Lot Eight (8) , Le Heigh.ts k'ourth Subdivision, comprising
<br /> ,,� a part of the East Half of the Northwest Quarter CE� NF7;)
<br /> ;� of Section Eleven (111, Township Eleven (11) Noxth,
<br /> s Range Ten (10) West of the 6th P.M. , in Ha11 County,
<br /> � Nebraska.
<br /> � 4. Claimant knows by personal knowledge, on or about June 23, 1976,
<br /> �� Edward R. Jenkins was contractor for Owners, building and constructing
<br /> a building for Owners on the real estate described in Paragraph 3 of
<br /> ;,� this Mechanic's Lien, and on or about June 23, 1976, Claimant made a
<br /> uverbal contract with Edward R. Jenkins, contractor for O4rners, to
<br /> furnish all of the material, equipment and labor for installation of
<br /> a water well on the real estate described in Paragraph 3 of this
<br /> ':j Mechanic's Lien.
<br /> -�3 5. The following is a correct account in writing of the material,
<br /> equipment and labor furnished, performed and delivered by Claimant
<br /> to Owners under the verbal contract made with Edward R. Jenkins,
<br /> contractor for Owners, for installation of a water well on the
<br /> real estate on June 23, 1976:
<br />� ' 60 feet of 4-inch casing, drilling equipment
<br /> and labor, at $3.75 per foot $ 225.Q0
<br /> $ 6. The material, equipment and labor �,rere furnished, performed
<br /> and delivered on June 23, 19?E, and th� pr�ce of $225.Q0 charged
<br /> `Y for the material, equipment and labor is fair and reasonable, and
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<br /> is unpaid.
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<br /> 7. There is now due on Owners' acceLr.t taith. Claimant the sum of
<br /> $225.00, for which Claimant claims a lien on the real estate,
<br /> '�''' together with interest at the legal �ate allowed by law. `
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<br /> � I-! �-Pcx��C . ; � .
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<br /> �� Robert H. Pollock) �
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<br /> Duly sworn to and signed before me on September U��/ , 1976. ,. �
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<br /> d�c.��C� -^✓� rJt�/` ��l NQ�A�tY•C0�aQ k�b.
<br /> , Notary Public � 4firCo��+av�
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