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<br /> 221-A—MECHANICS LIEN (Revised 19(i2) " T6c iluNman cwerai auppry Hou�e_Lincolo,NeLo I
<br /> ^� Licn daimed b,y: OCtobeT' 6 9 7�
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<br /> ' _Povle...`rlinfrey_.PBA..Winfre�,..Plumbing. Co,q,�u,,,S�;.......Ed.Jenkins ].�3 P.obeLts Rodd
<br /> ji Gr.....�sj.ana.....lVebra' a",
<br /> i i f30f3 4TeQt No Front Gr Ieland, Nebrsaka 68801
<br /> � j� Address..... ......... . ... .. ... ......... ...... ...... . _..... ........ . ........ ........._...........C�8A3. �i
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<br /> Dr. Cr. i
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<br /> � f� --------------------- ---�lumbin�'--mRteriels_---------------------------------------------------I--------
<br /> '� Pibe xnd fixtures sentic tank and lee hin�_____________ .___ ��
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<br /> ' � -•--------------- field,pumn and tank 2475 �� :;
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<br /> ' Statc o(.._....NE:�rAska
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<br /> i ' ................�.�], .---........ Coiu�ty} �
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<br /> ' ' A nt' F�" Jenkine Geing frrt ''
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<br /> duly sworn,on his anth says lhat tke fosegoing ifemised accounf of work,labo�,skill:........................................._...... ---
<br /> � ji tnatcrials,and insprovenicnfs is lrue anJ correct: that same xue�c done nnd per/osmed and furnished by flte under.ngned 'i
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<br /> . : ;' for tlie said......Fc.,.�7.4.?�.'-:��n�.......--�--....-----.....................•-�---...........---�--..............................................................................__ r
<br /> ; ii undcr a� ....written....................................... �onrrnc�.--•-----�--�---............--•--..........._..........--�-�---...........__.................................. '
<br /> ; Ii �__...in9tallation.........................__..._ �lumbin�.materials & labor
<br /> . � 10.the ••-•--•--.........o/a ......................... .. _ ._................--•--•• �
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<br /> I on tlie�nUowing iot,atete or pnne!of land,vic:<..._...j:.�.t.._FiVe...�.�?.........!.`�eqt F.09C19.89t&t8...2RtI......-'.•• � ; - � � . � .
<br /> ' �; ....subdivision.......---Hall.._Countv,....Nehraska... .....................-•--...... .----... ......... .............._.
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<br /> i; Thaf at the tirne saiJ co»hact u�as+unde mid fabor and tr�aterials furnislicd nnd del:vrred ti�aeunJer................__.._. I ;
<br /> ' f �'� sT.Pl.I!C1.A°......--�...............................................-•-----.................................--��-----zvas thc oumes o/said premiser `
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<br /> + 1 Tlmt fl�e date o(fhe hrsf item/urnished and delivered uns.....�f.5� E ............................... and the � '
<br /> + . l0/1/76
<br /> ; I date o( the last �tcm u�as....................................................................---............................................_-�--�-•----..............................
<br /> ; I Ajjwnt furdaer smtcs that said labor was performed on, and viatcrinls zucse(urnished for,drlivesed at, anJ wed in '
<br /> 4 � � said building or prconises an and betaueen the dates speti(red. f � ,
<br /> E : � That tlee priccs charged fherefor are fair and rearonable,and that Uiere is no,u duc on sa�d accoimt the sum o
<br /> . � ......_Tk:entY.._four...hunnred.._°,evehtY...five.....................................................•---....................Do!lars, tl�at sa�d �'
<br /> € ' I Poyle ��'infrey ''BA V'infrey P�umbing Co..:...........................•---.........---..........___.....-----....................._ !
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<br /> ; ; ; ..............•..............._..............__ . .... . .... ....... . . .............._dairns a ficn on the said¢rernises for the full arnount of � '
<br /> `' .raid acrount,-to= . ke s�nri o �' J� ....................to ether uhtk intcrest thneon at the legal rate, �
<br /> . , , f s...�...7._._00.................
<br /> '� �f� C� • B and nrther a ant sa s nat.
<br /> :: (rom thb_"G;.'��.-...,,...a:��g ............. � .. ._. 9 _......... f .
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<br /> I: � S NOTARY � •......................................................................................•-�--......................_.__._.......----_•_-.._......
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<br /> ; � �. ;� ��� , r '�.71�SION : �'f . .... . .........."'...........'--'--'..........................""'-'..................... t
<br /> � : � -u�cs • ......................................... ............ 6 th
<br /> i `. �'^.;SEAL���:� Subscribed in m� presence ond sworn to be(n�e rne Niis...................... ....................... .
<br /> ' ' '' �.XK �c ober
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<br /> I .- ��, day of......................................_......_...............J............----....-••. 19J '_
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<br /> ;, (See reverse side Eor instruc6ons) Notary Public. i
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<br /> � � STATE OF..................................................................._' Entored on numericnl index und filed,for record I �: ` N f
<br /> L !, } in the Register of lleeds O(ticc of said County the � � � ^
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<br /> , Counfy .._._........_......_......_...._--........_........................ �
<br /> � .......................... is............, ac...................._. ' d ..
<br /> � � � ..............._.._...dny of.................__. ........o'clock nnd.............................mmutes.....................Df..� . �. ,;�
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<br />� and reco:ded in Book.._.................._.._.............of....................._.................at pnge....._....----............................. I �
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<br />- ��� � ......................._......................................_.................ReF. of Deeds I � �.
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<br />� ! By...................................__...................................................Deputy �
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