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<br /> j�, 221-A—MECHANICS LIEN (Rev)sed 7962) _ The HuRman Cxnenl�uppiy lloueq Lincolu,Ncbr. I
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<br /> �''; ;i duty szuorn,on his oalh says fhat tlre(o�egoing itemieed account o(work,labor,skill....................._.........._................... ,
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<br /> j � rnaterials,and iin(�rove+nents u true and correct: ti�at same werc done and herfarn�ed and fivnished by the understir�ned 1 ,
<br /> .� i for the said.........Ed__Jenkine ... .. ( �
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<br /> :, `3 ;; under a' .....Ss'S.1.t.tE.A....................................... contract.........-----........-•---••--..._..................._.........................--------............._...... � ',
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<br /> ��� '� on the�f 1(0 'r�iot,piece or pnrce!of lm;d,vic:�.....Lot_._,5.(five.�__.�entish.,iilll.�_,,,$ubdiv�_�.�,o,n._._ � , � .
<br /> .r,=��, ,, 3,Ri2��oveY� Court � s '
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<br /> = The!nt the fiiue said contsact u�as made m�d labor and vtaterials (urnished and delivered N�esetmder....................... . . ` '
<br /> t I ....................F..4". �rP.C1:�S�.IJ.°---..........................................................---............---.....................was Ntc owncr of said¢re»�ises' i :,
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<br /> Thot the date of the hrst item(urnished nnd delivered xeas.....--.---._...,r ......._. ..._...... and the � c ,
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<br /> i ,; Ajjiant(usther statrs fhat said labor wru prr(ormed on,and matcrials were furnished(o�, dclivered at, and used rn � .
<br /> ' i raid building os prernises on and betwecn the dates specifird.
<br /> "; � That the Qrices chargcd lherefor are fair and seasonable,and lhat therc is now due or�said account 1he sum of I
<br /> ; _...._......Fi�hY,een...hundre�_fortY....�.�.�.1�?�'.9..............•-••--•--•------...-----........._............................_Uoliars, that sasda
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<br /> : ' f cfuims a licn or. tLe said Qre�niscs for the(ul!mnount o
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<br /> !� d�aSeaiiriLi(e•a�: !ie sum o 1ftLL0.00 .. to ether :viUi interest tl�creorti at thc !e a! rate, �
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<br /> � �i ro �tke........__.�5:`. of..._..Z...T�.............. ./.. t9.l.t�...., and furthes o�ant says nat j
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<br /> ?- I{ ,� N9TARY � ( � . ..� .
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<br /> _.. �� I7. COMMISStON : � � . .��....Lt�---�------•-�- j�! � .. � .
<br /> ., ..� � EXPIRES � � -----.__........................._----•---......_.........._. � . .
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<br /> .: i qTF�,••.•,���� Su6scriGed in my presencc and ru�orn to be(orr me tkis...........7th......---_........ ....... i
<br /> y �� �YF ir:�' day o/ Octnher �
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<br /> ; (See reverse side for instrucGons) Nofary Pu61ic � ' � �f'_
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<br /> "• li ST'ATE Or............................................._......................1 fintered on numerical indeY and filed foz record ! " r .
<br /> L, }�' in the Register oE Decds OIIice ot snid County the
<br /> , County ......................._.._........._....................................J � �
<br /> ::: li ..............dnY of........._........---.......................... 19............, at................................oclock and..............................minutcs.....................r1., � :�� �� � . r` ;
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<br /> I� nnd rern:dod in Book........._................_.............of........................................at pn6e............................................ � �
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