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<br /> �du�ly�sworn,ox.his�oath says�tha�t the foregoing itemized account o/work,labor,skill............._�... --••••------...�_being first �� ;:, , i
<br /> snaterials,axd tmprovements u true and carrect: that same were done a�d performed and furnrshed by the underssgned (! �::?
<br /> forthe said..__...__�.��I1S..1"l.d�t�•--•-•--•--•---...--.._...-••-•-----�-•--••------.....-••-•.------ •�---•---.............•--•--•---•---•••-••--•••-----._......_.._._____.._ ;
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<br /> on rke fouowtny tor,piece or parcel of ta�a, vis:�.._..F.r_acti.ona.7...L,ot._Tbr-ea--�3)...�n•_F��c��oRa1-•-B7-oc-IE------•--••--- +� ? ,
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<br /> That at the tsme said contsact zoas made and labor a�d matesials furnished and delivered thereundes......._.___._._..._ � �' ,'
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<br /> That the date o( ehe first item furnished and delsvered was....._.____J�11�t...6_�.11Z7.................__....._______.._... and ehe � ;
<br /> date oJ the last itern was.------...._.N4�12[�2�1'..7_a__197_Z.•_-•__••---•...................._.._-----.....•----.._....---..._.._._--•--_....-•----•-----•••- �{
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<br /> Afjwxt fu�ther states that said Jabo�was¢es(ormed on, a�d materials were furnuhed foy, delivesed a3,at�d used ifs `!
<br /> � said 6uildsng or psemises ori and between the dates speci�ied. �
<br /> That the priees charged therefos are feir aau! searonable, and that ehese ss now due on said accara�t the sum of t
<br /> , F�ve Hundred Eiy,ht„x�six Dol la,rs._and__Sixt�!-el,ght,_C�n�S___.C�5$fzA6��..__._.__.___._...__._..X�XdQX�Yr$Xl4rar said^
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<br /> J,�....L,,._.S�IlU�.xZ._CDriSt._-•......_................................_••--.._.._..-..claims a lie� on the said premises for the ful!asnount of ��
<br /> raid accou�l, to-ovits The sum of $.._.r1$b...b.8_•••_-•--_.._..--•....................together with interes! thereon at the legat sate, it �":
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<br /> SE�lL Subscsibed in m esen and sworn to b ore this � � ''
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<br /> (Ser reverx side for instr�ctions) JA���.23.19 -- • ----._. ..__ __. N ... blic.
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<br /> , ;STATE�OF�.....:........�._�._��_......_.._�...�.__�r....._. � � �� � � � Entered on numerical index and fiied for record ;i .,c »:°��:'�
<br /> ,�{y �� - : . . � �.. . .. � .in the Re�ister of Deeda OSce of said County the ', �'
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<br /> : d4y o�........�_..�.�.... . 19 at .............o'c(ock and.........._.._............._..minutes__.._.._........_..M., °� e"'
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<br /> , . , . . . . ..._...._...___....__.._---•--••---••---...--•--..................--.Reg. of Deede ! ;. . . . '.
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