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I � rM�CHANYC'S LSEN 7�'��'2'.�3� April 12, 1978 . Zien claimed byz Against: Z'RUE VALUE HOME Cc^NTER LeigY�ton E. Wiley P. O� Hox 168 Connie J. wiley ' Grand Island, Nebraska 68801 1978 DR. Cr. $359.78 State of Nebraslca ) j ss �iall County ) Affiant, James D. Roth, Secretary-Treasurer, being first duly sworn on his oatti says that the foreqoing itemized account of labor, materi.a2s, and improvements is true and correct: that same were done and performed and furnished by the unc3ersigned under an oral agreement far tYse improvements on the following lot, piece, or parcel of land viz:Lot Twelve (22) in Itavenwooci Subdivision .;eing a traci, of land comp rising a part of tYie South Half of the Southeas� �uarter (S#S�-�) of Section Thirteen (i3) Z'ownship �leven (11) iJorth� _zange idine ( �) West of the 6th P.... , .ia11 Co Nebraska. �hat at tha time said contract was made and labor and materials furnished and delivered tlzereunder yei�hton �. .+iley and Connie J. ,�i1ey was the owner o said premises. Matt Henson Dr 11 & Stucco was the contractor on said improvements and acting for t e owrier. • '�hat the date o£ tna first item furn�shed and delivered was November 7, 1977 and the date of the last item was ,IL,t,. /U, /97'�- v - Affiant further states that said labor was performed on, and matezia�s were £urnished £or, delivared at, aad used in said iae�rov6ments on and between the dates speeified. That the }�rices charged tlserefor are fair and reasonable, and that there is now due on said account the sum of Three fiundred Fifty- 257ine Dollars and Seventy-Eight Cents, and that said TRUE VALUE HOME CENTER claima a lien on t}ie said premises for the full amount of said account, to wits The Sum of $359.78 together with the interest thereon at the legai rate, from the lOth day cf .Tanuary, 1978. , TRUE VA3;�TE H E C�T�`�� ' BY r�:i,i � -,-�::_I�. I,`-"—�g� ITS Secretary—Treaeurer �:$�� ,rztAc_ Subscribed in my pr�seace and _ n,.sx� sworn to before me this �� � -� c��.:..,<s.::r�`��oea day of '/" , 19 7�. Augus# 4,1J7„ -� i a,`'� � "`�a.G� -- . iNotary Public ;': .. . . �.< .�Y .. �, � ' � J • M . � �4� ` J