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<br /> � 221-A—MECHANIC'S LIEN (Revis�d 1962) .,��. ?he AutFinan Geaerat SuDDlY Houae. L.tawla.Ne6r. I � �
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<br /> � duly.su�orn,on his oath says that the foregoing itesnized accous�t of work,labor,,rkdtl.._.._...._. ' �
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<br /> ; j� materials,and i�repranements is Hue and correct: that same Tuerc done and performed and furnished by tke u�dessigned " ;'. y
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<br /> � (( on the following lot,¢iece or pasce!o f land, z»�:•..___._..Lo.t___.T.h_r..�.e.._.(_31.�___H j__�d�n._.L a k e s $u b d i V 7 5 i 017 �! `
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<br /> �� Number.One_x_._H_all_ Coun_ty_.,.._Nebraska, �
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<br /> That at the time said conbacl zeros made arid iabar aad materials furnisfscd and delivered thereunder__......._..__..___._.. .i 1 ;'� .
<br /> ' _..�.._.-�o.r•.doi►_.,l_....a-n-d_.Sal.lye...K�__..N r_.n_i_eek--•...........................................•---..wos the nurner o}said p,em;.ress ;i
<br /> .�and_tha�__Ar.noi_d..Thitr.lD.tv�__.d�k/a..C,�nts�ry._Buil.ders_.was..the,.contractor_oq_said___________ _ ___
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<br /> That the date of She first item furnished and delivered u�as..---A u y U S t-•_--••---•-1 9 7 7...... �--•••••-••---...... and the � '
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<br /> � Affiasr!further stater that said labo�was performed on, and materia[s were furnished fos, delivered at, aad used +w
<br /> � 1 said buildang o� p�efxises on artd between the dates speci�ed.
<br /> ; ' 1' That the pr+ces eharged therefos ase fais and reasoxaLle, and that thrre is now due on said accoufst fhe,rrim of
<br /> -_T�ee Thousand Fiye_Hundred,Seyent� and_81/100 ($3>570.81) _ __ .Doltars, rhar sa;d^ ,; �•:<
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<br /> . ••}�LlPy.•-�..Q ,�_CIC.._.._•----...-••----------. . elasmr a lien on !he said pre»sises for the ful!amount of
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<br /> `� said accorsxt, ta rvit: The sum of $----•••-3�5.7.0...81_........... ...................togerher with intesest ther�o� at the lega! safy '
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<br /> �-; SE.4L Subscribed in y ence and orn to ose me this_ __._ ... ___....___ i;
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<br /> day of __.._. ..aY....•------•••-y��•---••-•••-- -/��•- -•�j�• - , �y.__78_. ,�
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<br /> Cotuafy .._._.......�._.� .._ - �.,..}� . in the Regieter oF Deeda Office of seid County the ;�; �.'��, � ".
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