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<br /> ��003095 ;.....
<br /> STATE OF NEBRASKA )
<br /> ) ss_ I,�CHANIC'S LZEN
<br /> COUNTY OF HALL )
<br /> JAP�S A. WELTON, d/b/a WELTON & SGN MASONRY CONiRACTOR,
<br /> being first duly sworn on oath, deposes and says th3i. the itemized
<br /> account attached hereto 3s for cvork, labor, ski11 and materials, and
<br /> is a true and correct acc�,u�t of the work, labor, skill and materials
<br /> done and performed b� Ja�res A. Plelton, �3/b/a tiNeltor. & Son i�Rasonry
<br /> Contractor, £or James Lee and Betty Jo Cartei• cr. propert;; wmed by
<br /> them and legally described as:
<br /> The East One-Half' (E}) ot' Lot Six �6 j, Noswood
<br /> Subdivision, Grand Island, Hall County, tlebraska,
<br /> also knovrn as SO� East :!6th Street, Grand Zsland,
<br /> iJebraska.
<br /> That at the timc: the said laboz• and materials were furnished and
<br /> delivered to James Lee rend Betty Jo Carter, they were the owners of
<br /> the premises described; that the labor was perf'ormed on and the materials
<br /> � furnished for, and delivered at and used in said repairs to the dwelli.ng,
<br /> the last item being furnished on or about the 25th day of April, 197$.
<br /> 't
<br /> Af'fiant further states that he does hereb,y elaim a lien
<br /> on said dwelling for the full amount of the balance of the account,
<br /> to-wit: The sum of T1V0 THOUSATdD T'AO 'riUNDRED THIPTY THREE und 10/100
<br /> DOLI.AI?S ��2,233.10), together with interest thereon as provided by law.
<br /> FURTHER AFFIANT SAITH NOT.
<br /> �"�
<br /> �' �l/�(� (//. L(�Ol�.l�►+
<br /> �'�P*,�S A. WEL ON, d/b a WELTON &
<br /> � SON ?�IASONRY COt4TRACTOR
<br /> P1'9 ��. . . ..
<br /> �. ..� � r ' �... ; .. -
<br /> �' SUBSCRIBED` in'�y presence and sworn to before me Lhis s'�
<br /> �
<br /> � 'a`"� day of �/�'t'G , 1978.
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