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<br /> ' �221-A-M£CHANIC'S LIEN'(Revixd 1982) � The SvSman Ceaewl sappir aouae. Linmla.Nebn ,
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<br /> ,..� Affrant1, _.r..$obert M�. Peshek_ besng fisst : ,�� ���
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<br /> �i, duly sworn. on hu oath says that the foregoing itemszed accoun!of ..Ip�,�:�,$7,.�_-•-••-••--- •••••.--•----- � .� i .� ,7;t.�;e'�.'
<br /> � fxaterials,axd improvemerits is true axd torrect: that.same wers done and�erformed and furnished by the underngned �a,,�"f '
<br /> ,€. fos the said--••••-•---__...HoPPe--Inunber_Com�arK-••-••• •----••.....................•-----.........••-._.......---._•--•---•--- -- � ' fi Mr �,����
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<br /> u„der a• ._---..._..._._veTbal � ?� `,'r�^�
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<br /> „ on the following lot,¢iece os parcel of land,vic:'--_....__I,at•.30y--Block.-l�•-Bren.tstoacl.3uhdiv3.siOn__3'R_....w..__ ; ' '� '
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<br /> That at the time said conriact ums made and labor and materials furnished a�d delivered therersndes_.__._____._�____ � i yX
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<br /> ': ....._._•tha#--.4ssii.s_J�.--�'lsnr�.ou-.DSA.-�et�#aa�cy:-B�ti.l.der•s--xas._tlaa•sai.d..contr.actor-..ou._sair3-•---......-•--_._.. ` _" ` � �
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<br /> - That the date of the fi�st stem furnished aad delivered was.--•---••••--••.AeCemb�.7.5.�.•19.�7-----.....•-----•--•. and the ; F
<br /> dale of the last itern was.•-APr�-�:--1�75 � =
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<br /> , Affiant further states that said labos was perforrxed osr, and rnaterials wese fsrnisked for, delivered at, aad used in � ~"'Y
<br /> x said building or premiaes on asad beta�een the dates specified. � ;
<br /> Tha! !he pricas chargsd therefor are fair aa�d reasonable, and ehat there u now due o„said occourit thz;susx of. f r�-;
<br /> �.�'ive tt?opasnd ong Y�ea.ga?�'tY__�-4g__#X4fl..$.��.�..-__-._-..-_.-__-...-_.-__-..-._.-.Dolla>s rhat �
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<br /> ..�.W__:..�---._._-�iQ.ppE--IuIDhe2...CA�pBnpr._..--•--••---•••_---..__...claims alien on tht said psemises for;#he�/ul!arxouitl gf �
<br /> ' raid accouxt, t 't: The surrs of $------_�d'r.a.ul.�l8.�.••-•--•-••-••------••--_...together with i�terest lheseo+�¢t'the�.Isgal,ratb, .��
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<br /> rt�'�: �`ATE OF.:_� :_....,,, N..l � �Entered on numerical indez aad filed for record � ��
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