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20001040'7 <br />M <br />T <br />n <br />2 <br />M <br />t7 <br />(n <br />v, <br />r♦,,C <br />S <br />Z <br />O <br />m <br />I <br />4 <br />G. <br />20001040'7 <br />G <br />6 <br />--------- - - - - -- - - - - -- <br />State of .... RHEUM <br />Hall ... is. <br />................. ............. County <br />Affiantr. MATT Preisendorf.- Pres.,. Preisendarr.. Pi• mmO. ing.,.$... Mg... xNG ............................... being first <br />duly sworn, on his oath says that the foregoing itemized account of work, labor, skil l ............................. ............................... <br />materials, an 'rnprovementsji� trruue+ and correct: that same were done and performed and furnished by the undersigned <br />�- .......... Jefor the said. 7/QX ..................... ....................._..... <br />... <br />undermq. L' ............................. contract .................................... _ .... _ .......... _ ...................... _ ............ ........... ..... <br />f o r ....... ..............................o f <br />a ... ................................. ...... ... <br />.. ..................................................................................................... .............................._ .. <br />on the following lot, piece or parcel of land, viz :'..••..•• ••• -•y�^ - <br />: tf�.. oaA ....... ............LQG>K.f���. : :...... �vt?r...r, <br />That at the time said contract was made and labor and materials furnished and delivered thereunder ....... ..._.._........ <br />R..was the owner of said premises' <br />.......... -..................................... -.............---...----•----................................................................••- ••••.......---- .....•••••...... <br />..... ......... .......... .. ....................................................•--............................................................... ......................... -••• -- <br />That the date of the first item furnished and delivered was........ 0 ..... ..........•.................... and the <br />dateof the last item was ......0.." ... ............ . ............... ................................................................................ .......... <br />A&nt further states that said labor was performed on, and materials were furnished for, delivered at, and used in <br />said building or premises on and between the dates specified. <br />—�- -That thr prices charged therefor gr� fair and reasonable, and that there is now duea said account the rum of <br />g l.; - - -- Dollars, that said' <br />................. _ ........ _.._..___ _.._.........._.._......... <br />- .... ................. ................claims d lien on the said premises for the full amount of <br />said account to -wit: The Burn of- ��7� -'•• -• together with interest thereon of the legal rots, <br />Ni a o n/c ,�X••. and further a8ianf sot's nor <br />fromthe.... day d y f ..... 'l .... . .. ............... ............................... <br />MATT .. P. T.e1.8Er11iQTfnP ;as....Pxeisend xf._.P.IU[Dtlinq..A...UU -Id1 <br />GENERAL NOTARY-State of Nebraska x <br />CATNLYt j NiSTEN01 Subscribed in my <br />3n My Comm. , July 6, 2001 day of ................... <br />( See reverse side for instructions) <br />STATE OF ...................................... ............................... Entered on numerical index and flied for record <br />} e8' <br />� County ............................................. ............................... in the Register of Deeds O®cs of said County the <br />' <br />dayat .................. ............................... 19............, at ................................ o'clock and. ........ - .._ ............... minutes ........... .......... M., <br />- .................... of.......... ..........................._.at page ..... .................................... .. <br />rn <br />0 <br />C> -A <br />Q <br />Z <br />m <br />M <br />4 <br />G. <br />_n <br />aS` <br />o <br />Q <br />sy <br />o <br />x M <br />M <br />D w <br />F -� <br />rn <br />r <br />p <br />r <br />c�r> <br />cD <br />co <br />a <br />o <br />r* <br />CZ <br />.�%.1 <br />Z <br />00 <br />U) <br />rn <br />__j <br />o <br />G <br />6 <br />--------- - - - - -- - - - - -- <br />State of .... RHEUM <br />Hall ... is. <br />................. ............. County <br />Affiantr. MATT Preisendorf.- Pres.,. Preisendarr.. Pi• mmO. ing.,.$... Mg... xNG ............................... being first <br />duly sworn, on his oath says that the foregoing itemized account of work, labor, skil l ............................. ............................... <br />materials, an 'rnprovementsji� trruue+ and correct: that same were done and performed and furnished by the undersigned <br />�- .......... Jefor the said. 7/QX ..................... ....................._..... <br />... <br />undermq. L' ............................. contract .................................... _ .... _ .......... _ ...................... _ ............ ........... ..... <br />f o r ....... ..............................o f <br />a ... ................................. ...... ... <br />.. ..................................................................................................... .............................._ .. <br />on the following lot, piece or parcel of land, viz :'..••..•• ••• -•y�^ - <br />: tf�.. oaA ....... ............LQG>K.f���. : :...... �vt?r...r, <br />That at the time said contract was made and labor and materials furnished and delivered thereunder ....... ..._.._........ <br />R..was the owner of said premises' <br />.......... -..................................... -.............---...----•----................................................................••- ••••.......---- .....•••••...... <br />..... ......... .......... .. ....................................................•--............................................................... ......................... -••• -- <br />That the date of the first item furnished and delivered was........ 0 ..... ..........•.................... and the <br />dateof the last item was ......0.." ... ............ . ............... ................................................................................ .......... <br />A&nt further states that said labor was performed on, and materials were furnished for, delivered at, and used in <br />said building or premises on and between the dates specified. <br />—�- -That thr prices charged therefor gr� fair and reasonable, and that there is now duea said account the rum of <br />g l.; - - -- Dollars, that said' <br />................. _ ........ _.._..___ _.._.........._.._......... <br />- .... ................. ................claims d lien on the said premises for the full amount of <br />said account to -wit: The Burn of- ��7� -'•• -• together with interest thereon of the legal rots, <br />Ni a o n/c ,�X••. and further a8ianf sot's nor <br />fromthe.... day d y f ..... 'l .... . .. ............... ............................... <br />MATT .. P. T.e1.8Er11iQTfnP ;as....Pxeisend xf._.P.IU[Dtlinq..A...UU -Id1 <br />GENERAL NOTARY-State of Nebraska x <br />CATNLYt j NiSTEN01 Subscribed in my <br />3n My Comm. , July 6, 2001 day of ................... <br />( See reverse side for instructions) <br />STATE OF ...................................... ............................... Entered on numerical index and flied for record <br />} e8' <br />� County ............................................. ............................... in the Register of Deeds O®cs of said County the <br />' <br />dayat .................. ............................... 19............, at ................................ o'clock and. ........ - .._ ............... minutes ........... .......... M., <br />- .................... of.......... ..........................._.at page ..... .................................... .. <br />