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:11-A— MECHANIC'S LIEN (Revise, 52) The H .o C1 Supply House, Lincoln, N,br.
<br />CONSTRUCTION LIEN, per Sections 52 -125 to 52 -159 Nebraska R.R.S.
<br />Lien claimed by: .._,•_ November 29 •- •. 2003
<br />C & C MILLWORK, INC. Against :..C: W. (BUD) JOHN ESTATE
<br />n Rd
<br />Address ..............1520 ..........Joh ....... stown
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<br />0-1, A To1 o.,A Nr (RAnz Dr. Cr.
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<br />July
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<br />2003
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<br />through
<br />SEE copies of 2 in_v_oice_s_ and 1 statement attac
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<br />ed,he.ret
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<br />Aup_ 30_
<br />2003
<br />marked as Exhibit "A ".
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<br />TOTAL AMOi1NT DUE:
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<br />$8,967.1
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<br />State of.. Nebraska......................
<br />ss.
<br />........ .....We ster County i
<br />A$wnP Charles Aubushon, President of C .. C Millwork, Inc. being first
<br />duly sworn, on his oath says that the foregoing itemized account of work, labor, skill .......... ..... _............
<br />materials, and improvements is true and correct: that same were done and performed an? furnished by the undersigned
<br />for the said ....C.._W.....Bud) John.,... now, deceased-----°°......-----...... ..._ ....................... .. .. .................. ...............................
<br />underai ver=bal .......... ............................... ....... contract ......... ................................................ i
<br />for thr3..cons- truct- ion,•_ repair- _ &-- insta.11ation_- - -• -of a ••fireplace mantel, kitchen cabinets, -.- .....
<br />counteztops, etc
<br />on the following lot, piece or parcel of land, viz.'...Lot• Two - - -Q) i Block Two (2)- ,.-- ylestroads Estates
<br />..... ............................... ..
<br />in Center Township, Hall Count, Nebraska
<br />-same being located at 3417 Schroeder Avenue in the City of Grand Island, in i
<br />Tall Countx1 Nebraska
<br />That at the time said contract was made and labor and materials furnished and delivered thereunder... .................
<br />Clinton W. (Bud) John was the owner of said premises' j
<br />- to ..W °---...ud ..........__.......... ° °- --- ° .............. °- °-- ° - °° °-....° ° -- --- .............
<br />atd at, certain -- times -• relevant ... eret.o ...... labS;T and materiaas - -- were -.- furnished.. -an d,.•deliyPred -_- I
<br />at the request of Clinton (Rick) John,.- -son ,of the DecedenC_ and Personal Representative- I
<br />- • .n....
<br />ofthe Estate: ...° ....................................... ..........................•• - -- ....................
<br />That the date of the first item furnished and delivered was ---- in_. July,_ of ...... ............ _ ...................... ... and the
<br />date of the last item was.. - August 30, 2003. ...................... I
<br />Af%iant 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 the prices charged therefor are fair and reasonable, and that there is now due.oz said account the sum of
<br />Eig_ hty ... - - - - - __Dollars, that said'
<br />amount i.s further evidenced by - -a written 2greelnent ..date -d November. 17, 2003, a copy being,
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<br />attached, marked Exhibit "B ". Claimant _ -- claims a lien on the said premises for the full amount of
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<br />said account, to -wit: The sum of $...$.'967.51 .together with interest thereon at the legal rate,
<br />frota the day o Novemb r 2003 g and further a ant says not,
<br />y f - ....._....... ................I . p............ -..d ............................................ ffl an
<br />1`,9. �'i%..:...... ............
<br />fiERERAI NOTARY-State of Mebrufa •
<br />JERRYJ.McDOLE President of C & ..Millwork, Inc.
<br />My COMM. xp.Aprill� 1520 Johnstown Road Grand Island...',E 68803
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<br />SEAL Subscribed in my presence and sworn to before me ihis.19th .....................................
<br />day of Novembers 2003 ................
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<br />(See reverse side for instructions) �/ Notary Public. .......
<br />STATE OF ..... NEBRASKA ............ ...............................
<br />Entered on nume.ical index and filed for record
<br />Countv of Hall } in the Register of Deeds Office of said County the
<br />........................day of ................................................. 19 ............. at ................................ o'clock and ............. ................ minutes .........._.._...._...M.,
<br />andrecorded in Book .......................................... of ........................................ at page............. ...............................
<br />................. ............................... _.......... ..................... Reg. of Deeds
<br />By........... ............................... ..................... .........................Deputy
<br />200403744
<br />Exhibit No. 1
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