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<br /> ° . �and r�Yand. �ali C6untv. lTabraska_a/k!a 2Q32 &sst �ebraska.,.
<br /> 2. 7be penaa��t wl�a�urt�eee�t$i fbe rtd atd�the lim is dsimed i�e' Daafd G. 1�olar '
<br /> d/�ala Dav� 1Coi�r Constrot�t�on. � . �
<br /> � ��������� Joht�son Cashwav Lumber Co�apanY.,�1612 � �
<br /> - South iTebb Roac�, Grt�nd Island. Neb=aska 58803. � � � �
<br /> 4 The name and acidee�es of�e pesson with who�n tbe dsdmant aontiacted i� . David G. l�ola�.,.•d/b/a �� �_
<br /> ; Oave Rolar Constauctian, 2621 Chisho]m Trail, Grand �Island� Hebraska
<br /> ;68801. . • -
<br /> . < 6. A�ie�nerel desQip6on af tbe daimau�a ee�vioe's pefo:med to,to be peforianed ar �y livai�ed a to be
<br /> � ����p�,o��#���p�'�i materials furn�shed see
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<br /> statement attache3::�:::r��.
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<br /> . :,�X.�e amaatrt t��,ivhef2iet+�osaat;:t�i:the claimant for tdie savloes or materials is� 1,936.99 . ,
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<br /> 7�:;::i:� �;'ixnPaid�i as not�bY tlie aiiitrad,but a good faith es�imate in the amoant of a , .
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<br /> ':- �� : ,; ,. � The time the?ast servioea�ar materials v��e fiunished was September 23, 1993 . �
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<br /> The time the last servioes ns mat�esials were fumished has not yet oocuried but is estimated to aoan �
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<br /> � Signa af�aimant j
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<br /> ��`,�•' Subsril�ed and awam to before me this____s�� day of December ,ig
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<br /> � �MrMM,tI. ��rS►Pu3�� .
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<br /> I (52�147.See 5?�198 for amendmen�5�149 for as�gnment;5�137 for recording ti,.-r,�.5��54 Yor diachaige or retease� '
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