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<br />MECHANIC'S LIEN
<br />Lien claimed by :
<br />Preisendorf Plumbing & Htg., Inc.
<br />1104 W Oklahoma
<br />Grand Island, NE 68801
<br />State of Nebraska
<br />Hall County
<br />20031`834
<br />Against:
<br />Kenneth and Agnieszka Frederick
<br />1507 Windsor Rd
<br />Grand Island, NE 68801
<br />Affiant, _Mathew S Preisendorf I President of Preisendorf Plumbing & Ht&
<br />Inc., being first duly sworn, on his oath says that the foregoing itemized account of work, labor,
<br />materials and skill, and improvements is true and correct: that same were done and performed and
<br />furnished by the undersigned for the said, _Kenneth and Agmeszka Frederick_ under a contract for
<br />the installation of septic tank, leech field, and plumbing fixtures on the following lot, piece or parcel
<br />of land, vis _ #51 Sonja, South Platte TWP Amick Acres East Sub Lt 51, Hall County Nebraska
<br />That at the time said contract was made and labor and materials furnished and delivered thereunder
<br />Kenneth and Agnieszka Frederick was the owner of said premises.
<br />That the date of the first item furnished and delivered was _August 7, 2003
<br />and the date of the last item was August 21, 2003
<br />Affiant further states that said labor was performed on, and materials were furnished for, delivered at.
<br />and used in said building or premises on and between the dates specified.
<br />That the prices charged therefore are fair and reasonable, and that there is now due on said account the
<br />sum of Five thousand four hundred thirty-one dollars and forty-four cents that said claims a lien on
<br />the said premises for the full amount of said account, to wit: The sum of _$5431.44 together
<br />with interest thereon at the legal rate from the 22 day of _Sept - , 2"3_ and
<br />further affiant says n t. �.
<br />GENERAL NOTARV Sta o Neo esi —. Q
<br />Z. '.i DAWN R CZARNICK Mathew Preisendorf, President
<br />My Comm Exp. March 17. 2004 Preisendorf Plumbing and H C.
<br />Subscribed in my presence and sworn b fore me thi 3 day of , /x Q-6 , 20 6 3 .
<br />My commission expires on Wk /1 U t Q r
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<br />Lien claimed by :
<br />Preisendorf Plumbing & Htg., Inc.
<br />1104 W Oklahoma
<br />Grand Island, NE 68801
<br />State of Nebraska
<br />Hall County
<br />20031`834
<br />Against:
<br />Kenneth and Agnieszka Frederick
<br />1507 Windsor Rd
<br />Grand Island, NE 68801
<br />Affiant, _Mathew S Preisendorf I President of Preisendorf Plumbing & Ht&
<br />Inc., being first duly sworn, on his oath says that the foregoing itemized account of work, labor,
<br />materials and skill, and improvements is true and correct: that same were done and performed and
<br />furnished by the undersigned for the said, _Kenneth and Agmeszka Frederick_ under a contract for
<br />the installation of septic tank, leech field, and plumbing fixtures on the following lot, piece or parcel
<br />of land, vis _ #51 Sonja, South Platte TWP Amick Acres East Sub Lt 51, Hall County Nebraska
<br />That at the time said contract was made and labor and materials furnished and delivered thereunder
<br />Kenneth and Agnieszka Frederick was the owner of said premises.
<br />That the date of the first item furnished and delivered was _August 7, 2003
<br />and the date of the last item was August 21, 2003
<br />Affiant further states that said labor was performed on, and materials were furnished for, delivered at.
<br />and used in said building or premises on and between the dates specified.
<br />That the prices charged therefore are fair and reasonable, and that there is now due on said account the
<br />sum of Five thousand four hundred thirty-one dollars and forty-four cents that said claims a lien on
<br />the said premises for the full amount of said account, to wit: The sum of _$5431.44 together
<br />with interest thereon at the legal rate from the 22 day of _Sept - , 2"3_ and
<br />further affiant says n t. �.
<br />GENERAL NOTARV Sta o Neo esi —. Q
<br />Z. '.i DAWN R CZARNICK Mathew Preisendorf, President
<br />My Comm Exp. March 17. 2004 Preisendorf Plumbing and H C.
<br />Subscribed in my presence and sworn b fore me thi 3 day of , /x Q-6 , 20 6 3 .
<br />My commission expires on Wk /1 U t Q r
<br />s. s o
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