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221 -A— MECHANIC'S LIEN (Revised 1962) The Huffman General Supply House, Lincoln, Nebr. CONSTRUCTION LIEN, per Sections 52 -125 to 52 -159 Nebraska. R.R.S. Lien claimed by: ........................ ._November_ 29, 2003 C & C MILLWORK, INC. Against:..C. W. (BUD) JOHN ESTATE •--•--•-•---••----- •----- ••••-- •--- •- •-- - -•• -• • - - - - -• • - -. - -- JOHN-ESTATE 15 J Road Address. 20 ......... ............ .. •- -..... JW •-. -.-_ -_ Grand Island, NE 68803 Dr. Cr. July 2003 --------- - - - - -- - - - - -- -------------------------------- ----------- - - - - -- ------------------------ - - - - -- -------- - - - - -- - - - - -- -------------------- _ through_ ......... _ SEE copies_of_2 invoices and 1 statement attac ed heret Aup___30 -_ 2003 ------- --------------- - - - - -- marked_ -- - Exhibit "A". -------- - - - - -- - - -- - --------------------------------------- - - - - -- TOTAL- AMOUNT_DUE_ - - -- --------------- - - - - -- $82967[�5i - - - -- --------- - - - - -- - - - - -- ------------------------------------------------------------------------- - - - - -- --------------------- ---- - - - - -- --- - - - - -- --------------- - - - - -- ------------------------------------------------------------------------- - - - - -- --------------------- -------------------- -- - ---- - - - - -- - - - - -- ------------------------------------------------------------------------------- -------- - - - - -- - - - - -- ---- - - - - -- --- - - - - -- --------------- -- -------- - - - - -- - - - - -- -------------------- - -------------------------------------------------------------------------- - - - - -I State of.. Nebraska ss. Webster County Charles Aubushon, President of C & C Millwork, Inc. being first A ntl, .-- •• - - - -- - -•- . -• - ••- •• ................• -- - -•- •••. • - -- , duly sworn, on his oath says that the foregoing itemized account of work, labor, skill ............................. ........... .. ... ............... materials, and improvements is true and correct: that same were done and performed and furnished by the undersigned for the said .... C,___W.__ (Bud)_ John ?___now deceased________. - underaz verbal ............ contract ..................................................................... ............................................ for & installation_._ of a fireplace mantel, kitchen cabinets, .countertops, etc. ------- ••--- ••- -• - - -- •----•••••---------- -------- •------ • - - -•- on the following lot, piece or parcel of land, viz:'.- _.Lot- _Two --- (_2)_z__ ___________ in Center Township, Hall Count - y ' Nebraska .------------------------------------------------•-•••--•-- •--- •-- •••- •••••---- •---- • -• -. .-- -. - -- same being located at 3417 Schroeder Avenue, in the ... City of Grand Island, in Hall County, Nebraska. - -•- ............. ............ -•-•--•-----••-•-•-••------••-•----..............---•---------•-------------------------•••----•-••-••-•---------•••......--••••......•-••-•---- That at the time said contract was made and labor and materials furnished and delivered thereunder ........................ Clinton .. W. (Bud) John ................................................. was the owner of said premises5 -- ---- •--- •--- ..... .... .... and at certain times relevant heret0_,___labor., anal .materi_als_ -- were_ __furnished-- _and__dellyered___ at the request of Clinton (Rick) John, son of the Decedent and Personal Representative ..----••-•---•--•------------------------- - - - - -- ------------ - - - - -- of_ the•__ Estate. --------------------------------------------------------------------------•------------•--------------- That the date of the first item furnished and delivered was ---- in July__of__ 2003_________ _______________________________ and the date of the last item was .... August 30, 2003. A ffant further states that said labor was performed on, and materials were furnished for, delivered at, and used in said building or premises on and between the dates specified. That the prices charged therefor are fair and reasonable, and that there is now due on said account the sum of Eight_Thousand__N ne__Hu dx d. -_ Silty- &eY_�z1..�x1si..5.lI.]QQ...�. 8967.51) ___ _. Dollars, that said" amount is furher edeced by a written__ agreement__ dated__ November 17, 2003, a copy being .......................................................... - - -• --- -• -• -- . ...... . - -- ... attached, marked Exhibit "B ". Claimant - -- claims a lien on the said premises for the full amount of said account, to -wit: The sum of $. -.8_, - -• -- 967.51 together with interest thereon at the legal rate, from the - - -- -1st y f Novemb 2003 and further a ant says not day o • - -••••. .. �..... -• - - -• f f y --1--- `e.,^- -i�-- a °"•."- L.•- ----.-• ................................... -................................................... RAL NOTARY•SW of President of C & C Millwork, Inc. JERRYJ. McDOL.E _. ................................................................................................................................................. M1r0anm.Exp.Aprd1 1520 Johnstown Road Grand Island ?__NE 68803 - ••---- ••--- •------ •-- •- ...... - SEAL Subscribed in my presence and sworn to before me this.29th _ November, 2003 day of ........................................................ ............ c�----- - - - - -• ( See reverse side for instructions) Notary Public. STATE OF ..... NEBRASKA------------------------------------------- Entered on numerical index and filed for record of Ha __._.__ } ss. in the Register of Deeds Office of said County the County..... ......... . .• -- ll ............................................ - ................... . .. ..day of---.....-•-•-- .................- -- ........... 19 ............. at.------.......-- --- -..... - -- --- o'clock and ....... .......... .......minutes ........... ---.......M., and recorded in Book ................. ............ page ............................. ............. ................... ...................... .................................. ..... ...Reg. of Deeds By------ - - - - -- ................... - --- ......... ........ ....... ............... .............. Deputy