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<br />I 221-A-MECHANIC'S LIEN
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<br />Lien claimed by:
<br />.!:'.~.~!.~;.~.I?Q.~f....~~.~~~J~.!L~ _1:l.!!:1...~!\!~_......_...._.......
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<br />Address...!.+.g.~...~.~~.~,..!?~!.~!:!!?!!!~__.~!'.~!:l.!L!_~!.~.r:!~...
<br />19............ Ne 68801
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<br />1021175
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<br />_~!'1.y....?!?...................._.._.._.................._._..__..........____...19...~!;l...
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<br />Agains,:!:1&.y.;_e...!;J.g!!!Ll~.I;:_......................,.................,.......
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<br />Dr, Cr,
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<br />Huffman and Felton & Wol1, Wallon, Ne. 68461
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<br />S'a'e of.....I~~B~I!~!i~L....__.____}
<br />Hall ss.
<br />__.._....____.._...m_...__... County
<br />AfJilJn", ~ich~~r:!..~!.~~~.~~.~p.!:'!....~~_~~!~!:l_~.._~.~~.!~_~~~p.!'_~_J:l!~mbin..9__~_':!~f!ting Inc ,beil'lg first
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<br />dilly S'IlIOnl, 011 his oa'h says that the foregoing itemized lKcount of work, labor, ski/L._._____..________.
<br />malerial.s. and imprOfJemen's is trve and correc': thai same were done and perfonned and fumished b)' 'he tmderdgud
<br />for the said__..._~!.Y~~.J;1.QJ!!~.__.___.___.___...___...__._.___..______..___...,_____-------------.....-.--........-..--......-..-
<br />under a" ..._.__...y~_~~.~..._._..._....m._.___....._._..... contract..._._........___.....______.___........____..__......
<br />for 'he" ...~~.!!!~.~!:'.~...~.~p.~.~~.~..........___.___...........__....__....._of a ..f.'lM~I;IJ.!!g..EY~!..em ....--...--.
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<br />on 'he following 10'. piece or parcel of land, vi;;:......Ear_t...Qf....SE..~..JJ.L.15.~k.9_..__..
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<br />Thai at the "me said conh'act uoas made and labor and flUIterials fumished and delivered therevndn- ___
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<br />..._..__._.._.___............_____.___.................____............ ..._...........__.._...__._...___..._..__..._.___...________.__was the 0'Wfler of said preJflises'
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<br />___________.___________. u.___.~___._ ~_..~~.._.u..................................._..__... _~.u nO' .h.....~_.u____~______________..._....................n............._........._.....................
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<br />That the date of 'he fird item furnished and delivered uras..2.~~_~ae.....__..__.._._..._....._________.. and 'he
<br />da'e of 'he las' j'em was...~.:.?~.'::~~.__._____.....m__.._....,_..m..m.'......__...............-........-..........---..-.--------
<br />AfJilJn' fwrther states that said labor was perfonned on. and matcrials were f"mishcd for. delivered at, alJd used ill
<br />said building or premises Oil and bel'Uleen the elates specified.
<br />Tha' 'he prices charged therefor are fair and reasonable. and 'hat there i.! flOW dIU! on .said accolUll the SlIM oj
<br />._It!!!;g__H!,I.~.IL~.;P....!;iJ.~If,;.~_I'LBJ~.I;l...Q2L.:j.g_O.........._u... ..."......u........."..........u.u....._~........_u..u..,[)ollars, 'haI said"
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<br />___.....__._..__._.............. _...._...___.._...___..._m.._______................'__. ____claims a licn on the said premises for the fvll OIllOVII' oj
<br />said accovnt, 'o-wi': The SlIm of $ ....J.16.,,62..._c....___........ .._____...........__togelher with interes' 'hereoll at the legal role,
<br />from 'he.. ..~l__.._....da 0 H ............._._._...._.......___... --...........-......-..-.-....... 19._BB....., alJd further afJilJn' says not.
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<br />SEAL Subscribed in my presence and S'IlIom to befor me this......._2-~..........-...---...
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<br />:11 day of ..._....._..___m.._..._._...._~..n..............:-..........._71, ~t~'6
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<br />:1 (See reverse side for instructions) ,;,' No'ary P"blic.
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<br />Ii ,STATE OF..._........................................................_..._.... }
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<br />\1 \ ::~...::~::::;...:~:~:==~:~~=:~::::~::::..:::..:::.::...~~:.~:.. at
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<br />, and recorded in Book...............................,.. . ,.01.. '
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<br />Entered on numerical index and filed fOf f"""rd
<br />in the Register of Deed. Office of said C<lunt). the
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<br />., "..,.....,o.c1ock and.
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<br />.minutes .u.... .
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<br />,.!II.,
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<br />at page
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<br />He~. of ON'll.
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<br />By
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<br />Ocpu.)'
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