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Form 112 tiNtntn n/ N tgbn n4 it. i* Mn -1 r ,.h n Mn V • 4 Z Notice is hereby given. that No-rthwe-stern - Public, _Service -- Company intends to claim and hold a lien in the amount of. _eighteen hundred thirty -one & 51 /10gollars (S. - -l. &3.1.,.5 .1.- ..___.. -), with interest thereon from the _ _ _ ?bt -h ....__ day of ........ une._-.__- at the rate of ...__? 3,e 2-0- . per cent per annum. That such amount is due and owing to the claimant for (labor performed, or for skills, services, material or machinery furnished)* for the following im- provement for which the same was done or supplied, to -wit _.._new --- 6.7 G 0 3 0. __ H,r y a n t air conditioner --------- ------------ ----------------- --------------------- _----- ---- --- --- - - --- -- -- - -- -- --------------------------- ------ ...... ------------------------------------- The name and postoffice address of the claimant is -__North -west.ern P u b I �c Service - - ----- - --------- -- - - - - - - - - - -- ------------------------ _Company__, .... P, 0_._ Box._220! Grand Island, Nebraska 68802 -0220 The name and postoffice address of the person for whom the work was performed or materials furnishedis --- - - - - -- ---------------- --------------------- --- - -- - - - - -- --------------- -- The date when the first item of the claimant's contribution was made was the --------- fzt -b.___ day of June___ -------------- ------ 1 19 -.87 , and the last item of the claimant's contribution was made on the 26th day of _.June _. .. - - -. 19--_87 -- - - The following is the description of the property to be charged with the lien, to- wit: --------- --------- ---- West half of the North 28 feet of Lot. 3 and West half of Lot #1 - .--- -- - - -- - --- ------- --- - - -- -- - -- -- -- -- --- --- - -- - -- - --- -- --- -- -- -- ---- -- --- -- --------------------------------------------------------------- block 20 of the Scarff Addition. - - -- --- - - - - -- -- -- ----- --- ---- - -- -- -- - - - --- --- -- --- ---- -- - -- - ------ - -- --- ------- --- - ---- .. The name and address of the owner thereof at the time of making such statement according to the best information that claimant has is .- dohn.. Chaulk_,-_ L4- 1. 1 ---- Wle- s_T: --- 1- 85_h ...... Grand- __Island_,__ Nebraska -- - - - ---- --- -- ---- - - - - - ------ .. -- - ----- -- --- --- -- - --- - ----------------------------------------------------- Following is an itemized statement of the account upon which the lien is claimed: ------------------ _---- 5670030 Bryant air conditioner - -_ - - - -- - - -- - ------ - - ----- - - - - -- Dated this _-- �li _ day of 1� ------ G=- - c° .�-- -��------------------------ *Strike out words not appikeble. {en Claimant. STATE OF County o _ -% "a `- - - lam`J Ce1. being first duly sworn, say that ..-he is ----- -- ---- ---- - - - - -- ----- -- -- - - - - -- -- -- - - -- the lien claimant mentioned ix the forego g statement; that -._he has read said statement and knows the contents thereof that - he has knowledge of all the jfact8 therein stated, and that said statement is in all respects true.'a w q Subs ed swills is ._ _. day of - -- - - --- - - - -- -- . 19 _47. - - - - - - ---- --------- ------- --- - -- --- - - - - -- (Name of office) STATE OF - - ---- 88. County of - I On this - -- - - - --- -._ .. -- day of 19 ... before me personally appeared .. -. - -- - - -- -- known to me (proved ty me on oath of . . _ _ - -_) to be the described in and ...._ ecuted the within and foregoing instrument, and acknowledged to me that executed the same. ,` .�. �»t tz: 18.•. � fir. -. -- _. (Name of office) —._.1