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IEN _ $U-_ 144315 H'"t"at ........................................... /^ %Q!t� rr Against h_! .e. ..S. P- `' / __._ state of... !yC �I t?s..._-- -•_ -1 ss. _7 < ..._.._........_..'c /aunty i t .'r - ! . o,t : n ffIa fl C51�i+r0 . _..........__... bring first duty sworn, on his oath says that the foregoing itemised 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 --------- i.5J1"E. _�t?l�S l.LCl^z�e c?/?_... -------------------------------------------------•-.....-•-•----• •--- -- --- ............ .......... under a' ............ W.( !-.7 &.n ........................... contract ........................... ........ .------- for the'_.......... itLSfa/./ a% cU. n ...... ....... ...._.------------ -. ... ...... of a - ...... lcJ.._...�u.r..!!�ce= ..G��l�._j2".'— ......__...---- tQa,! <.�aaEr: /3 oc� /02 on the following lot, piece or parcel of land, zK�a....- A.. ..-- ••--- -.. --.... -•---••----•-----• .............. ... .- ....._........- ........... ._ ............................- ..tv_Oeii ........--..1'a'e�� - --- .....�f��e✓._ .,- 0�............. ............. : ................_..--•-•--•--•---------•--............_....------.... .....................---- °- ---• .......................................................... _ ......... - ................. .._ ... ....... .... _ ......................... - .._......_ ..... _ .... __ .......... ---------------- - •-- --------- ° - °- - -- -- ........ - -----•-- ...•---°--...._....••------ --. ............................ That at the time said contract was made and labor and materials furnished and delivered thereunder .......... _............ -.'...LL .....nns,??�.( r.Lt� - .Q. !4 5. ---° --- ...--°-/--......--•-------°---- ------ .... _ ............. ....... .was the owner of said premises= ..en.... -_.._ _.. J ....................... ............................... ............ ............................... ..... .... ............ . ........................... That the date of the first item furnished and delivered was ............. /...- i�- J.-. ��.`.................... __............ and the dateof the last item was ..... ................................................. ----- .------- _ ........... l..- E Affiaxt farther 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 • es charged therefor are fair and reasonable, and that there is noto due on said account the sum of ar S X{ -- 't...- X33 oliars, that s aid _ .. ✓.C/.1........ K !7.Otl.�-•---- °--- --- � °•-•--•-- .... _ C�'.11 dis..._.= �� -�----.._.....��41 ............ .. ........ ... a ��li f . 0? ......`..... .i_f ....6.21iO�i.zI ee..,fl j ...........................°------•-••-•-•- ---• °---....._................. ....... ......... ............................... ----- . ........... ................... ...................... ....claims a lien on the said premises for the full amount of said account, to -wit: The sum of $..- . ........ .......................together with interest thereon at the legal rate, from the__..f . ....... day of---.. . ..................... ..... ............................ r9 --- rG, and further affiant says not. li .............1 ....................... .................----.... ................................ ............... ....................................... °._...•••. ..... ° y .................. ......_.......... ..._.....-------- ........_..... ubscribed in CG -_G a presence ` and sworn to before me this . - °-- -- f�`�/ .......................... MNA Mr4iifa.�MNay of .... tq.'_....-'.. ( See reverse side for instructions) iti� %ary Pablic. STATE OF ........ .. ................ _......_..._... _..__.. ....... _ _. Entered on numerical index and filed for record in the Register of Iheds Office of said County the s ......day of. ...... ......... ....................... ........ 19.......... at...._ ......_ ...._ .... o'clock and.., . minute` and rworded in Book_ .._------------- ......._._..._ .of........__.. _ .. __. _ _ __.at page.. Reg. of Dei ds BY Deputy ia� - -s- i11� Po - - -- ----------- - - - - -- --------------------- - 11% - - -- - - - - -- - --------------------------------- - -- ---------- - - - - -- ---------------- S!l�d____" Vin_. :�r .n. cha / �cc-------- - - - - -- - - - %.5 - - -- -- -- -- -- I' -- -- -- -- - - -- - - - - - - -- -------------------------- - - - - -1 -- ---=--- - - - - -- --------- - - ---- - - - - -- - - - - -- -------------------------------------------------------------------------- - - - - -i - -- - -- - - - - -- -- - - - - -- --- - - - - -- - - i� ------ - - - - -- -------------------- r - - - - - -- --- - - - - -- - - - -- - -- --- - - - - -- --- - - - - -- --------------- --------- - - - - -- - - - -- - - - - -- -stn `cl_ : :_ 0 --------- - - - - -- -------------------------- ----------------- - ----- - - - -�- �" ° °--- - - - - -� L------ - - - - -- - - -- - - - - -- -- - - -T --------- ! - --------- - - - - -- - - - - -- --------- - - - - -- /� /sarrr %mil --- --- _- - - - - -- -x"21 �% --- - - - - -- �i ------------- t - - - - -- --- - - - - -- ---- - - - - -- -- - ------ -------- — ---- -- - - — !4� �. C ------ - - -------- --- --------------- ---------- ----""""`�-"r-•-�--�--- --- ----� - ------ - ----- ------ - ------ -- - ---- --•-------- --- - ' ---- - -- --------------------------------- --- ------ --- -- ----------------11 - ° -- ------ ------------ -------- state of... !yC �I t?s..._-- -•_ -1 ss. _7 < ..._.._........_..'c /aunty i t .'r - ! . o,t : n ffIa fl C51�i+r0 . _..........__... bring first duty sworn, on his oath says that the foregoing itemised 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 --------- i.5J1"E. _�t?l�S l.LCl^z�e c?/?_... -------------------------------------------------•-.....-•-•----• •--- -- --- ............ .......... under a' ............ W.( !-.7 &.n ........................... contract ........................... ........ .------- for the'_.......... itLSfa/./ a% cU. n ...... ....... ...._.------------ -. ... ...... of a - ...... lcJ.._...�u.r..!!�ce= ..G��l�._j2".'— ......__...---- tQa,! <.�aaEr: /3 oc� /02 on the following lot, piece or parcel of land, zK�a....- A.. ..-- ••--- -.. --.... -•---••----•-----• .............. ... .- ....._........- ........... ._ ............................- ..tv_Oeii ........--..1'a'e�� - --- .....�f��e✓._ .,- 0�............. ............. : ................_..--•-•--•--•---------•--............_....------.... .....................---- °- ---• .......................................................... _ ......... - ................. .._ ... ....... .... _ ......................... - .._......_ ..... _ .... __ .......... ---------------- - •-- --------- ° - °- - -- -- ........ - -----•-- ...•---°--...._....••------ --. ............................ That at the time said contract was made and labor and materials furnished and delivered thereunder .......... _............ -.'...LL .....nns,??�.( r.Lt� - .Q. !4 5. ---° --- ...--°-/--......--•-------°---- ------ .... _ ............. ....... .was the owner of said premises= ..en.... -_.._ _.. J ....................... ............................... ............ ............................... ..... .... ............ . ........................... That the date of the first item furnished and delivered was ............. /...- i�- J.-. ��.`.................... __............ and the dateof the last item was ..... ................................................. ----- .------- _ ........... l..- E Affiaxt farther 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 • es charged therefor are fair and reasonable, and that there is noto due on said account the sum of ar S X{ -- 't...- X33 oliars, that s aid _ .. ✓.C/.1........ K !7.Otl.�-•---- °--- --- � °•-•--•-- .... _ C�'.11 dis..._.= �� -�----.._.....��41 ............ .. ........ ... a ��li f . 0? ......`..... .i_f ....6.21iO�i.zI ee..,fl j ...........................°------•-••-•-•- ---• °---....._................. ....... ......... ............................... ----- . ........... ................... ...................... ....claims a lien on the said premises for the full amount of said account, to -wit: The sum of $..- . ........ .......................together with interest thereon at the legal rate, from the__..f . ....... day of---.. . ..................... ..... ............................ r9 --- rG, and further affiant says not. li .............1 ....................... .................----.... ................................ ............... ....................................... °._...•••. ..... ° y .................. ......_.......... ..._.....-------- ........_..... ubscribed in CG -_G a presence ` and sworn to before me this . - °-- -- f�`�/ .......................... MNA Mr4iifa.�MNay of .... tq.'_....-'.. ( See reverse side for instructions) iti� %ary Pablic. STATE OF ........ .. ................ _......_..._... _..__.. ....... _ _. Entered on numerical index and filed for record in the Register of Iheds Office of said County the s ......day of. ...... ......... ....................... ........ 19.......... at...._ ......_ ...._ .... o'clock and.., . minute` and rworded in Book_ .._------------- ......._._..._ .of........__.. _ .. __. _ _ __.at page.. Reg. of Dei ds BY Deputy