86106221 - Laserfiche WebLink

Browse

Fg q (o4i 2> 211111-A—MECHANIC'S LIEN Hultman and Felton & Wall, Walton, he. 69461 1•en clakw by: Cr.k, A. being first .................... duly swars, on his oath says that the foregoing itemised account of work, labor, skill -------- •---------- ........................................ materials, and improvements is true and fiwrer' same "er"done and performed and furnished by the undersigned )0 ---------------------------- - -------------------------------- for the said..�.5 ..... under all ........ !ac r--z ----------- - contrac.--...-,.. .......... for the, -- - ------ - --- - ------ .. . .................. . . . . ...... of a ... ---------------- --------- ------ - ---- -- . ... ---- _...-•-•- -...._........ . I --- - --- ----- . ..........• .. - ------------ --------- - . . ..... . .......... on the following lot, piece or parcel of land, iz. -1-iLic) . ........................... ... . ..... - - ---------------------------- ----------------------- . . ................. .. .. ................................. ......................................... -------- ----------••- _------------------------ - - - - -- - - ---------------- ----------------- - .......... .... ......... .................. - -- - - - - -- .......................................... . . . ............ ....... That at the I -,os,*ade aq labor and materials furnished and delivered thereunder ................... . ... .�e r said contrui�, ._ ............. was the own, of said premises' .. . ...... . . ........ 4 L1_-- •---------------- •- ---- -- --- -- - ........... - -- - --- -- -- - -------------------------- ------------ - ------- - ---- ------- - ----------------------- ........ . .................. ...... ......................................................... -- .... . ..--•--_.-_•. .- .-- __- ....- .- ---•- -•--- -- - --• --- - ° °--•- •--- -- •...... ---•------- - -- ---------- . ............ That the date of the first item furnished and delivered uw --- and the dateof the last item was ........... . .......... . .................. ........................................... . ........ ......... ............. Afkat further states that said labor was performed on, and materials were furnished for, delivered at, and used in said building or premises an and between the dates specified. That the prices charged therefor are fair and reasonable and that there is d on said account the sum of ... ................ w due s . .......................... ............... ..................... ........... ................ Dollars, that said" . ....... .. .•.. ..... r ...... ....... .............. ............ ............. . .............. ... ............ ... claims a lien on the said premises for the full amount of said "count, to The sum a $ ------- --------- from ....... day of - ----------- - - - - ------- �.. ............ 'r ................. ................ - .............. .................... --A e2 L ------------------------- ------- ......................... ........ ....... ;,Subscribed in In p7rence and sworn to before me this_._.. ('9. -Cf ......... ......................... H Z99b y of 09 rEveisie .. ....... ............. side for inztrut lliaaa ) Notary Public. STATE OF.._...--_...---.- on numerical index and filed for record ---------------- . ............. ------------------- ------- - Q=ty ...... ........ ............ 11 . .......................... in the Register of Deeds Office of said County the ._..._...... ......_.day of 19.. ........... at.. ........... .............. o'clock and- .. ... ...... .. ............ minutes ...- ..---M., . and recorded in ..... ..... .. .. at page. Reg. of Deeds By.. Deputy — ----------------------- -------------------------------------- — ------ ---- ------ -------- - - - ----- - - - ------- - -- -------------- - ------------------------- --------------------------------------- - - - - -- ----- ------------------ ------- ------ -------- - --------- -- ---------- --------------- ---------- - --- -- - ---- - - - - -- ----- ------- ------ - -------- - - - - -- -------------------- - - - - -- --- - ------------------------- - - -------------- - ----------------------------- :-: ---------- ----------------- - -- -------- - --------------------------------------- --- ----------------------- -------------- -- ----------- ------ I -- ------ ------ ----- -- -------------------- -- -------------- ---- -- ------- -- --------------- ------ ------ ------ ------ -------------------- ----------------------------------------- --------------------------- ------------------------------------------------- ------------------------------ - ----------------------------------------------------------------------------- ------------------------------------------------------------------------------- ------------ ------------- ------------- ------------- ------ ------ ------ ------ -------- --------- --------- ---------- --- - - - - -- -- - - - - -- -------- -------- -- - --- ---- -- - - -- ------------------------------------------------ -------------------------------'r------------ --------------- ------ ---------- -------- --- --- - - - - -- L ------------------------------------------------- ------------------------------ ------ ---------- -------- A. being first .................... duly swars, on his oath says that the foregoing itemised account of work, labor, skill -------- •---------- ........................................ materials, and improvements is true and fiwrer' same "er"done and performed and furnished by the undersigned )0 ---------------------------- - -------------------------------- for the said..�.5 ..... under all ........ !ac r--z ----------- - contrac.--...-,.. .......... for the, -- - ------ - --- - ------ .. . .................. . . . . ...... of a ... ---------------- --------- ------ - ---- -- . ... ---- _...-•-•- -...._........ . I --- - --- ----- . ..........• .. - ------------ --------- - . . ..... . .......... on the following lot, piece or parcel of land, iz. -1-iLic) . ........................... ... . ..... - - ---------------------------- ----------------------- . . ................. .. .. ................................. ......................................... -------- ----------••- _------------------------ - - - - -- - - ---------------- ----------------- - .......... .... ......... .................. - -- - - - - -- .......................................... . . . ............ ....... That at the I -,os,*ade aq labor and materials furnished and delivered thereunder ................... . ... .�e r said contrui�, ._ ............. was the own, of said premises' .. . ...... . . ........ 4 L1_-- •---------------- •- ---- -- --- -- - ........... - -- - --- -- -- - -------------------------- ------------ - ------- - ---- ------- - ----------------------- ........ . .................. ...... ......................................................... -- .... . ..--•--_.-_•. .- .-- __- ....- .- ---•- -•--- -- - --• --- - ° °--•- •--- -- •...... ---•------- - -- ---------- . ............ That the date of the first item furnished and delivered uw --- and the dateof the last item was ........... . .......... . .................. ........................................... . ........ ......... ............. Afkat further states that said labor was performed on, and materials were furnished for, delivered at, and used in said building or premises an and between the dates specified. That the prices charged therefor are fair and reasonable and that there is d on said account the sum of ... ................ w due s . .......................... ............... ..................... ........... ................ Dollars, that said" . ....... .. .•.. ..... r ...... ....... .............. ............ ............. . .............. ... ............ ... claims a lien on the said premises for the full amount of said "count, to The sum a $ ------- --------- from ....... day of - ----------- - - - - ------- �.. ............ 'r ................. ................ - .............. .................... --A e2 L ------------------------- ------- ......................... ........ ....... ;,Subscribed in In p7rence and sworn to before me this_._.. ('9. -Cf ......... ......................... H Z99b y of 09 rEveisie .. ....... ............. side for inztrut lliaaa ) Notary Public. STATE OF.._...--_...---.- on numerical index and filed for record ---------------- . ............. ------------------- ------- - Q=ty ...... ........ ............ 11 . .......................... in the Register of Deeds Office of said County the ._..._...... ......_.day of 19.. ........... at.. ........... .............. o'clock and- .. ... ...... .. ............ minutes ...- ..---M., . and recorded in ..... ..... .. .. at page. Reg. of Deeds By.. Deputy