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7� <br />of CW. f.. M,bftk,.. MI—e., <br />EA- — P-4 P­VWtY <br />100108 <br />Notice is hereby given that :1 ' r n, 7 ` -fir v c n,'rn y <br />interi,da to claim and hold as lien in the amount of, <br />dollars <br />with interest thereon from the 2 day of tl o ✓ em t) e r 19.8. <br />at the rate of per cent per annum. That such amount is due and owing to the claimant <br />for (labor performed, or for skills, services, Ynaterial or machinery furnished)" for the following im- <br />provement for which the same was done or sAtpplicd, to-wit J n s *, a I I e d ne w j ', 0 3 6, - I 2.5 rI <br />sr -i �j 171 <br />- ------ --------- __ - -------- <br />The name and postoff ice address of the claintart is ­ <br />n 4':= a c se ry i <br />----- ------ <br />.m. n., <br />- ----- V, X_ I _n i',a ak _-4 L22D -- - -------- -------- - --- <br />— — , .1, -r-I . __ z_Ian, C ---- <br />The name and postoffice address of the person for whom the u7crk was performed or materials <br />fiernished is T - L - n F, e b r a sk a <br />- - - - - - --- ------ -------------- ------------ <br />The date when the first item of the claimant's contribution was made was the . 2 r_hl ---------- day <br />Of v r.,. r 19. and the Imit item of the claimant's contribution was made on the <br />day of 19 <br />The following is the description of the property to be charged with the lien, to-wit: ------ - ------------- <br />----------- I ----------- — <br />---- ------ --------- ---- ­ <br />The name and address of the owner thereof at the time of making such statement according to the <br />best information that claimant has is F <br />---- -------- ---- - ---- <br />-- - - - ------ -- — - <br />Following is an itemized statement of the acrovnt upon which the lien is claimed: --- - ------- - - <br />-------- ------ I ------ - <br />Dated this <br />day olf '19. <br />*Strike out words not applicable. <br />­v Lien Claimant. <br />STATE OF <br />County of <br />being first duly sworn, <br />say that he is 1� <br />- - - --.- <br />the lien claimant mentioned in <br />the foreg6ivg statement, that he has read said statement and knows <br />the contents thereof,- that <br />he has knuwhdge of all the facts therein stated, and that said statement <br />is in all respects true. <br />r � , W, e S t,_�- ! n r e r V I F,., -, a n v <br />Subscribed and ,tworr to before nie this da of <br />f1m <br />SIMI jL -- -- --- <br />[W OIL sk <br />(Name of office,) <br />STATE OF <br />County of <br />On this <br />day of Z, be ore m� <br />personally appeared <br />known to me tproved to me on. <br />oath of to be the <br />desc-nbed an'd A� , <br />exec-Ot d fhe trithir and forr, - <br />1,, 2 r t, vnd ncknou-Icdged <br />fo Me that <br />he so-mr <br />naz <br />AIM owft 81 "Mu <br />4AMA W A <br />A <br />