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221--MCHAMCS Z. .j( (Revised) <br />The Huffman General S-PPIY fi.�, Li.I., Nebr. <br />008214 <br />L" claimed by: .... !I14ZA ....... ............ ............ ................................. 1985. <br />..................................... 4gainst:..Drand..Ialan&.Mall.... <br />.............. ................ <br />yebr_..2250 N. Webb Rd. Grand Ilan, d Nebr. <br />....... ...... ............... ............................................... ........... <br />Dr. Cr. <br />------------------ ...... 10-4MA --------- <br />2449 '15.x--- -- ------- --- -- -._ - -- <br />--------- ------- <br />------ ------------------------------------- -------- <br />-------------- ------ ------- ------- - ----- <br />--------------- I -- - <br />---------------- <br />------------ <br />- ----------- - I --.-.-.-.-..--.-.-..------- - <br />---- <br />.. - <br />------ <br />--------------- ------- <br />--------- --------------------------------------- ----------- ------------------ -- ----- <br />) --------------------------------------------------------------------------------- j! -------------- ------ -------- <br />J ------ ---------- <br />-------------------------- - ---------------------------------------------------- ------------- ------ <br />--------------- ------- <br />--------------------------------------------------------- -- ------- ---'y-- ---- - --- -- ; - ----- T -------- <br />- --------- - <br />--J i ------------------------------------------------------- -------- <br />;I i� <br />----------------- -------------- ------ <br />--------------- ------- -------------------------------------------------- ------------------------------ <br />;I ---------- ------ <br />--------------- -------- 1 ---------------- ------- ------ ---------------------- ---------- - <br />-------------------------------- [ ------ --------- -------- <br />State of..... Aqkr .................. <br />ss. <br />.Ran <br />. ................. ................ Counti, <br />� I <br />Affiant', -Mexwjn.-ffj2jj=S .. C_Omp=y_Gmag-RL=ick—Branch,Xanager.. ...... - - ----- ---------------------- being firs, <br />duly sworn, on his oath says that the foregoing itemised account Of Work, labor, skjjj ............ <br />materials, and improvements is true and correct: that same were done and Pcrfortncd and fvrnislu d 111 • the undersigned <br />for the said ....... AX-01 d3ackjar .. Constr=ti-= ......... .... ........... <br />under a- Xda- °• <br />- , -* -------------- * ------- ** ------- <br />..................................... ..... contract__ ... ................ ... ... .. <br />for thcIQXzmd.jmI and ..Man ... ... ............ - - - -• ... ............. ......... of .......... I ............. ........... <br />. ............. .......... <br />........... I ....... I ........................ ......... - ...... .. ...... ....... I ....... ..... . ...... ------ ------ -------------------- <br />On the fo110-,44ng lot, piece or; arrel of land, 2-250-. N . v <br />ebb Road-Gre-nd-J.-aaW <br />................. <br />- ---------- ........ .............. ................ <br />........................................ ............................ .............. .. ---- ------- - ..... - .. ........ ................. ...... <br />............... .................... ........... - ... .... .................................. ....... ................... ... ---- ........... 1---.— 1 ............ I .......... <br />That a., the time said contract Tivas made and labor and Materials furnished and drliz"crcd thereunder.. <br />ga...................... <br />..................................... ................ ............. ................... Cas the ozewer of said <br />..... I .. .......... ... ... ................. ... ............ <br />premises' <br />.. ' A"ANker- Constru tim.. v4o.. thg qQAtMtQr,.CA Q ... .... <br />---wq .............. — ........................ <br />........... *�*-.:.-.-:�. <br />.... . ....... . ........... ---, ..................... ............................................... .............. I ............. .............. — ..... ... ............... . . -::::::::. <br />That the date of the first item furnished and delivered I-s.Ma=h..5,...1985 <br />date of the last item u= .... jq�P5 and the <br />......... ............................... I ............ ........ .......... <br />further slates that said labor was Performed on, and ntalrrjal$ were furnished for, delivered at, and used in <br />said building Or Premises opt and between the dates specified. <br />That the prices charged therefor are fair and reasonable, and that there is now due on said account the sum of <br />.. 023A.AW-1ara.and ... twenty.. <br />. thM-404t8---- .. ..1)"Ilar.r. that said' <br />.............. .................... ....... ......... I .......... ........ .. <br />.. . .. ......... - - <br />said a, r C .-. to- - Udt : ..... Th ' e - s um " 0 . i _. $ _ -.233 . I , 2 .... .... ... .. cl(J'"'s (I lien Ott the said Preatises for 'lie full 01no"pil Of <br />from thc-- ...... -AM-day 3� .......... . . ..... - --- .. - - JoYi'ther -with intcre,t thereon 471 the legal rate, <br />............... .... .... ... ...... 85. and 1 <br />furlhcr affiant says not <br />. . . . . . . . . . <br />subscrih4qn n'ry prescme and sworn 11) brfr,e. 1111' il,;L 1�—►- <br />(See re%,erse side, f,,r ;t,tj-tj,jj,s, I <br />—i <br />