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<br /> <br />84.~"003549 <br /> <br /> <br />DATE: <br /> <br />LIEN CLAIMED BY: <br /> <br />LIEN CLAIMED AGAINST: <br /> <br /> <br />STATE OF NEBRASKA <br /> <br />) <br />) ss: <br />) <br /> <br />COUNTY OF HALL <br /> <br />Robert V . Hansen, d/b/ a HaIl sen <br />sworn upon oath, deposes and S&y~ <br /> <br />1. He is the owner of the <br />Hansen Masonry and verifies this <br /> <br />2 . The general contractor, C.. C. <br />Arizona Avenue, Grand Island, Nebraska <br />duly authorized representative, <br />with Robert. V. Hansen, d/b/a Hansen <br />the cement work to the basement to <br />hereinafter described. <br /> <br />3 . Said <br />as the general <br /> <br />4. <br /> <br />J"ot Eight (8), Bison Meadows, Doniphan, <br />County, Nebraska. <br /> <br />5. The date that the last materials or <br />furnished to. said property was on o.r about May 23, 19R4,<aJ;1d the <br />contract prioe for these services was Three Hundred. Seventy and <br />83/10.0. Dollars ($370..83) upon which contract price RobertV. <br />Hansen, d/b/a Hansen Masonry has notreoeivedanypayment. <br /> <br />6. Robert V. Hansen, d/b/a Hansen Masonry clai~s a lien on <br />the above-described real estate for tnf? ful'! amount of' the <br /> <br />-1- <br /> <br />II <br />U <br /> <br />L <br /> <br />.J <br /> <br />L <br />