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<br />84____Q061~tQ
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<br />tilt 'l1~"JSO~ B Hultman and felt~n & Wolf, Walton, Ne 68461 .-;.rr---.
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<br />f.'<n claimed by: r.\ ..mm..mjEJ\D.U~-)t!.~--Q-~_r.::....L~mm__'I9_,_Xi 1 ::
<br />1:bCf..Se.-:tT:{c..:t1,rou ~:1S.........,___...___..__.m Against:_. ...,.,O!rL~!'.'?-E.~.[,lea.n.Q_r.:_5?:__Ib,otcar..4- Ii
<br />Address..95QS..:.'._:L_~_~,_QilloJ},Q_J:':g_0B.la_7 oa.o.~....ev.,_n_JQ:~__C9:.rc.md_:;r.s~~_,_~ I
<br />19,......-_m Dr. "T. I
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<br />Affiallt'. -...----..---.....- -... ,j, \4.IDQS':o..O:>'-\IW...: .V..~~,~....._J,~..~,L....f.!\{........_.___._._..., being first ; Ii
<br />duly s-:v,Ont, on, his oath says that the foregoing ite,;,ized naoullt of work, labor, skiil........m..,....:......______................__:........ t Ii
<br />mate...",., and ""F(YV'~r.tS !s. t.r."".....a'lti correcl:.. t/UJt same tt'q:.&."do,!e alld performed. and funtuhed by the undw.ng1Ied !i 11
<br />"'r \ \ I, G l 'T-' lb i ' - II
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<br />;,~i:~~-:J~~~t~"-~;:"=~~~.~~j~~:-::-_~~~~~-~~~ III
<br />"" ", ,.":",., "'" "'~.~~~t\t~o\~Y;;b~~l~~C;~~~~~~~~~= II
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<br />Thai at the ti,:,e SOld rontrad:"a$ ,""Jd"r_~d labor and ~te>;illl. furnished IInd delivered thereunder,..._................_,.
<br />...,.,.........t'('l.O.if.'.?L':';:\,..'?::...L: ,t'4.l\'?'C''''.f'o,0.lf\(~.':;........was the oumer of said premise"
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<br />221.A-MEChANIC'S LIEN
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<br />That the date or the firsl item Iurnuhed ilnd deiit'md waL ..JDi."iq.,~,.._,,'.._,:.',~._~'.::,:::'~:-,::.::.,::::.:~:::'..~;.~.;;.;
<br />dot. of the last item ",as.:.. '.JJ..:-:I.;;.:,B,,'L.
<br />Affiant t....thN' st"t.,s that said labo. ."xu PNformed 0", ~"d maurials were furnished t01', delivered at, and lIS" m
<br />s-oid buildiflg 01' premises on and bel!!.',e:; ihe dates specified,
<br />Th# t!:. ",.;us chargtrd therefor are fair and .eas1ablc, and that/here is now dwe On said a!'Co#," the s#mol
<br />--...'..............-.....---- ----- .......... .......--. ...m.-~-.d,Y..l!;~LljK............u..................._..Dollars, that said'
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<br />~5~1i&!sillif:B.CJ.ud;$.:r.i~~....:::.:, :..
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<br />taid accOlifl/, ta-wi!: The.rum of $u..;>,I::rJd."..~.~.......,
<br />Irom Ihe.....u.'-o...... . day oj..... f\D:u_{;m,b,~,x:....
<br />. .- ...._,
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<br />daims a lien all the said premises for the full anwtml of
<br />"m~. I IJ 'I 'U":'~ 1ft O'JP,)l J}Jf;Tr;vn wJ Illr 't](I} rfltl,..
<br />.....__.........._..u, 19..,5[,'1, and further affiant says not.
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<br />.Subscribt'd in my f1resenfc and .rruorn to before me
<br />day of . DCt0.~.:(nX;u:x::..__._,
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<br />Nolory Public.
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<br />STAT!;: OF,
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<br />Ente.rNl on nunwrlc,il md~x llnd t.ih't-i for I<'i'oJ'd
<br />ill the R~X"ilH:e-r of Dl~t:'(i:-; Oilkt~ of ~lid County tlw
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<br />County
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<br />day,,!...
<br />and .....~ in &".L
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