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2Tt-A-fiR ECHANIG'S LIEN CJ~"~ ~ F it ~1't ~~' ~ H~ilmnn aid feiten eG vcoii Walinn Ne GA0.6i <br />1;irn claimed by: ~I2d'UHr)- -~ b __ . _ _ --. _. - ..--rq.~--~...- <br />1Yalord.:..~t`.~2(.a....---- .~Igainss:_.Jo-hn <br />'i'ed <br />dn <br />ti'? <br />Y3 <br />J <br />: <br />~? _E.._ .u_L.t?.h.:, .1..__F.'-~-~-7.-~.CI-~-- ~- <br />__ <br />-. <br />. <br />. <br />_. <br />. <br />-.- <br />Tnsulation I[ and C.o. 7 <br />'1.8 \, ;\l Grancl.-Island tit <br />ian <br />t,t., <br />.. s.... . <br />_ <br />Rddress..l-ifl-~-~ ~. 5-'t-: •P-~u~1~ -3`id....i . ... . __.... . <br />- <br />_..... .._ <br />Cr <br />r9----- f'r an d I s l and,__~.6~ 8 Q~ . <br />Dr. <br />: Total ~tnuz+n.t .i~.ue-----.. - - -- ---- <br />1 _,l U 0- - 1-' - -- -F--------- <br />-- - <br />------ <br />---- ------- -- <br />Proce55 in fees <br />g <br />-- -- 'S '~ 0O ~ <br />.-~,,.o°~-~°T-- ----- - ~--- ---- <br />- <br />_- <br />1 ,; <br /> <br /> <br />----- <br />--------------- F------- ---------- -- ------ <br />i <br />y , , ~ , , <br /> <br />,, <br />. <br /> <br />I <br />~ <br />!~ <br />---- -------- ----------- --- ------- ------------_ ---- -- <br />I --------- -------- <br />~------r- <br />- - - ---- ------. <br />. L <br />, <br />-- - - - <br />{ -----~~-- -- _ - - -- - -- --- - -- <br />~----r- <br />--------------- - <br />---- <br />i <br />-. <br />-- - - <br /> <br />-------'-•; -----I--------- ~--------- <br />1 <br />'-'-' ~ <br />' -------i <br />i <br /> <br /> <br />----__ <br />--- <br />i ~ <br />~ ~----- <br />~ <br />i <br /> <br />f- - <br />--------------. ~ 7 <br />' <br />~ <br />i <br />---------------}-------''r----------------------- -------- -- ------------------------------- ----- <br />------- ----------- --~------ ----- ---------- <br /> <br />State o f.._-~'` e ~_r-a s k a----------------' <br />~ <br />ss. <br />Hall .-- irountyj <br />Affiant~, .....T~.~--3.,.._1.Valf~rd~...sl.i~_/-~?.-..Ind}ziation._Isi.and . ~o-'--------------------------------------__--• being fzrst <br />duly sworn, oft iris oath says that the forrgaing itemised arcnunt c' work, labor, skill. __ ........... ........ _. <br />rnafef^ia1s, and improvements is true and correct: thai same zt~ere uvne and (~e rf~rmed and 'urnished by ±he undersigned <br />for the said....J4hn E...y...L~zs ~ .,.°~2 fe.r _ __ _ __.- -----....- <br />uxder aT _. oral _._. contract.. _ _ _ __ <br />for tha'....._......1.?2.~u.:~s~.L.h_4?) ...................._.-...._.......__ ..._.cj a __hou4.~. . <br />on the fodlawixg lot, Jnece >r parcel of tared, t>i~ :".-.1-R-t-._]..I_,..F;,, _ and,_.f3_ ....'...na_. ~u.bui.~:_1 ti.1_c?n-,, <br />.._ <br />to the City ~f Grand Island, AeY~rask<s <br />That at the lime .raid contract u~as +nade and labor and +naterua; furni;he~i and delivered thereunder.__..__.....__._. <br />_.. .. __ :.vas the au~ner of said premises' <br />That the date of the jzrst item furnished a>td delivered zx~ai. _.__ ;~.u.l}'._1.?-,... ~-9.:3-1.-...-.-.----------------- axd the <br />.~nteof the last item uvs... ,Janu3rV _'4 _1`?R~ -..._. _ _. <br />"`' Affiax: further states that said labor u+as performed on, and materials wero furnished for, delivered at, and used in <br />raid building; or premises an and betu:een the dates specified. <br />= That the brices charged therefor cre fair and reasoxabie, end that there is ruw• due on said accounf the sum of <br />.. ~ ~ _ <br />'S.~Y:@bttz',.~.1..Si.ItRGlS-~.Sf'...TSi4.71.5~--.~.z.1s.-.~.Lis~._i.w.1.7,.4~.~.-.-..---___:.::-.-_--_-_---.:.:.-..----.-...Dollars, that saul° <br />T~.d J 65alforci_,_ cil~?,ia_.I~SUl.,ti~n_ IIaizci C~.-_ <br />-------.---_...-----....._...._--., .... _.-._... _ __..._ .- __. _- ._ - ctrszsns a lien. cre the said promises for the full amount of <br />said account, to-:rrit: The sum of $.1..,.~.~.~-.-.1.::...-.___ . _ _-__ together with interest Thereon at fhe legal rate, <br />from the..........._.....day of. _..._. .----...... _.__.._ __ __...----, r9_.---_., and further a~saxt says not. <br />1.c.il ,,?._-.. 1vs11.azct7r..s~L,i?:.a.. ins.u'ta,~~.on isi.a?zd t-O---°----~ <br />r <br />~; r ~c, ..; ~ -_ z <br />~ubsmbe,, in mt' Prtsen.< ,:nJ sut,rn in oerore >ro irtis .. n~.. ....-. _...... <br />day .,_. - _. <br />~ ,. - <br />(5re revrrsr side for instructiorss) 'Votary ;Public. <br />SfA'P~ OF_....__.._..... ,. _._ _....._.._. <br />eu. <br />C.nmty .. ,.___ - ... _ .. .__ ._.. ..... ___._ 3 <br />uaa -rr,rittxt. Va 33ocjk. -. -. __... ___ _. n'_..... <br />ut Yni;e <br />Ent d ,~n non ~.-at z9cx rend h sf Car ~~~rd <br />it n Pue,•xute e + f 'Jerrly. C?PTnea t>f eii 't Cnraat file <br />,r'ciucxk :;red ir~«a ten ~:.- <br />o-l^- ~ ~.r,uiy- <br />