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.~--~...-
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<br />Tnsulation I[ and C.o. 7
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<br />State o f.._-~'` e ~_r-a s k a----------------'
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<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-,,
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<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
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<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---°----~
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<br />~ubsmbe,, in mt' Prtsen.< ,:nJ sut,rn in oerore >ro irtis .. n~.. ....-. _......
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<br />(5re revrrsr side for instructiorss) 'Votary ;Public.
<br />SfA'P~ OF_....__.._..... ,. _._ _....._.._.
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<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 ~:.-
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