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<br />say-~~t~c~~ : ; ~ ~ . T-: T e.: ~ ~,.. ~, .~-.
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<br />T_'kn cJixm'rred bs': .~~~"~..~....2.+~.,.-.-.-.-- ................i17~-....
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<br />The Ghica~ry Lumber Co, of Grand Islant~,gainss:..~ra-lr-Via.--~ts~,.-_r~~. -.._. .. ..-.--.
<br />- --
<br />--a..'f~eFiraska cos-iiraCiori - ..- _- -
<br />.4ddress.......353-_At-.-..Pine--.Street----- 213'_5 S, Locust,Grand Islay-ri, NE
<br />^ -, jj9..7.~..}G775r~and Island, NE fi8801 ~ ~ -~---------~- Dr. C+. - -
<br />~~, ~ -1.~9..A-__--y_32 3~______________ _ ____________________________________-- _ _______-_-- __._ ~- ~ i __- _
<br />ehrou h a
<br />--------------- ----------IIlYD1L2s__and-sredix._unuchers__per________-.--
<br />3/21 9 !j
<br />-------------- ------jr---~edge~--page--a~~ac7aed--------------------------- --------
<br />-----{t---------------------------------------------TQTAL__ftEBZT~---------
<br />--------------- -
<br />-------------- ------1CL---------------------------------------•-----TLITAL__CgEDITS--------
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<br />--------------- ---°-lr----------------------------------------------------------------------------
<br />--------------- ------'r------------------°--------------------------------------------------------
<br />--------------- ------a-------------------------------------------------------------------------------
<br />-- -- --a
<br />- - - 1~-------------------------------------------------RAZ11Nf-E-Ty.LE-
<br />----
<br />37-~~~--`-------- ~---------
<br />--- ~ ------~---5~9 ~ 53-__-_
<br />12.427
<br />State of°._H~braSka° .............
<br />Hall ss.
<br />- ----------°-- --- ---------...--- County
<br />Gerald W. Crumrine, President of The Chicago Lumber Co. of
<br />A ffiant , ------------ ............ ... .... -- -----. ...---- - -------- ---------------------- - ... - - ...- ------- - -- ---..., being first
<br />------
<br />ran s -and;- a• a ras a corporal-ion
<br />duly sworn, on his oath says that the foregoing Itemised account of work, labor, skill..__..__..-..-._.....-.-..__._...--._ ..............
<br />matesials, and improvements is true and correct: that same were done and performed and furnished b;~ the undersigned
<br />for the said....-...Prairie Datsun, Inc.
<br />under a' ----°--------° verbal----- -----°-----------..... contract.- . .................. _.- -- --- - -
<br />forrhes....arectiAn-------_.-•------------- - ----------------------°7-¢----..gax~g~...b~ilding-....---__
<br />on the following lot, piece or parcel of land, viz:'
<br />_-_----_.-_----_-_-_-.-_-Part. of--.Lot.-Four-_(4}, Islands .in Section Twenty-Seven (27),
<br />- ....... ..........TQtanshi~...Elayezf._..C1.1~...F3oxth,.--Range-.Nine. (9)..,..West--of the `
<br />---------•----------------h~h...P„M._...in---Ida.11..-Caut2t3t-r---23E_.j.24Q..'----x--!~3.3'. -lOz.~---- - ---- --------
<br />.... ..
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<br />.;
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<br />T at t ¢ trine sat cantrnct was a and labor and materials fterrishzd and delivered there;tnd2r----------......-.---- ~ ;`
<br />----Prairie Datsun,----Ire. •-...._ .... -
<br />.. - -- -- -- ------------ -•------- ---- - --•--- ------- ------- ----was tlae owner of said premises `".
<br />__ Ro~r.Fredrickson, 2219 Cochin Boulevard, Grand Island, NE
<br />was a contractor on said building and acting for the owner eiEher - --~~ ~~---- ` ,
<br />as_a prime contractor or as a sub-contractor of Setag, Inc.
<br />- --- ----------°°-°---------------_.....-°- --------- ----... ------ ------- -- ---°-°-°--°--- -- -° - --- - ......... - --- -----°-----__......-...._-.......°-°- i
<br />That the date of the first item furnished and delivered was.-..._..-..December 1, 1978 and the ~ '
<br />date of the last item was.......March.21-,....192.9.-.-_..__.....
<br />ft fJiant further states that said labor ubs performed on, and materials were furnished for, delivered at, and xsed in ': '
<br />said building ar premises on and betwezn the dates speci jred.
<br />That the prices charged therefor are fair and reasonable, and that there is now due on said a~c7count the sum of
<br />_ Twe Lve-_ Thousand.-Four Hundred - Twenty _ Seven - & 57 / 1Qd ($12 , 42 7 . ZJoTlars, that said' '
<br />....Tha.._Gk13,Gag4_..~..LTmb~.~....Go, of,_~rand,_Island, ,a.-Nebraska corporation t ';;
<br />claims a lien ort the said premises for the full amount of ;
<br />12,427.57
<br />said account, to-wit: The sum of $ ..............._....................._.._...---..........together urith interest thereon at the legal rnte, i
<br />r ~;
<br />from the 21st,-•_,-_~day af_......_Ma~Ch .....-°--•--:.. ----..... - x979 -----, and further want says not. ( ',
<br />-The...Chicagp.-I:xunba~...G4.-...Af._Grand•Island-,-a-Nebraska } ~'
<br />,r? _ ~ corporatioot#
<br />.. ..
<br />.... --- -
<br />f-•-- -..._ .__..
<br />b ~ •t
<br />• -- -l=..._ .:1r:Sf(~r?it~k•/-...---- ...._ ----s --President
<br />t ~~p ubsrribed i» my presence axd sworn to before me this......... 2~+-th
<br />!Aiit$~ - ................ .
<br />~~~ ~ day °f ---•--..Zlgxz.l..------'~'~-~---- - - . _ . . ... ... .... ... ~ r`- 7
<br />- ~;
<br />(See reverst side for instructions) ;1%otnry Public'
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<br />.Y_...._ ._,__._____..._._.u~____ _~__.. -._ ~.~.._
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