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<br />..~--?1'-,of-ICearrie~.f.'---~°-------------••------°_ t4gainst:---Prairie--Datsun.-Zr7c. - - --- ---........--~.
<br />Ord West Hic~ ~Y 30
<br />I Addreu....1022-Avenue B, Kaaf-rsey,•-NE---- -Grand Islartd,~~NE
<br />Iq__~.8-.7.9 Dr. Cr.
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<br />~~f8_irxv_~_ __47i ~23Q9_~705A_2X2X5j3-~a_Fi~GU_re:3_Minatorie_-----__i! 924 80_- _
<br />---------
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<br />/78 Irn _-- 0~71 ~ 1008 _ X1420-08 _Blk __ Angle_ hold -----------------------------I~-------~~1° -~Q-- --------- -
<br />(78_Inv_____ 047 ( ~ 7200.811-08_Blk,. A~Iain_lauu~er----------------------------+~------z0.$-- -33-- --------- ---------
<br />L78 7nv:_ ~4~_a
<br />~ l_~4QQ_#~~44$_~,lk,__4_'__~x~=------------------------------------- 381--
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<br />/78.Imr___ 047- ~ 1200 #822-08_Blk. 2
<br />C.T. _ _ _______________________~~-_____181_
<br />---------- ------- --------------------- - - 33
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<br />/78 Inv.
<br />------- - ----- 047
<br />------
<br />1 ~ 60 #96 12 Ga. H.W. ~~ 24 _
<br />- --------------------------------------------------------------- -
<br />------ - - -- r--- -- 83
<br />- -
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<br />/__7_$_j~lY_.__ Q57__ 425
<br />._~QZ4__~E7_Q~F1_~Xc}s'S~~t_'~~=_ F'i~sur~1__r't~zk?t~?e---------±; ------------ 25
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<br />$ Q7_Z ~.1~---~C7.0~1.2Y2X5./_$_.Tag=--~'i~H~e_c3_-N~I2s~tS2L~---.------~~------205-- 5~-- ---------- - -
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<br />/7~__I_s1v__.-- 5293 ~ r
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<br />--------------- ------ ~ ~-f Ref,~rned)---------------------------------------------------------- ------------- ~------ --------- ` f
<br />---------
<br />cernber
<br />17 to ~ ~Iabor__performed_aryl administrative eosts
<br />ex-
<br />~~ .996
<br />------------
<br />-- 85
<br />-
<br />- -
<br />mazy 7
<br />- --- _
<br />___
<br />-
<br />------------- ---- -
<br />- - --t------------
<br />upended in installing materials provided during !I ----
<br />-- ---------- ---------
<br />--------------- i.iiiie-3ir~icaterl----------------°-----------------------------------i~ ------------ ------ ---------- ---------
<br />state of......t~k?x:~S1C?--- . - --
<br />...
<br />Lancaster ss. ;
<br />- ...... -- -------•---- -•°°°- ---. County} t,
<br />~', ~ Aff+antf, .......Fritz._Blattt..President---------------------- ----------°--- -°------...----------°---- °-- ---- ------------------- --~ being first
<br />i,: ? duly sworn, on his oath says that the foregoing itemiaed aecou»t of work, labor, skill .............._.________._..._.............__........._. '-
<br />' materials, and improvements is tr7fe and correct: that same were done and performed and furnished by the undersigned
<br />E for the said.__Prait'ie- Dotson, Ix~. '
<br />' '` undef~ ..a??..oral-------.._._---------------.-.----Sub-cannact...wth..Seta9,.--Inc..---as the ger}eral c:ontraetar
<br />:for the3..__alteration --•--------...af a -._lziilding_------ ------- ...-
<br />an flee following lot, piece or parcel of land, via;+....._ See attacYutient
<br />;: ;
<br />Tltaf at the tine said contract was made and iabar and materials furnished and delivered thereunder ........................
<br />Praissle Dotson IriC -----.------•-._•_-....•------.-____----_ ....................°----...._was the oge~ner of said premises'
<br />........................................r..........s.......................
<br />That Setag, Inc. Was the cx~tractnr on said building arzi was acting for the
<br />avner.
<br />~` That the dots of tJfe first item furnished and delivered was._.__DeCemb~S_.17~-_1978---------------•.-,--.--,-•---_- and the
<br />=dote of the last item was._...TS~Y..7..•--].429.....----•-- .......................°--...--------•-------......- --...............---- -----..................-- -..._...
<br />;, •,
<br />!i ffiant further states that said labor was performed on, and materials were ff:rnished for, delivered at, and rued in
<br />said building or premises on and between the dates specified.
<br />That the prices charged therefor are fair and reasonable, mid that there is now due on said account the sum of
<br />Three Thousand Three Hundred Six Dollars {$3, 306.00) °---.-.---_--.--
<br />' ..Dollars, that said''
<br />r
<br />..,...~Ie..Y_gf..?C~earneY~..Inc.---------.....-----......------------------_ ...............................................................•-------•--.....
<br />;sold acco
<br />f ~ from t
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<br />~{ , :Gt
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<br />r ~"z
<br />rJ,.
<br />"~
<br />{SPe
<br />...--•• ............._•---..._...........-•----•-•-------°-°........._.....__......ttaims a lien on the said premises far the fulC amount of
<br />................. .
<br />unt to-wrLt The sum of $~~~Q~nOQ ................... togethm with interest thereon at the legal rate ! '
<br />~ _ ,~~ ~ _Jan .._. _- . .............. 19..79...., and further afjiant says not.
<br />~ y. - ..__ .... ..... ........r.....
<br />t'}M!i£IS~lt:~ Frit2 • . • _tt ---its_-President
<br />:`~ ~ Subscribed ix my presence and sworn to before me this.......: P...T~ ..............
<br />,.~,+},'t' day of ....... -- -• -- --
<br />`°3982 .....ref ~'/¢.-•-°--- ............................. ... z .%~..
<br />reverse side for instructions) '°'-•- --..____, - ~Yetary t~Llir.
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