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79~ 4{?'~n~ i r>tx~Nlc~s LZ~7
<br />(Contractor`s Lien 52-101)
<br />LIF~d QAINID BY: Sewer Fmoter & Plumbing, Iz[c.
<br />1021 East Stoney Park Rcaad, Grard Island, NE 68801
<br />ACi4II~T: Clifford Jawbs
<br />406 East Seventh Street, Valentine, ~ 69201
<br />S~ OF ACXXUBiP ~)=
<br />rnGra~tation of leading field, including materials, sales tax and labor.
<br />Labor $356.60
<br />i~terial 212.04
<br />Sales Tax 6.36
<br />4`0'i'AL 575.00
<br />STATE OF NEBRA'~ )
<br />ass.
<br />cx~I.a~rY c~ I~~ra. ~
<br />Affiant, Rit3sard L. Huber, Attorney far Sewer Imoter & Plumbing, Inc., a
<br />Nebraska Cxarporation, being first duly sworn, ~ his oath says that the foregoing
<br />iisai~ea' at~t iu` wQixr iaYx~, skin, materi ~ ~ s and utgu~vauezits is tn~e and
<br />oo~rx+ect: that same were done and perfaaneri and furnish by the undersigned fa:.
<br />the said Clifford Jacobs utsler an oral contract for the installation of a leachina_
<br />field on the fnllnwi.ng deSCr;haa real estate, to-wit:
<br />Iut Eighte~i 118) , Bishop BQights Sub3ivision, liar Oc~ustyr 13~raska.
<br />32~t at the time said c~tsact was made and labor and materials f[~rnisbad and
<br />delivered thersmd~ Clifford Jaooias wes t5e a.-~¢ of said anises.
<br />That the date of the first iten ~+~*^;~ and deliver~l was July 27, 1979, and
<br />the data of the last itea was July 27, 1979.
<br />Affianti furt3ter states that sair3 lLebor was ~-fr***+~ on, and materials were fury
<br />ni~ted f~, delivered at, and used on said pr+ea[ises on a7d between the dates Speci-
<br />fied. tat the lsit:es ~sarged : ~*+~~" are fair and reasonable, and that these is
<br />~ os[ said aomtatt the sum of FIS}E BUS SAY-F'1VE AkD NOJ100 ($575.00) D~~ARS,
<br />that saixi Suer T~.<stei' s Pltmbing, Inc. claims a lien ~ the said premises for the
<br />foil ama[snt of said acaamt, to-•ait: ~e sun of $575.00, together with interest
<br />thet~eacl at the legal rate, Exam the 27th day f July, 1974, and further affiant say-
<br />eth not. / ~,, ,~/
<br />L. ice, Attaa~y crr S84ffit
<br />5 PIS, II!]C. , A NelBaska Corporation,
<br />S(7S9f.R~ AAD S tD before me 25th day of Octni~, 1979.
<br />~~ ~
<br />i-~aeraow /
<br />~~ am
<br />~CSFifr Ex:' R1 ::°Sr PUBLIC.
<br />~a~
<br />S~ ~ L
<br />)SS. A~1~9iT CF ~ OF NOTTC~ LE+~2 52-203
<br />C13[iRlY OP ffi43d, Y
<br />Coe~es now RPL3 L. , Attarsaesr for the liersholder, Sewer' footer' 6 Plumbing,
<br />SIIC. , $ L~t2SIGa t'~pGarStSLli, and first beitlg duly 9wGffii oRn Oath, deposes and says
<br />that OR ~ 2~ ~ Uf October, 1979, t1e by IItsited States Mai 1 , postage
<br />prepaid, of the fiiing of tfi~is with a of this acodmt.
<br />RT_LIIAIm L. AIIDER.
<br />AEI? i i:o before me 25th day of October, 1879.
<br />J
<br />„~! P{Tl~IC.
<br />U°° P.O. Box IObB
<br />Ric2sard 1.. HuberlHi~ins & Mat21n 1503 l~'es[ Second Street
<br />Telephaoe: 306+382.4i2D Grand Island, !Nebraska 6880!
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