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i ~"ji-D~3,,"~Iji]4j'j,C/. .~j~',j.~F.~ (f~aXti RL°dy 'S 4rn 'x~tn~ma2 !me. r ~A ',uyp~3 ZLouse, Limrm3ow, P~r3µ. ~ i
<br />„Lun rluiafied by:
<br />Spells-'Schultz Lumber Co.
<br />f2ddress_Grand -Island, Nebraska 68801
<br />..
<br />rg. 79......
<br />July ~ 27 ~~35_sheet~ Masonite_N
<br />n i n
<br />November 2.1 _.........._.__..........rq;~'9.,..,. ~
<br />Carol 3oan Price
<br />HBA Golden Horseshoe Tavern
<br />----------• Cairo~_I3ebra~ka,_68$24---------------- ~'
<br />Dr. Cr.
<br />iral Stone Panel CIS 558 ~25
<br />' 14 Nebraska State Sales Tax _ ~~ _-----• 17-_ 04-- _-------- ;--~.-----
<br />_. _ _ _
<br />~F°----------------- - ° --------- -------------- ----- -------------------° r
<br />--------------- ------
<br />August__-_~__ 8 ~~ 18 pieces _Natural_Stone_Paneling------------------------ ~~ -___ $ 287 110_-_-__
<br />- ----------- -
<br />I~Nebraska State Sales Tax 'i 8 61
<br />~ _ .I ~ ---------
<br />---------------l--- --~~------------------------------------------- ---------------------------------k -------------~------ ----------f ---------
<br />_ i ;i Service Charges ______________ ____ _ _ __-r_________8 74
<br />~' 6 r 50
<br />Filing.Fees-----------------------------
<br />-----------------------------~r-------------~------~---------- ---------
<br />1------'L-- ~~ ----~ ------~-------- ~---------
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<br />is
<br />-------------- ------•-------------------------------------------------------------------------- jr------------- ----
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<br />--°----------- ------~f -------------------------------------------------------------------------------~' ----- - ------------------
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<br />-------- - --
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<br />--- ----------- -----I'---------------------------------------------------------------------------- -- --------------- ------ ---------- ---------
<br />Balance Due --------------------~i-~_ 304 55
<br />State of...-Nebraska..-----
<br />--•----
<br />ss. ~ € ;
<br />Hall ---___--- _. -County
<br />Ajjeanta,Jolin-.W,__Schultz-,_ 3r.•,-_ Presidentx_Spelts-Schultz- Lumber Co. of Grand Island being first ~
<br />duly szoorn, on his oath says that the foregoing itemised account of mock-tebvr;~Fitdc-------.-...-°•-°-.---..----°---------------_._.....
<br />materials, and improvements is true and correct: that same were done and performed and furnished by the undersigned ~ a
<br />for the said......Carol Joan Price ~
<br />under aY ----.xezbr3l.-----•-°- ---- contrutt-------------------....-°---•--•---- ---- - ...-----------°--------_•
<br />s buildin ` E_
<br />for tlre ---•-----~?~R~9y4mBnt.----••-•---°°°----------------°°--.........-.......of a -°--- .....-..--g---°..-.--°------°--....._.
<br />on the fnddosuing Tat, piers or parted of fond, t~is:`.. Lots--1- and 2;•, Block 15, original town of Cairo, '
<br />--_ ,
<br />.Hall_,CpuntX,~..N~ebraska.------ •-
<br />--
<br />What at fhe time said contract was anode an~•dabe+• acrd materials furnished and delivered thereunder.....-.----°.°........
<br />fsarol Jaan Price- ................. ........................°---•-- -- --- ----°----------•--•--..........,...was the ourner of said Qremises'
<br />...,
<br />„asud_was D/B(PZ-the, Golden• Horseshoe Tavern ~ '
<br />s -
<br />That the data of the fast item furnished and delivered was....-...3ullr 27, 1979 _ and the
<br />r~
<br />dote of tha !wt item was..... J4i1X.. 2.7....,.1.97.9 ... ..... ................•------.......- -...°-.._........-......._..........••-°•°----•---------...- -- --- ._....-..
<br />A,~iant further stases drat said ir:irer-:vas-~perfvrnaedrorr, and materials were furnished for, delivered at, and used r"n
<br />said building or premises an and bciween the dates specified.
<br />That the prices charged therefor use fair and reaso»able, and that there is noun due an said arraunt the sum of
<br />Threg.Humlxed.-Four,DOllars. and 55 100 •
<br />304.55 --------------------------- .,; t
<br />................~...----....~8..............~-----_...........-...........-------.....----•----•-•-•-------...Dotttrrs, that sand
<br />,:
<br />$.Re.1fi~..S_Cha-1tz..Luarhex...Cn«..nf...Granrl..Island.,.-.Nebraska ................................................. a
<br />,...... .....-- ° .............................................................,......cladnrs a lien on the said premises for the fuaallaa~~a;;mo.tnt of
<br />-said account, to-writ; The su»i of $.:J.04,55--- ------------- ------•.._-„•-._--_.--.togrther with interest thereon at tR !legal rate, ~~
<br />.,
<br />(roan-they .,....?L~......day=of ... ..-,~a~5t~ . ... ..........................._............ ---..: :~. Ip,.79,..-., and further a,~rant says not. ~ ''
<br />,~~ t del, s- ~~%'~" e f Grand Island i
<br />.. ... ..
<br />I :i
<br />{~ of s~ Jfy ._ ••hn W Schultz>..Jr eside~t ---... _ .............. ............. .. .........
<br />~'- • : „
<br />~ ii ,~~j„~,f ' ~ ~ Subscribed an nay prasenee cvstt sworn to before me this.. 21st . - --. , - ~
<br />;,~.~ f - _~} t - ' da_y of .:......._..._- -°-•- -• November ...---...., ry 7.9 _...........- f
<br />...........
<br />,.
<br />3 ~R M~I~MA~p~~aOti ~ ' '
<br />~ {See reter&e st a for tnstru~ha } era,..Y~ ~ ff•. ~t~atar~ Public
<br />~K~~ 7iL ifl9 U !
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