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8Q~ t~(i5395 <br />sTaTE aF N~.axr s~ ) <br />ss. NECHANIC~s 2SEN <br />cosnrrsr ~ HALL ) <br />~:in5 <br />:Ju~re <br />-~M~iiiiE JENSEN, being first duly sworn on oath, deposes <br />and says that the itemized account attac3ied hereto is for work, <br />labor, skill and materials, and is a true and corregt account of <br />the work, labor, ski 21 and materials done and performed by <br />Bewte4me Jensen on property owned by Delbert Stueven legally <br />describeii as: , ~,z'„ <br />rei"i Ck ~ <br />The W~a of the EIS of ~"2amt Seven C7?, ztoePaler <br />Su6tiivision, City of Gt'and Island., Hall. <br />County, Nebraska. <br />Affiant further says that the labor was p,erfcirmed,on ~d thei, ' <br />materials furnished for, and delivered at and used in said <br />repairs to the davelling, the last items being furnished on or about <br />,ti <br />the Erb day of -.;fk ~ ~sr , 193, Said work being <br />famished at tA,e instance and request of the owner thereof, <br />Delbert stueven. <br />Affiaat further states tha4 nrr part of said a~"eCtunt has <br />been paid, notwithstanding d$miand, and'. thth,t he d'os~s hereby cikttm <br />a lien on seed dwelling for the fu22 amount of file batlance of <br />said account, to-wit: O9tE THOU&AND EIGHT HUia7AED fi2FTY AND <br />NOj24O DOL7d~.R., (Sl,BSO.OO), together with interest thereon as <br />provided by law. <br />FURTHER AFFIANT SAITH NOT. <br />=-tze -.. <br />~-- ~ -~ t ~ --~~ <br />I4 \~ / i <br />L~~~ JENSEN :~...__a <br />' 4 SUBSCRIBER in my presence and sworn to before ms this y` <br />day of september, Ig89. <br />