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<br />i
<br />i
<br />', State of-TNEB,RAS-KA
<br />ss.
<br />------------°--`~'----...------°_ County.
<br />afjianN, ------------------------------------- -----Vernon-_Ott--- - .... -- ---- - - --- - --- ------------- ---' being first
<br />~, duly sr~'orn, anris aatk says that the foregoing itemized account of cork, labor, ski!1....-.._....__......_.._...--_-._-.......--__-..._.
<br />materials, and improvements is true and correct: that same were done and performed and furnished by the undersigned
<br />far rite said------•--°-----Co~_Construction-_Crafnpany--------- -.-----
<br />under a' .-.._-.....------ 0rafi -_--._-__-___...-...._.-_. corttract--.-.---_ ..........................._...-
<br />'' far i(~',--....---~~nnr°Y_e~n2t =-!'?~~~!"--~--.-_.------------------oi a ..---t'€:`~s'te~Xi:.6.~s~_.~i~°--------.....------.... -° .............
<br />-; ~. an the fnlt~rtr~ing iat, piec=- or partrt f (and, •,:s:•....--1Q41._~..L~f65L_.5~;._C_~r3na.. Ts2^`~, .~.-~Sv -------
<br />- _ k~?~3t~rt..,~-s. td€~rLh 51-3'- of thm 4t2=t 74$ ~ sr i r s . ~, ~ - - -
<br />---- - - ... - -_et 5.-l~t~t9ne_.~t,bd v.-s#on.-- ...
<br />_----------------r...t~~---ci bS-afi..~,-ai}~...Is-3.aad.,_.i~t~.1.a.. ~~unty....,Yehra~.k~---- ...._ .___- _.------------------.
<br />-- - TFat n rhr ?~ said tarttact uas made r.-nd t;tbvr and moreria%, "urn:,hs
<br />. d and deia'ered thereunder.--...°---`---_...
<br />----ThClfld; ~.-.~fy".Y._.-----°----°-._.._ urec the owner of said premirer
<br />.._.-----.-._TJk1t._C~c--~.sig.trxtcti-aa_erns...ihe..~ontrac-tar...og..said. bail wing-..and--.- ._._.-------.__..--------.-----
<br />-----.._~ctir~._far...ihe.-owner-s....------ - - - .._.__...... - -__ . _ _ _..........._......_ -..........
<br />^- That tttr date of t$e firss~~fprnished and delivered evas. .....~~9~-er.-.1.5.,_198Q.....------------._-.- .
<br />: '-'-~~ and the
<br />ddfe of the last yatxa'~vas..._._..-._..__e~st~ftber-30.:._19&D_._.--..
<br />- ~-' A~anf furdttrr states that said tabor was performed on, end matr pals were {urnished ar de.ivered ad, and used in
<br />s~ building ar demises ate and between thr date: sp«iped-
<br />TFw! thr prices fhurged therefor are fair and reasonable, and tkat there is noto deter- on said atcaunr ttie sum of
<br />...__.....Fite-_Hundred_and,_Nnety-five.-.~$595.04~,,.- .-_.-...--=---=...- -_ -. ' = - -,..'..~atlars, that said°
<br />- _._------,.-~.Ca3A.t}..QY-t...........---.-- ................._..___.--.,..._- _-._rtaimr a lien an thr said premises for the full amount of
<br />emd aecotcnt, to-twf: The sum of ~... -._......-..._..._.
<br />. ~.~...~~- ............_.._together °wnth interest iheseon of the fegm rats,
<br />frrrna the-- 3t3..--- --_ia+• of Sevte~ber- .- ---- _ ~~ „J .,~ - - -
<br />.~- A: asy~
<br />Iy~Er E ~ / ti ,~..
<br />~~~~ _
<br />9Tt:T fi~ . ~ r- ~^ . .
<br />~~pps Subscribrd m my presence and suwrn to before one thts-.....
<br />._ ~ R.$ t dcy of --` ('----- `~-~"- ! ~~ -• -- ~~
<br />.~,_,q C
<br />(see revxrse side #or u}stntctioas} .~tatar~y Public.
<br />- 81'A'T~ DF..,.-_......_.__.-.._...._..-_ .............__...... _-...-.. I r: ntereJ nn niavzericat i..rtes :uu1 6iexE for na :~rd
<br />7 %.
<br />_ C'aualy _.._.,,_ .................__...._..._._...___._ _._...._...., j fin the ite#e~,fxr ui Y)rc~s (}ifice of sNid Cmsty d+e
<br />~~ .__. ...-. - --._tYnv °g°-. _.. _- --'..._ ...- - is--.- ' ~....~ ,....~ r.., ~,
<br />~~ =t ,
<br />EYy :}e
<br />.:
<br />12I A MECNAN}G'$ i}EfV iRBVtud 79827 QV ~~~ 2 } ~~ ~u ~ ~ ?Le AvSmaa mom[ Snpp:r P.crae, Yiacetn, He6r.
<br />s',ien claimed by: ------- ..............._..._.....-----~Q.Y.~![ib~'.r..§...----------°--Ia~-.-...
<br />. _.._-- ,_- .-. __-...-.._Yernon- Qtt------ -_-._...-... against:......Thoatas-_J,--Garry - - - - --....--- - --
<br />_...._.
<br />Address°-----°---------°-°-~0'!,3_Jlvenue--~----------------------------- --.._------.._.---1641_S L-acusY,St.
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