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<br />~~` t3(359~0 <br />PFflCAAidZC' S LIEN <br />WILSON CONCRETE COA9PANY, Grand Island, Nebraska, has and <br />Claims a Lien against GERALD COX, dJb/a CO:; CONSTRUCTION, 4113 East <br />Highway 30, Grand Island, Nebraska, for material supplied` said <br />Gerald Cox, djbja Cox Construction; said materials were supplied <br />said Gerald Cox, djb/a Cox Construction, up to and including <br />August 21, 198; that the amount presently due and owing is Four <br />Hundred Ninety-cwo and OSjI00 Dollars ($492.0&) as per attached <br />Exhibit "A". <br />STA'1'IE 06* NF.ARASIiA ) <br />) ss. <br />COU$~7""~ OF E{ALL <br />Dwyer Grimminger, attarne~~ for Wilson Concrete Company, <br />being first duly sworn on oath, states that the foregoing itemized <br />zccount of material supplied Gerald Cox, dJb/a Cox Construction, is <br />a true and correct account of materials supplied Gerald Cox, djb/a <br />Cox Canstr.uction, far use an the site set out below, far improvement <br />an the like, s`.acated an the following described ~.rcaperty: <br />r,-?t ± Siock §, n Cl::uwsen Country '/i2w ''uubdiViaion <br />i.r_ the City of Grand island, 1tall,COUnty, Nebraska. <br />Affi~a;~t ~'::rther =tatev t.ha,t aid mat~rial,s wCra (tarnished far, <br />delivered a~. and used on said premises. `S'hat the charges therefor <br />are €air and reasonable; that there is now due an said account the <br />sum of $492.08; that the said Wilson Concrete Company has and claims <br />a Lien on said premises for the full amount of said account, to-wit: <br />the sum of 5492.08, together with interest thereon at the rate of <br />nine percent par ~,.,.um from the 2lst day car` August, 1980. <br />Gwr;?r Grimminger, kseing first duly sworn, deposes and ;;ays <br />that =1e is ~hF_- attorney for Wilson Concrete Company, in the above and <br />fflragoing action; that he has read the above and foregoing, knows <br />tkle csxttents thereof and that the facts stated therein are true and <br />C6iFSCt as he =rerily believes; that he is signing this Mechanic's <br />s+saLr o€t b::f=alf uc Wilson Czmerete Company, on the basis that "viilson <br />Crete Company is a corpsrration and that h.e t:as the nRcessary papers <br />and fnforaYtation with regard to this action,ir, his possession, <br />.=~ <br />~it_ _ t -_ __- <br />G r rimminGJeL ~;, .-.... ,.-,_-.~-a_ <br />~iuascribed and sworn to before me *_itis ~~ day .,f <br />ilMlti~ 1~i <br />