i
<br />?2! t -!A ELH ANIG'B LIEN _ ~~~°~i 111j ""~ -'ty n -. ... ; '. Nort. Na'ren s! Fh4:, -
<br />1 Licn daimea by i?Jacemher 218.,... __... _...._ .-- _--_-----_ rg..HA..
<br />~ Sanit.2ry_P1u.47b-Ong--C.4mPany,._IAC---------... ~tgainrt~~7anald..R...-~- Xarlayne-..5...-.EI~~------
<br />~ Addr x624._W 4th., _~xand..ls.lafzd...:tE.._ 4.304_.I<.... ~a.1.van...Lr...,..Gzand-.-I.s.land. ~ .
<br />t~4 --_-_ -. __.__ -_--._ _. Dr. Cr :.
<br />I '
<br />--- -----------~----- .r--Tntal_kall------------ --------- - -'- --23~
<br />_ ; _'~ Aglo>;n>i__Ilaad----- ---- ----- -- .------- --- -------- --- -'----339
<br />-- -
<br />j Balance due
<br />--------- -- '--- -!~ -P=ncessin$ fees---------------------- - ------------- - ~-----25
<br />~ Total Amount.-B _e -__!r--_3b4
<br />~ _
<br />--- - ---------1---.Ji..------
<br />---------------1------ r-------
<br />------ ------'-j------ f-------
<br />_ _ _ i
<br />E Srate o/_._~ebr_aska,_._---------~ ~ ,!
<br />`. ss. j !'i
<br />!; ~ 11r~1.f..........._.......... _---- County i :.
<br />`. , A~iant', ASZ.ILalsl._L.._Ke11y.,..-.Yi.ce---P.rts.ident..n.f...Sanitary._P.lum6.i.ng..-Ga_.,---Inc6eing jrrre {
<br />I duly sworn, on his oath rays that the foregoing itemized account of work, labor, skiii_..........._ _. 1
<br />materials, and improvements is true and correct: that same were done and performed and furnished by the undersigned ~
<br />for the said. Dnnald--A---~ - Karlayne H- ~~- ........___ ___..._ - -___ .. _ __ ._... - - - - .-.... ---- ----- j
<br />under a' Oral _-- contract..' _......____.. I
<br />Jor the' ..... .ra~rai.~:.. .. .._.. .. ..... - _..... _.of a plumhing.-... ;
<br />. E on the follatting lot piece ar ,a ce! of rand, z'i_:• I.Q.X...~7,C .(.6,~.,,..81QC1C One--.-(.lr., .lyd1'AS r"tC.rf:S....
<br />f A.-.~ubs~.a.u.a.Siszu._o£ Hall..-CQiuLty, ;Yelyrasl~a_- _ .. ,
<br />Thad at the time said eoztrart :c•as made end labor and materials Iurnirhed and delivered .harzxnder._... '
<br />Donald R. :, Karla e ~. Eh}_ -
<br />, ...... _ ..... . .. .. .....-~ - - -._ .... ...._..........- ...-.. -. .. ..-..was the earner of said pramirer` i
<br />t
<br />-, f .._ ......... .... ... ....._ ..__. ___.....__. ___.._._.... .._.... .- .. -.. _ - .___ - __ ._.....
<br />1 That fits date of fhe first item furnished and deiivered nmr_.Jul.y....l.l....19.8.0...-. -....
<br />__...._ ....__. and the I
<br />date of the last item was......AuguS_t.. 19.,--.19.8(1.--._--- .._ _ __..-- --
<br />Ajjioaf fwther states thot said labor was performed on, and materials were furnished for, delivered al, and used in
<br />~; ~ said building or premi.es an and between the dates specified.
<br />;~
<br />That the pricer charged therefor ors fair and reasonable, and that these is hoer, due an said account the ;um of i
<br />Thrge-.Hundred.-sixty-.f0-i?.T...~714~_.3.ff1..1.V0.:.--..-.-.-.-.r..-.,-_:..-.-.-.----..-.r. -r..---.--..Dollars, that said' ~
<br />i ,
<br />i. } ........_.-..-....._..---_.__....__ .__....._...___ ... _....._ .-.-_ ......._._clai>ns a lien on the said premises for the full amount of
<br />coed arroxnt, to-aril: The sum of $.. X64-.-3-8__...--.-......... -
<br />' .... ._. _toyether wish interest thereon a! the lags( rate,j
<br />from the..............._..day of. ... .. .. ----- . -- --. ry - and fwther affront says not -
<br />i - - .._ ... .................. l
<br />-. -,- Donald L-, Kelly. .4 ice. President-_ _--. -..---,-- 1 ,
<br />' Sanitary Plumbing Company, Inc, ~ '~
<br />s ~ - ~ -,_ ~ yubscribad in my presem and sworn to before me tkr... ,2e':~.FtCt .............._.
<br />day of lle~g.{tik.~.>;.... - ...-.. „ ..., tq ~.Q_... I
<br />~ f See reverx srde for instructions) - i Notary p ~
<br />k
<br />i ~' ~~ '- ~---' ~ -"- - " - - - ~ Enter d on num.~ricat udex nrtd filed to: record
<br />- ~ County .. t ~ in the Register of fh cls Office at said Chanty the ~ ,
<br />j _..._ dep' of - 19. at o clrxk asd. minutes _ ;fq., ,
<br />' end recorded in Hook.......- . -_ . - oE_ ar. page.
<br />neg. cd Lreet(s i
<br />i3y Deputy
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