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~~' LIEN i~(~~6?G ETA' ~E~aA1~is M C~~ RL: k c s~elvin Hill t~Lienhold:r"} make$ the following account in rritidg of Char it, of labor and equipment rental for filing a sworn stasnt of the amount due him from Cox Construction Inc., Contractor, fQr later a:sd equipment furnished for the construction of a house located an thm• follo~rinst described real estate in Hall County, Nebraskan Lot Eighteen (i8f, in Black Four (~~ in Brentwood Subdivision in ttse City of Grand Island, tJebraska, as surveyed, platted and recorded, giving notice as follows: 1, Tha house and IoL of Land upon which the house stands described above are referred to in this r~chanic's Lien as the "Lot and Improvements Thereon,*. 2. Lienholdez ciaias a Lien against the Lot and Zr~provements Thereon for laboz and equipment rental described in this i+~chanic's Lien. 3. Carl R. Hagaa and Deborah J. Sagan, huehand and wife, were at all Mmes mentioned in this 1~chanic's Lien and are the owners of the Lot and ie}arovnta Thereon, 8. CoX Construction Compaq (°Contractor") contracted wi*h the owners of the Lot and improvements Thereon for construction of the house. 5. During the performance of the construction work on the house on the Lot and Improvements Thereon, Lienholdez was hired by Contractor as a concrete la~arer s~ith Lienholdez required to furnish equipment for construction mark at an agreed wage of Fifteen Dollars tS15.00) per hour for Labor and equip- meAt rental furnis?*.®d by Lien.hoider. Lienholdez reported to the jab site anal began caork on September i2, 1980, and completed furnishing labor and equipment rental an Septettsber 19, 1950. The dates and hours of Lienholder's r~ork and equipment mental are as follows: DATE AOIIRS woRKED PER IIAY F1AGE5 EARNED S~tr 12, i`0 Sept+9mbeZ 18, 1380 septe~er 193 1980 E~-~T3~1 6 hours 10 hoar8 8 hours 24 hears S 90.00 lso.oa 3.20,00 $ 360.00 6. The sum of 5350.00 for Tabor and equipment rental furnished by Lienholdez for construction of the house located on the Lot and Improvements Thereon is the agreed and fair and reasonable value of the Labor and equipment rental fur:sisheri b~ Lienholdez and is unpaid. ?. The sum 5350.00 is due and owing to Lienholdez by Contractor on the ascouHt for labor and equipment rental furnished by Lienholdez far construc- tivn csF the hcsuse Iocatetl on the Lot and Zmprovecnents Thereon for which Lier?~blder rclai a mechanic's Lien on the house located on the Lot and I~rovnts Theretzn with interest at 5 percent comroensing six (5) months mYtea 8erptember 1,33 1980. s ~4~f w p ~ a.. _ _, v n ~~....4.. ,_ t~ly ern tts aa~d eign+ed before me on '~oveaxber ,Li~, 1980. ~a~"~ auaasKr a. urns=-~,f w rm r.#%r...1 ?