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<br />81--~)(~.~~ ~~
<br />STA°.'E OF t~HRASKA )
<br />,S<S.
<br />COL'2dTt' Of' t~ )
<br />AFFIDAVIT
<br />dlbla'~"~'"IC HC~S, Its., being drat
<br />GRANT GQ,.I.E'HON,
<br />du?,y sworn o^. oath, depcaea an,d says that nn the day oP
<br />;>~arch, i981, your affiart filed in the Register of Deeds
<br />Office of `call Co.arity, Nebraska, a pdeC.hantc's Lien for Tabor
<br />and materials furnished to the fc'~'_owing described premises,
<br />tc-wit:
<br />`i'-~e F,as+ 2;`~ of :„,t `three 3 ), ~lcek Sixty-Nine
<br />+..691, Original Town of Grand Zslax:d, '-call county,
<br />Nebraska.
<br /> 'f hat :entice cf +~e ^iii_~ cf such :ien was made or, the
<br /> record nwners, Crrdnn 1. a.^.d da:^riette Francis, on `.he
<br /> _,LIE- ~;;r :,f ~isreh, -981, ":.' . iacir:g a .;once of ...:cY: Lien
<br /> ` he Jni'ad `pees ,~ai`_. addrassed ~.. ~r;rdnn D. and
<br />
<br />1743 =dlewood Lane, G:'and `;aiand, Nebraska,
<br />Harriette Fran.^,_{s,
<br /> o88G1, ',.hat t.':is Affiip~ - is O'i°.er. see ;sdersign ed in
<br /> cer~piiance wi'~ki Section ~-=G3, ,~braska Co-riled Statutes,
<br /> C,m'uiative S:~plement, 19f~> L:,st st:ch :Notice included the
<br /> ,cllehcn, " estic
<br />amount due as c afraed by urartd ~' dlb/a waJ
<br /> homes , i..., .
<br /> FURTH~~`. AF`FIAP3T ~A.I N^~:.
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<br />Homes, Ina.
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<br />~r ~ SUffiGItZD in m;~ presence and aware to before me this
<br />F f d ~ day of ?.larch, s981.
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<br /> FAYMOfiFE 81;~ER i
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