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<br /> ' CIII3TIS S2�ITH Lo� 15, Fonner�View, 2nd __ _��� j
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<br /> `':: (4��� 483-4131
<br /> 308-381-2326
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<br /> ' �EAVICES OR MATE�IAIS FiJRNI3FJED BY CLAIMANZ': _...._._....�urchased.,matesiale for .._................
<br /> conetxuction of houae
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<br /> �, ' CONTRACT PRICE: y�•073.07_...-•---__...._ AMOUNT UNPAID: $�.073.07���......��MM..
<br /> .`':.' � TIIV1E LAST SERVICES OR MATERIAL4 FURNI9Ii�D: Jul 5. 1996 -
<br /> ...._.__....1�......... ........_.............................................._..._....._...........
<br /> • ,� �tate of._..NEBRASRA.._.........�. _ _. �
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<br /> __ LALV_��'1'��.----- ��tp_ atu�o C1a�manE '
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<br /> ?���;`. On thia_St�,�_dqy of.��.�:4�t��--•- - _.._.__,. 19.�5 befare me a Notary Pubtic fa and for .
<br /> 'et.r��*.7.DereonaUy camo 7�an I 11 i an .._.__.._._�to me 1�s�a ta be the identicsl gezeon or �
<br /> .''.�� yereoa�r.�vt�r�euecnted the far�*s`��g zelease, and aclmawl�:aa3 tdte esme t.� 6e iiun,��r. or their voInntery ar1c.ct�ed �-
<br /> �,• deed, . . . .
<br /> . : � Wi�fi:�ivi�9 teaaa���d ees1,in eaid Coanty,the dey a�d yeas last abos��v�ritten. - . •
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<br /> GENEVlEYEE E Notary Bublf,�;.:':_
<br /> � MY Cetnm Exp � �
<br /> • My cammiesion ezpfrea tIae...._.�_ �..__.d�L�c�:._,1�r�'.�-�z:�.19��..
<br /> '. ` 9TATE OF.._.._...........,_......__......._.._............. Entet�d on nam�1 indeY and ffied for reeord �
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<br /> :�: and reoorded in Book.._....... _...of..........w....�......._.at paga....__._.___.____.
<br /> �, _._..__...__._..............._.........................._.........Reg.of�eede
<br /> , . Sy.._.........................�.......................................................Deputy =_
<br /> EXHIB�T A -
<br /> Sl31/96 1161.�75 #2026855 charge -
<br /> 6/5/96 790.98 2027004 charge `
<br /> .. 6/10/96 493.63 #2027123 charg�
<br /> � 6/il/96 250.64 #2027191 charge
<br /> 6/11/96 146.38- #202�220 return
<br /> 6/2S/96 19.79 #2027685 charge
<br /> 6/29�'�C� 12.37 #�2027825 charge `
<br /> 7/S�Q� 1333.44 #2027954 clharge =
<br /> 7,/5/�� 325.00- #202795T a�tur�a
<br /> . .: 7/5/95 346,50 #2027958 c�arge `-
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<br /> -� �; ' ?/2��'a� 3�.81 #2028465 financ� �harge � -
<br /> ','• �( � 8/23.:�'�r 58.77 �;2�29324 �inan�� �Ezarge . �� f
<br /> si I �/2I:�/��r �C3.77 �2C301Q4 �fna��� ��har�e � �r' �-
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