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<br /> � 1. The real estate subjeat to this lien ias Lots Eight (e) _3 =_.
<br /> through Twalve (12� , Phillipa Subdivision, Grand � F,===
<br /> k island, Hali County, Nebraska. \
<br /> '`� 2. The psrson against whose interQSt in the real estate �
<br /> the lien is clainted is: Ted Robb.
<br /> �,
<br /> 3. The name and address of ths claimant is: The Ke�lly �,�._
<br /> 3upply Comp�ny, 1004 West oklahoma, P.O. Box 1328, — -
<br /> �'� Grand Island, Nebraska 688Q2-1328.
<br /> 4. The name and addresa of the person with whom the --
<br /> l, claimant contracted is: Dave Scoqgins, �coqqins
<br /> Plumbing, 1303 Weat let 3tre�t, Grdnd island, Nehraska
<br /> 6e801.
<br /> y 5. 1► qeneral deacrip�ion of tl�s alaimant's materials
<br /> ,�� furniahed for the improventents and thQ contract price
<br /> is: pipe, valves, fittinqs nnd miacellaneous plumbing
<br /> materia�s - $3,097.03.
<br /> 6. The amount unpaid to the claimant for the aervices or
<br /> materials is: $3,097.03_ _
<br /> 7. The time the last service� or materials were furniahed
<br /> ; was: November 5, 1997.
<br /> THE KEI,LY 3UPPLY COMPANY,
<br /> Cia ima�nt
<br /> �
<br />_ � By:
<br /> � Don C. Meyer,
<br /> -. Credit Manaqer
<br /> � Subscribed and sworn to before me this � day of February,
<br /> � � 1998. ^"'�'".
<br /> ? I GENERAI NOiAR'f•State ol Nebnsk� _
<br /> � 111 KATNLEEN l.2AVALA �I��� ��� ��.--,
<br /> MY�mm.F+p.A0��113.1998
<br /> , � Notary Publi ���;�.
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