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<br /> '8'1-A—MECHANICB LIEN (Revised 1962) ^ T6e HuBman Cenerai SnDD�Y Aoux, [.ineola,Nebr. - �
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<br /> : �Lu�x __�_ �o.��tr�.���.Q.n.. Q£ £Q�n���iQn�s� -------------- -------------- ;;
<br /> ; basement, as per attached statement +� � ;
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<br /> , ; �1g'iants, _.,I....__L...---S_chultz:-�---aL_k/..a,_:J..--I'-°--•-Schult-Z•--C_qns.�.�---C-Q-•----••--•------...--•-•••- �
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<br /> i � duly sworn, on hss oath says that the foregoing itemszed account of work,labor,skill_......_..._ "
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<br /> s i� materials,and improvements xr true axd correct: that sa�ne u�crc dnne and pe�formed and furnished by the undersigxed aj .
<br /> � or the said...............James...7�_Carter ��
<br /> f - • - - ---...-�*---Hetzy..Ia...Cartar..._...------.........................•----•----•....••-----_-•_•----
<br /> �r sss�der a=II......••-----..A.Ta� _......----••---....._..._ contract-------�----.......-•----•---.....--••-.•............._...----._.......----...•••-----••----...--••_•_---• t! �
<br /> � jorthea--•--•---const.ruction.------•---------------------•-------....---o( a ..----•••�oun.d.a.t-ion-..and--•basc�me�t-•---•---......---• ii e
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<br /> on the follouring lot,¢iece a�parcel af Za�d, v;�:•...I.Qt...Thxee..-.�•3-�.•,---B�.ack--T�ro---�2.3•,••-�ear•gS-...---•--••----• ;� �
<br /> � I.flans---Sub.diarision,....CiL�r...o.f---�xarid---Island.,--..Eia11.._CnuntY-:...I�Tahr.aska_.__.__...----•----...------ ',
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<br /> t � That at the time said conbact ubs+nade and[abos a�d materials furnished and delivesed th¢reuxder.._.._._.__._.._.._ _
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<br /> � � .7.3IDES...I��_.C82t2T....--__•- _..._.............. .was the ourner of said premises'1 il ;
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<br /> $ ____._--••--------•-•_••_----•--•_•••----_..................................��--•--..._....-•--------•-•�----------�--...--�----........---.._..-----------....._.----•-•---••••••---•-•--•••.� � � -
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<br /> 9__15-77 �'
<br /> � That the dale of the fisst item furnished and delivered was..-•-----•--- - - --....-_-•.--•--••--•-••--•••................_..___ and the i�
<br /> ;f� date of the last item was--------2,-15_-78....--•--•----�-•-------------••---------------------...--•-•---------•-••---•--•--•-•---•--•----•••-•----..._..•---_••---•- I
<br /> �� A�"iant fxrthes states that said labor was perfosrned ox, and materials were furnished for, delivered at, a„d used in ��
<br /> �E sasd buildixg or premises on and between the dates s¢eci�ied. '
<br /> i ! Tha3 the prices charged lherefor ase fair and seasoeable, and that there 4s nozo due on said account the sum of ,�
<br /> : �� �ixe.__Tho.usa.nd.__Thre.e..Hundxad...Ei£ty_.an.d._.na/_La_�_._._.($5.,35II.,.QO.�____.._�ol7ars, that said „
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<br /> ; ---..._..__..--•--•-•-•-----•__.__....-•••--•--•----_...._..----........---•-•--•.........:...claims a lien on the saad premises for the full amount af ;
<br /> � sasd accouxt, to�zvFt: The sum of $.5.x350.00__..__.__,__„__ ________________._�ogether urith interest thereon a0 !he lega! sate �
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<br /> 9. .., and fusther a�'ia„t says not. ' '
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<br /> y ��•llVllyGST3rib cribed in m � esenc nd sworn to be ore me this__._�l}..----•-•---••-••--__•---_•-•_ '
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<br /> � STATE OF_.:..._. .. . � 1} Entered on n�erical index and filed for record j
<br /> Coanty .___ __ . .:...�J� � in the Regieter of Doeds O�ce of said County the �� .
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<br /> � # . � .__..__..._._...._---._..._._...---•----......---.............'-�--.._.Reg. of Deeds � ;
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