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Home My WebLink About1305 . . ',.' , : ". I '. : .' ..' . . . ..-a __ Ib~i 14 PACE555 ST.lUCI[ C:JUNTl,'rtA. ___ .... . ..... Ill., . , ..4................ to w. ... ... c..=: I . fa..... ~.......... . . 967~ ((aim of titn flED AND RCCUIl ewe or...........-:;:~~......._......,............} ~~ :~;;,~..~. -~K CGuntt of.........~....._...m...._.........._..................- , R 0 _ _ ~ "'. PH ~.~~.;,' . s U l./I . o/~RI(..... ,'. ...., ............ ... ....................1L&..B...&QJ tIP ~&Nt...c.Q.... .IN~.........;......... on: .....J..lJJ.tsr-. e~'Mr~ ' i? f::J ~'. i... (Name of Lienor) -"'r.~r.J.' .... ) .'. , . .'".. -/"~ ..... :. P. O. Box 1044, West Palm Beach, Florida ~ h:" f -'f'/.': ,,''-.':~' . ......._..............__.............................................._......_............................._....... ....................__......._.................._..............................:....J.I ..) ..... I J ~~:..'" .. u. .. (Residence or Businesi Address of Lienor) ~. .~.~':~':/;~~ ""': ; '. ; being duly sworn says that in /JUrSU4~c' of~ contract 'with ...~.l~Qn..H.~tlL...2.~a.~:.~;~;?~:< ':. f .... ...... ...... ....~Qll.~~Y~I9.t..~.k.{l.Y..~~Qh,...f.t9.rJ.~.... ......m...m.... .......................... ...... ... .:.:::~~,~~.! .I.~~.'.~:..~,." , -~.., ....' (Name of Lienor's Em/Jloyer or person with whom he contracted) "',' {.~} . he { "",...., . h d. } the followiq "'"Ii';"~1dc (Here describe the labor or services performed or urnas e matenals materials furnished. Describe specially fabricated materials separately) ..___.mm................................ . ...... ............Q.I}~..nl.g.~I9.~.n~r.::J;:?~D.y.@[.A\r..Q9mP.T.QaJS.Qf..~n9..~~.c.eJS.$.Qr.1e.~....... ..:.....-................. . - ......... ....-.... ................ ........ ............ ..........:::... ......... -....................... .......... ....................... .......... ......... ...,... ...... -........ - - -- ................... _..-- ..-_.... --........ ........ ..... .... ......... ---......--....----............-.. ---- .--.......... _...~ ----.. ---.. .....-....-.. """'. --. -......-..--......-.....-.... ----.... -....--- .....-.... -..---.... ...... .--.... --- ...- ....oo........ __ ...._......_.... -..-.. ---.................. ..-- .......... ........... ................-.... -----..- --..........-.. ........-- --..-.--................... ----.- ----'" ...-................... -.......... -.--- "'..-.......... ...... ........... .....-.... ---...... -. ...---....-.. ......- .... ........... ..........-.-..~...-..-...__........._..__..... ---.... ---_...... ....-.. ....-.. .....- .... ........ ...-.. ......._..-........--_.....- ---.....- -----.... ...... ............... to the value of__$.3.Z2...86.lleLwe.e.k..QI'_.a..to1al.oL$.l49~..44;.--$.Z45-..Z2__oLwh1ch..hiS..s..he.enP'~id. (State contract price) on the following described real property. (Describe real property sufficiently for identification, giv- ing street and number if known) :....Th.e..S.outhe.as:t...q.uar.t.er_..of_..th.e__N.or.th_eas.t.__<Ul.arte~ 1, n... ~.e. c~.1 on. ..Z.2., ._.T.o.wnahip..35.....Ranga. .1.O..... S.t..... .L]) c1.e.. C.ountY-........_ - - no ..--.-... --....--..... .. -.. .................... .......... -............ ....... ...... .............. .......................... -......... .....-..... ........... ............. ... ........... ................-..... ...... .............. ...... ..... ........ ............ ........... ............oo......... ......_... _oo..... owned by __..... Ci.tY_.oLFort .F1er.ce...rloIida --... ... .............. .......... ..;.. ._.m.___.. no.. -. -.. -.. .,-......... no.......... (Name of owner against whose interest lien is claimed) whose interest in'such real property is..__..........f.~~..~tQJP.!~.....__.....................no..........___..........no........._ (State owners interest, as fee simple, life estate, lease-hold, if known) He further says that the last item of {=.ex } was{ ~I . h d } on the_......?.J,~L.....__..... materials urnu e day of-........---....luly...---..................---...., 19..6.1.., and, of the contract price stated, there is unpaid t he a mount of.. $1.4.5.12... .........;. ...........__...._.... u..... .... .................... --.....--.. --... ............. -.......... -.......... -... (Stat_~ amount unpaid) for which .mou~t he cI.ims . lie? on the real i"O!:~.~:.:...I.~~.:..................... , . . (Signature 0' Lienor) Subscribed and sworn to b. efore me this......~.:'...~-!:zj.y of..~~...., 19.';;:':. ........... ~~ ./~;\~.~.i.~,~. . ..... ;.~.~ -. ....--- .....-.:..::............---...(.N~.P~bii~)....- .: ~: ".y:, '. '(', ./~* -v """~ ""--....A"~ My C ommiJsi~J~i;,~~)~~~J':~~..............--- __~.:::... (C" ~;~)........:no....--........ ............ (S;~;~)......... .:. ,J ". q O' I. fj,J:".:... . .... ~. "1~ h .:> ~ . ( NotJ'Y p'J!) (. .':L,'" o! .or dll ,; , .' . . .... V,"':"";..., ..~. ..' '" My Comm'.',lon L.p;res JIH1. I'" !ur.i '. ..;. :..... .... (,.'~ ,,' iIondetl by Am~f1(';dn SurelY Co. or III 1'. ~,,,~ ' ~~t' f~ ..... ':",.; ",d" . ... .""t'"" i.....