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HomeMy WebLinkAbout2841 "GIlDA I1A""" ~il~i 16 PAC. PACi691 ~ r .lurtr rn JNTT, n A. . ...,.9JaTJ ,.~A. _.............. _... n. It. 'W, L ... ~ ..-.--, .......... "-Woo - Oaim of lito @Matt of....... ~~~..'........m.................... ....'.} SAINT LUCD ". qto un tp of."................,......................,...."".......... '" ""'.',,,'..,.... ...',......' '..........,.... .......J~Q~B.~..~\r~,....... ....', .................. ......, .,.... ............ ....', ..........',. (Name of Lienor) '" ,."."'.'".,,,..........."..., ...........)~.?~...~.~.~~~~!.. ~.1a~. q.L ~~.I!.~~~~, ~.~ A~ ?:-~~.~.~.... 'm.......'.. (Residence or Business Address of Lienor) being duly sworn sa)'s that in pursuance of a contract with ..........m..'......................m......'..'............... ,. ....'" "...' ...', ". .....KI'l'TY..,..PETT-IE...aDd.....GE.OROE.. Yan.~.... ...,,'. ...... ..... ....' .....,.,... ,. ,...". ....'.. (Name of Lie.nor's Employer or person with whom he contracted) he { ~:'::::::1} the following ~:~:rC:,n:nd} (Here describc the lobor or services performed or materials furnished. Describe speciall)' fabricated materials separately) ...'..................'............,......., ",..,......., '....,... ,nono'" ,..P.a1nt.1ng, .m,'" .c~!" ~ ~.8... ~~. ....J~ ,Q~"'~'~"'~7~26"'" ....., no.. m.".. '..'"........, ,.. ......"., m" ,.... .m...' ......h...'....'. '....,.,..,..... ,.......,..h...............Fltfp..ANO.RECOR.Otff.....'....,' ...", ..."..", '.........' ...... ....................h.. .,.... ,........,.....'...... h..... ,.." .., 'htN' ~~~'naK"""" ",..", ,.."..'".... h""" '..... .....'...h..................',..., ,.." h.." '..h....... ....h ...., 'I~(-J"" nuc- '';'.1f' "lTf'fI~~"lilj' '.... ,...', . .- __A._ -. --- .-. __A - - - - ----- --. - - - --- -.. .--.. ..._e_.__..___________.__ ---- ..--- .---- ---.-- - -- ___A - .-.--. ---- ---..--- -----:-.:-~.~IT~-i~~.:.---~.;;..-~-.(. -.--- - -- - - - -- to the value ofh,,~~..,~.~~~..~.~&~~y~t~~~...,~..~,~l~~9,~,.L~.I'lf~JA.~~!J~~, (State contract price) on the following desrribed real property. (Describe real property sufficiently for identificQtio'''~ giu-: ing street and number if known) : ...................'.... ...............,.....,........,............,....,..........;..j;::,:~.;....:~:,..........:':...~ ',,' ...""... ..,.. ,.. m........3O'S~..s..Fede-ral..K1gbway...L.~,~,. :P.~.~~,L.~.~.~~.~~,~..:;:::.:.:..~...,......::.. ,,' . ,: ',~ ,...',..,..,'..' ,..L..~~.~~..~~...~.~...9~~~.I!I...~,~. ,.~~..~~:-:-.~.Q.L........u................._,~;:~;~,~:,L.l~,~;, "~:,, ~. , -. .... owned by..",,'.... ," ...~.~~, ~.--~P..~.~P~~~. ,..........,.. ,.......... .........,.....,.............,.........:.,:...:......,::' (Name of owner against whose intert:stlien is claimed) whOSE' intt'Tf'5t in such real property is..... ............t,o,~..,~.~~J~L....___.......,...................,.....,.......,..,...., (State owner's interest. as fee simple. life estate. lease-hold. if known) Ill' further sa)'s that the last item of {~~~:~~s } was{ f;!;;:; } on the..__?~.~~................ .~ da}' ot-,..,......A~~,~,t,..,..,....,................ 19..91... and, of the contract price stated. there is unpaid t hI' a moun t of, ~,One., ,H.undred,B.1ght7-~ thrsfL.and..no /10D,t ha, ,Dollars.....,..",...,.,...." " (State amount unpaid) /0' which amount he claim' a lien on the real P'~p~';;21':9~uupppppmp ',o' (Signature of Lit'nor) . .;; '.~~b;;r;be'd and sworn to beforE' me this...... '2:jh2nd, ......day ot-,.....,A.U&U8t3...,..,.... ~. 19... , . ~ ., , ~ , ,., ( , ~.-,~ A '/' .' , ;',' :' 'il:' ..n,~.../~.,.~N.. ,m" .' .... ..:t., '~:-:"...,.< . 4A~uIu(~ot~ My Com,!ussllHl exp,Tes..,..................,......,......... (Count)') (State) r ~c.: " i r:':i : ~. ::..: J: '- ~. .' oJ. r,~, ' ' J';' ~ '; ,'." Un;;. ....., '. ,L:i ." ... ....~ -.j , . J ,- Y'" y,