HomeMy WebLinkAbout0108~'. ~.
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(Id'arne o/ Lie~sor)
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(,Residence or Busyness Address of I Tenor)
being duly sworn says that in pursuance of a contract u~tth ..~€:X1~S~.~.C.-u._:~A.~.~.J~~.~a.~~~._.~~,:4:....
'JerrY...~ou..~i_I~~ern~~r~, ~;~_. wife.
(l~'ame of Lienor's Employer yr person with whom he contracted)
performed labor and
~he~ 3$~ ~ furnished ~ the following services and (He*e descrabe the labs! or services performed or
rnateriais
materials furnished. Describe specially fabricated materaalsseparatelY) ............................................
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1,~.hQr.i..~.~aft~,--~h.ar~.,.~.-hours--~--~-~•~?~ ................. ........•--•- --------•---.............~~AQ~_......
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uanc~e e.. Ica.nxa,m.e.n_r,.:~~.?.-~--~~----L-~--...---...._. [-~ LL.-~,
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tv tke value of ~4^~- ~~
(.State cartract price)
on the following described real property. (Describe seal property sufjiciertly for identificatiol:,;ii;-
ing street and number if known) :.Lot;--.G`~-~r'-,t.0.4%~...~.~.rrt.s ~...l~.s~..~+...4~.~',~.-.`.:~.~,~?'a~~.,Pl~t..:~COx 11s
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(P.'arnc of our»er a,ailist whos(: interest lien is claimed)
lc{tasr int('r(-st in such reol prcpert} is....._........1'__?. ~i~;~,~-~
+
(state ~LG'1dE'r S i12tCTest, aJ ~(?% Sd111p1E, ISfC eStale, IcaSE'-{3 C.<d, l {: 110dG'ld~
labor ~+erfvnned 10~~~
;,,:~y ~;,~ furt{dcr says t{dCt the last :teal of services ~ ua.s~ ~ on tide .............................
- i furnds,5ed J
materials
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