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HomeMy WebLinkAbout1710 '1 ") br'i . n '30'7 uJ ;"tf' .j t,1: t7~J flOlIDA ITAT\lTlI ,ST, ~~~;"t.FL^, . ~_...~__~_.-..-.''-''-,~""", ~c__"--....... ""'....Iad..... 004 fa< tol. b, TN H. .. W. t. Oro.. C..pao, HclJonilHi. '1~IJo itaim of litn 11111'12 " F~~ ~NO nECG~OEO ~tate Of......~:0~~~.~..__.____'__....._.._,.__..__'_____.........} .~. I' r' /';' Recorr: ,~ lltOuntp oL.__'?J_:...I__I.'_~.~~.___..m'__..___..m...._._...__._." .J0~ I.~.. 22 Hi 12: ~.!I E\ST rO\')T I t'\:nr:n'sn SI'PI'!Y co, ROGER FOITl:fo.r;.!! .,\;~ ,,'" -.. -' -...... - - -. --.... - ,-- -, -- -, -. --'--..... - '"-''' -- - - - - -- -... ---........ -.... -.... ....- - -... -,...... - -- ,-.... S -l..- i. m+l- -t {l{j+( j. y.; - f t u:~ ir.:Ii- , (~ame of Lie~or) __ -d,,~J'ff-' ..",.. _. _. _ _.. ....~_0_ry_ _: .i.~' .'.',~.I.I.'.'...:.. _ __. ...l:.:).~'_~_ _? ~_~_ :_? ~_!.. .r:,!?,~_~_(_'_ ~_ m _ _ _ _ _. _ _.. _ _ _.. _. _ __, _ __ _ _, __ __,.,. _... __ __, !!:...., _... _. _ _ _. (Residence or Business Address of Lienor) being duly sworn says that in pursuance of a contract with __:.r_~'.f.LI__,:,.:,:~.~__.~~~.~~__\_~~:_~.!___:!::::..i..::~:_;.~--.. . _ __..... ____.... ,_ _ _ ___...~1_(!~ ~..:.t,:.~.r.!_t.I.'.'_ _ J... __ __ _.r:'.'?_ ~_ ~__.~~ _~,~~ ~~ ~_~ ___~,~ .:_:.~ !.'? __. _m __,....... __ _.. _ _ __.._, _. __. _ _, _ _"" _."., _ _""..,. __ (Name of Lienor's Employer or person with whom he contracted) { f dJ {labOr and } he Pfer o;mh ed the following services and (Here describe the labor or services performed or urnu e . t . I v ma ena s \ . . If' h d D'b . II f b' d' ..: t1mhpr ;In'' h\lilllinll 1flatena s urnzs e, escn e specza y a ncate matenals separately) .m::____________mmmm..__.....::... !;.!t ('r i :1 i :;. ~... -. - - - ~ - - - - - ... ~. --. --...... - - -- -. -- ---.. -.... - ---.- - -.- - ~. ~ ~.... -.- -... -. -. - - - - ~ - ~- - - - -. -- - - - - - - -. ~. - - - - - .~~.. - -. - - ~ - ---- - - --- -- ---. -.. -....~ -.... -........- .....~-- p..,':,:~..':i!2~~J~~;~ ~ ;;;f1'" ,f!t...!i.I~:;' . . (]I . ,. -""'" -,'" - -.,.. --. - -, -- - - -, ---,. - ---. - - --- -- - -.. - - - -..- - - - -.'" --. -. -. - - -" - ., - - - -. -,.. --.... -.,. -- -. - -".,,' -".,. -- - -., ... .t~~ ~~.t~j~+_~,; '~~1~';'~' f;<. ;: " . , .'{oj'" ~ . c . ;~ u, ~;~~l~~~f:;~;;~ ~:::':: ::, :',:, ":': :,::,: :,:", :::..', ,:'. .......:,,: '",.,. ,.:'.' ,.., ,:..::'~~f~:~:f\' i (State contract price) on the following described real property. (Describe real property sufficiently for identification, giv- . d b 'fk )' d 1')" 'I() r'll - ""nricp p.,,..\:.,',"i' j,; "1 I1Ig street an num er 1 nown: m:...._________~____... -.-.........------'--.----'----:--....------.-'------------....:,..,--,..,...------.. :'1 ;Jt L'<))' ~~ :1:1 I r~ - . . . - - - . . - - - - - . . - - - - - - -. - - - - ~ - ~ ~ - - - - - - - - . . - - - -. - - - - - - . - - - -. - - - - -. - . - - - - - - - - - - - - - - - - ~ . - - - - - - . - ~"( . . - - - - - . . - - - - - - - - - - - - - . - . - - . - . - . . . - - . - - - ~ . - - ~ - - - - - . - - . . - . - - - - . - . - . . . - -. ..~ - - ._~ ------.-. --- .._~.- -.. .---.------.-...---...... -.-..~.. .~-~.... .._-~-_. ------ ----_..~.-..- -- .~-~ ._----~ - --- ~-- --- -- -..---_._.- - - -- -. _.~. -- --- -. - -... -. -- owned by__ __.:!~~ r L ,!._I.'_\:},~ _. ,~_l-'~~!__~,':'.~..~ ,~_ __':~;.l.f.'__ _l__,,'.',~~. ~_ __. __. _, __.-" __ ____"...__ --' .-------, ----.....,..,..,'., .--,... '-'" ..,..." (Name of owner against whose interest lien is claimed) . . hi' 1"' ('. 1 wh ose In t crest 111 Stl C rea pro pert y 15.. __ __ ~ -': ~ __,).\J~;L. L....., ---.... -- ------. - -- --, --- __m -..... --...... -- --.. --..,...... -- - --. (State owner's interest, as fee simple, life cstate, Icase~hold, i; known) , . f{ . } {performed} h \inth He further sa)s that the last Item 0 ~~~~;ces was f '} d' on t e_____,..,__ ..,.......-..-- . I urms Ie matena .t; .. Oct ')hf>r 19 (,'.! d f h . d IT' ., day of__________________..,__.__,___.m____.....___........, ---, --., an , 0 t e contract pnce state, tie e IJ unPOlc the amour! t of., ....~,~.1.1".7.1,. -.,..-----"'.,.'.,..--"-. -,....-"...... .-.-,----"'.-" .......'- ...--,..,.".....--,',"" ".",,-., ... ..,.. .,"" (State amount unpaid) for which amount he claims a lien on the real property herein described. :-:Ist~' ~...t ur.l rz:';~' I'~: ~~ '00lU;' / ~ ~ ...~\t\.1tr;,.;.:~/. .---'..c..-- ---.-----' --" --,--- -----, ----,.. - __.....,.\U....'-'I.I,,. '" (Signature ()rk.~~r~;;~.::/,.>... ;; -) { ~) ) \ /-. ;~-;:/ ,";~g:~'''\: ,'. Subscribed and SUJorn to before me thiL...~.__.,;.-!.__/.,-~__,__day of---L..,l/\--t..~,--:----:'..~(.:f.~ -J.,~",.......,/ .... ,'. . . J / '-.1.')' , ."- .'t: C. : ... .----tA, {J_ ~H.o-!-:", .:C.:.. --::-~,. .)-~.~. ~-~'~---~,~-::_~i";1..cA;';~-:-:-"' . j (NotarlPu.blic.... 0 I~ / r:~:,,~, FL"':, . .~: ~ Cj~ r. "!J Jt LJrp,J 'L . " "\ /" .", ". i ,.' '- f;'o~.:~~'\l~n~,~." ',., .,.., C':L ::.1'1':':; -----::v'". ___ -1_<...Lf.J....'-o-:,...Y'....m--.~---f~..~~.::::;.'\~<J.".. ~ ' 1_ .='...:17 :., 'f,~. ." ; .-. .~.' A1' C' .. , (C t ,') (State': .,,' . ) omml5SlOn explres,..,________....._.............___,..,... .ol1n ) , J