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r;JwMd? fT/?1111l~ 0lrw•s ~aw M?-17o14 l~wiwt~Nvr.e ..a i~ wa 6r tA. N. a w. o..~ cun~noer
~ M.li1 -1M1 JackwwllM. lNrlh
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~ ~.Ot~ce Of ~o e~Iterit
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j <m ee RECORD~D)
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~ Property to be improved: .Z~. ~a_.3D..~~~.PAHI~.BSTAT88~_
P]at_ U~it__l
~ according ta t~e pldt tiled in Plat Boo~k 12~ Page 52s
~ Public..~o~__Q~ .~5~:...~i,e.~eunt,ycr.F.lrazi.da..._..._......------•-----
(d escri ption su f
f
icient f or identi
f
ication)
Ge.nesal descri~tian of the improveme~t: _.__~g-~~2'~!.Cffi re6idencg,Q~q_y~~_~t~
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, IVar~1e and address of Owner: ---.~Q~d.t~_~7.d~r~_.c~i..Yer~--8e~h~--Ix~.-~c•~-------~---
---------Post 0~`tice 8ax 1532, vero Beach, ° ~
~ _....._...----------....._...._..--------------------------•-----F~~~ -
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~ Extent of Owner's interest in property~: (fee simpfe) other_ __________________________~z~__._..~~,~-. O
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Name and address of fee simple title holder if other than Owner :
"__"..'""'."."".~..."'-"'._'__."'...~..__"'_..~.'-".'_.........~."...........".~~--"__'__'.'.__"..."'".."'_'-"'_'"""'__'_'"_~~...~__'-~_~!_•a.:...i.±L1w~~~
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(If ownership is other than fee sirnpde, the name and address of the fee simple tt#It!• Ii~ ~#'st
also be ~iuen) ' i~~ ` =
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'M.K3I'~Cl~~ $U~~.d~Y'13 01' Q 1'O s _ • ~ ~ -
Name and address of Contrr~ctos: ~
-------------~--~------------------------------~------~~~.,--~tc.._~-~,--c>. - -
Post OfPice B~x 1532, vem Beeich, F1,orida~
c+~rn.
Nanie an~ address of surety on payment bond, if an1~, and amount of the bond_
~ntount
~"~'ame and address, withzn the State of Florida, of a person other than the Oumer signing this
notice, designated by the undersigned ta receive se~vice of notices or other docu~rzents_
Name and address of person to receive copy of Gienor's Notice as provided in Sec. 8~.061(2) (b )
Florida Statutes (Optional) :
Dated this--- Z3~----day of.....---M~~---------------------- 19--~5-- FIAR~DIAN HtTIL1~RS OF V~RO EIF~H, Il~:.
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~ Signature of Owner (or authorized nt)
5'ubscribect and sworn to before me. this.....~~?_____________da _ 19__~5__
NQTARY PUBLlC S7ATE of FL4RfJA at LA,R"uE
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w~i Cu:nmiSSiui~ ~Xr"tRES nt~i~1 I~
~}NDCD THRQi}4H R (Nc;tary Public)
M1~ Con ntission ex~ire.f.---•-------... . .F..eu.ri._w~7~Mo
~~~~G ~.~,~#dd~,~k,~i ~c~jGl''~~H,grnent o f Ou~ )(or aulhorized agent o f Owncr)
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Ssc. 84.131 Fior;do SANto~.l~~`~~,~M~''l~M~~~b?!«ad~d wiM tM Cl~rk of fM Circui} Co~A of County whm prop~rty i~ local~d prior to comTSncinp
to imD:ore o~y r~al prep~dl.`''~'r*on ncon~x~Mtd~~~i~tion e} on lu+per~~~nf ahsr d~fauN or obondonmsnt. Also fhat o c~rtiii~d <opY of Mit netic~
M Posfld on th~ tif~ e} "rM1 l~lpjbwtn~~n, e.L'OwrpiWQy,{ /,JAC~ on tM fronf of tl» ~iH and Mat t('N pofl~d coDY ~ wopThirPrOehd.
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