HomeMy WebLinkAbout1312 ' i
i
f~/~ /
~ r~Y~\JI~ ~
s``~'.
~l~ ~ ~
Oq111'~ tOMI M I~p1~ M~+wlethrr~ sr1 hr +rN w iv M. ~ W. Oww t~w/My r_;'
1rci~vllN, NM1/~ ~ „~i,;
~ ~ ~
oE ~~uren
n '~~,~..~~oK ~
~
~u ot---- 1~7~ar~..a
- - d , ' _
~~.Fart Pieree ~ AC1C 20 JUI II: 4 ~
QCoutttp of.----s.t~...~a------------------------ ,
~
13$~.8~
'~illiae J. ~hit• ~QG~;R F'~I~trt4S~ C~. RK
--••-•--------------•-------------------......--------.......-------------------..-------...-•-----•--......__...-------------,S~-T~ -t~ilGiE-
6~i~tt~t~1~;
(Name af Lienas) Ft..QR10A
` _.,___,__P.O. Box 3185 N rth ~'eder~l Highway, Fort Fierce, Florida
(Residence or Bus~iness Address of Lienor)
, ,
bein dul sworn sa s that :n rsuance o a contracd unth ~t••~~~ J~''•. .
g Y Y ~ ~ f :
.....-----~onrad.li?,.._~_=+iL~,l~7!ll~inn_?#uns------------ ~ ' ~ . : '
~ ~ 'I ~ ~
--~-~?.r;
~ /.,,,;:i - ~ , • • - ,
jwyY~a~
• ~ •~l.:'.: - I • S
(Name of Lienos's Employer ar person with whom he contracted~ -
e ormed labor and ~ ' '
he { pf,~~ the ollawin serrnces s~i
f ~ (He~e descsibe ihe labor or serutc~esG,~~c~¢?a -vt~''~j.d~j
~x , 1 rt~'~'=~\
materi~ls furnuhed. Describe specially fabricated materialsseparatelY)-•--•----------------• ~~`'''~~±~+t7:~:''.,. .
__,.¢~7~65 2echnicP_1 ~irlysfr and frof~saiottal. reca~endPtioas for corrsct~i~~ t~e ;
_ f ~
~
_.._~~~s¢~.i7[el~[..inB~a118~_„~__s~1BAy_.AI~.~.l..y.t~N~@~--~~.5.~~:0.--.-61Al65 :`.JOrkin~--on and corrtcted ~ ~
_._,__qn~._~~._the__~bove__pumps_._~kEr__contract) ~S25.C'0 . 6~5~65 Service ce~l on ebove $5.Cfl f
f
.,_Total of ~'r45.G0 dollers plua re~esonable sttorriies fees.
to the aalue of----------------------~:ot~
~:tY.. i_v_6 l ls.rs _~.~5 ~
~
0}.-------------------......_
(State contsact price)
on the following described rea! propesty. (Describereal prapertysu$iciently forider~tij~cation,giv-
ing street and number if known) :~t,__ 2~~ Box 695 Ridgehave ft~rd Book 193 PP~e 535
. ,
i
~ .
~
~ `
~ ~
W e min~ }dunt
owned by.__..~a.~trad.at, I
7
(Name of oruner against zuhose interest lien u claimed ) ~
f °
~ _
. . • A~ f~e s:.mple i -
u~hose :nterest :n such real propertY u------------•
- - - '
(State owner's interest, as f ee simple, li
f e estate, lease-hold, i
f known )
labor r
Fle uriher sa s that the last atem o services wasi performed j
f Y f on the..6J9~65._9~h.......
~ fli~i*~flrac f .
. ~
daY nf-------~il~t~-•-------------------------•--......._., 19- 6~--, and, of the contract price stated, there is unpatd ~
, the amount of_....__._..~'Qurty__filte.,do2Z~rs_ ($45.00~ plua attorr,ies fees, }
~1 (State amount unpaid):J~ . '
i ~
for which amaunt he claims a lien on the real psoperty he ' described. r
: /f~ ~
~ ' °~-%1•- •-~!~~~./.S:_.__.
~ ° - - ~
~ ~ (Signature of Lienor) ~ ~
. - ~
. . _ .
~ ~
• ` C
. L~tt~?s~et~ and sworn to be o~e me thu...-•`•'-'L ._._~dY of-------------- 1~.~
_ 4 . . . `r: ~ j . ~ ~ ."v-1
~ ~ ~
~ ~ ~ - _ . ~
- ~'i~. ~ ~ : ci~or y Pubc=~, ~
=r,: ~ .
~ ' U tr a-
~ ~ ;
- 11fy .~'.~~»trrii~tion~ ex r . ~d' ~ )
. „ . ~ - - (CauntY) State i
_ - , , Notary . 5tste os Aaid~. a! t~pe ~
, . ~ ~t? Co~nissios Es~ires las. 15. 'f9i6a .
' . Md.e M A~rk.. fi. 3 C.wwhr Ce. i
~ ~
~ ~
~ ~ . DvVr1 ~ .
. . , . _ 3:~.