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1884
¢ ~ r~ ~ F~,?. ~sea ~wws ,I ~ RAMCO FORM 11lO ' . ~ F5 6r.(~) 1~) ' If ~ (~l~ttrrt ~rf ~.~t~ert ' ~ ~tx#r of ~lnriDx ~ ~ a~:3 ! Q~T..QUtctq nf ~ ~ : ~i - ~ ~i ~eFore me, the undersiyned authority, personal~y appeared- ~ ~ ~~~v-' ~Q-~~ ` I~ ~+La. ; ~1 who, baing duly sworn, says ~hat in~ is the lienor herein or ~~h~y ~ of the lienar herain, I~ _ B~ndq....Li,~htticight....Roof 1nl5.. ~...SupP17., _ Ina.~_ . _ _ _ . ~j (Lienor's Name) j~ ° whase address is .HOx 445 JCqeeCt Beaah, Fla. _ , _ _ _ _ (tienor's Addressj and that in pursuance of a contract wi,h I'' • 1~ • M•..Il'1 a.. , _ . . _ _ _ _ , i ;j ~ i _ . _ ; il lienor furnished labor, services or rnaferials tonsisfing of: (Describe specially ~abricated rnaterials seperately) ~ Fabricate 12 ~'loxer Carte ~ ~i Fabriaate 12 Aluanlnu~n Boze~ Furnieh Spaae~c, MaBtia, Klige for Coolers , , I~ ' , ~ ~ ~ !i ~ I ~ ~ of a?otal ~~I~,e of Nine ~undred nir~ety nine& eeventy 8~f(sts (y ~99.?6_ _ j~ I~ ; „ , 'i of which ti~ere remains unpaid ~ 999. 76 , for which amount he ~laims a lien on the followin9 ~ ,r ij described rea! property in ~t, LuC1C. COtlCity County, Florida: ; ii (Describe real property sufficiently fcsr id~ntificatfon, including street and number if known) i 'j : ~ , I r R ;i S~e Att~;ohed ~heet ~ ~ r ; i~ ~ !i I ; ~ . ~ ; ~ ; € ~ . ; s Owned by F''., 1~1. M.. ,~r1C . _ _ ' _ . , , ; +j He ~urther says that lienor furnished the first of said labar, services or materials on ~F~l 1_ ~i 19..~5 and the last of th~ same on....September 30 196~, and (if ti~s lien I : is r~aimed by one not in privity with the ownerl that the lienor served his notice to owner on ~ ,I ' t ~ _ ' ~ 'r ' O.ctob~r 21 - + ~ _ . jg6~ , by Cer'tified Mai~_.. ' • ; t i . . . . . ` 1 . . ! . i . (Method of Service) ~s~ ~ ~ r'1! r~ ~ . , ~ . ~ , _ Handy_ Lightweight_ Roof3n8 ~ _~b~tp~~. ~r,, i ~nr~ . _ _ _ ~ . ~ , ~i • . . Ci r „ t, 4 n , ; . , , . ~ _ / .t, i ! = . . ~ : . ; . gY _ _ _ _ _ . . _•~-''.a1~-r.~-~J~ ~ h k ~ ' Agent ar Attorney v ~ ` ' ' . ; , _ , ~ ; Sworn to-a~-.st~saibed bef~i~:7ne this.. .~c~~.,,._ .._......day of ~L, 19 ~ ~ . . ~ ~ : - ~ ~ " ' , , ~ . _ . . ' ~ ry4 , _ Not Public . ~ SOOK ~J .~rrr~ui ; - . ~ C'~' Rat~ry Public, Stat~ ~1 F1o^da a# la?ce .3 ~ ~ ~Il~ Com;nissi;n Et;i•fp4 ~~,:rc~~ ".J, i~o8 CtL~'~r ~ 6ondeC Br rR,e~,:; t; l~rr !Y :`S,'~?11r C: