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LucIB
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BEFORE ME, the undtrsiig~eed authority, persor.ally appea~ed T• B~N~--.
who,
being duly sworn, says thvt he is ~CX~~ (tlce ~fij- ~attorney~ of the lienor hesein)
whose add~ess u---.._.~14~~~..4~~~..S~~a.~..~?S?~t..~i~~~~~.-- E~.4~ id~?
~
• • Flo d Ta ue d b a Ta ue Oldsmobile
and that :n pu~suance of a cont~act unth Y.._.......&._..:.._..l..l ---...---g
lienor furnished labo~, services o~ materials consisting of See attached sheetr_______________
(Describe specially fabricated materials sepn~ately)
--...S.t_..I.ucs~---------------------------•--------•--.__..-•-----------------
on the followin~ described ~eal p~optrty in '
County, Florida ._...A_.tx~~~..Qf._~~d..si~.u~~~...a.~_.t~h~.Suu.theas.t..r.Qrnes_.a£-----.... t
intersection of ennessee v ' '
._~---------------------14?_.~~u~ _tK~~],~__U..._.5....Bigbb[a~r.Nn._..1,..Cit.y._.---- '
~----of__ Fort__~ierce.,. _~lo?~:]~~.?.~......----•----._.__
f (Describe p~ope~ty suf
ficiently /os identification and ~iue st~eet add~ess if available)
I
i owned bY ------••Floy_d._Tague,..i~b./a..T~g.4t.~_.Ql~W.Qhi.~.~
..65 7. _ _
o/ a total value of $ ~...~:~.9~---------------- of which the~e remains unpaid 3-~_?_~3..45------•---
and fusnuhed the ~i~st of the same on.____April__~______________________________, 194f2___ and the last of the
snme on ......__~ugust._17 Ig66___ Qnd (if the lien is claimed by one not in privity
with the owne~) that the lienos sesved his notice to owne~ on_..____._______________________________, 19..._..._ 6y
;
jhere dcscribe method of sesvise of notice)..._..._-----------------------------------------------------------•-------•----•-•------- ~
•---------Y~----•---
- orney for Lienor
~
,Sworn to and su6s~ribed be o~e me this...~v._.._. da -1~~?- 1~~
t y t- . •
. ` . •~r~'•
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Notary PuDNe. State M Fbrida at L'arge
~ My Commission Expres Dec. 16, 1969 •~y
My Gommission expi~8ooced.tq~.Iwnsacraeusa~nsucauuce Co- - ; v~
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~ R 159 ~?~E 172
800K ~
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