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~tate of ..............F..~Qra~.ac~......._........_..-----......_. ~
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BEFORE ME, the undersi~ned authority, personaUy appeared ...~_Qr.y_.,~t..._.1,u.:.~.h.~~.~~# , ~
...~.~~..-T.recls.._.a,f Lu.ck: zx.d.t-•-Corbs-t-ru~-t-ian--~o.- ~ne-.._ who, ~
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bcin~ duly sworn, says that he is (the lienor he~ein) (the a entJ [atto~ney~ o~ the lienor he~ein) ~
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whose add~ess rs P. C. Box f 1 18,~,...:,5_~.~eQr..~,...F~a..------------------------•------------._..__._..._...._..---
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and tkat in pu~suance of a contract witit .._._.HQ~.3:~'GZ~/._.~_u~.._~I:L_.S_t~.__Lu~iB------------------•--•------
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lienor ~u~nished labor, seraices or materials consistin~ o/
Mnteria~,;';acrriner and labor • ~
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(Describe speciall~~ fabricated mate~ials separately) '
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on the f ollouring described seal p~operty in ~ t.__.Lue_i_e__________________________________ ~
Count~~, Florida .~~ee..at_#aCt~_e.d._AQ~~.r_i~~.icn,)
h^-L i da y~.~ t--_ i n----' t'--- Guc i c_.-_t 1;;. s e---pG r~ g_~_~_..t~.i.-- ~.~...d._ :_nr_e---nrzr__ticu-Z Q r Z ~
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d<•~_cr_.tb_~d_.ir~.__;r_axr_cu.-t-y---Jeed--r~corc~ed-•-~~=--0~:=iez~~--{~ eeo-r• -•~cy---- -62----...__
, (Describe property sufficiently ior identification and ~ive street addsess i~ava:lable~ #
Pace 2231, Pceblic Records of ~t. Lucie Ccunty, r^Zorida ~
owned 6y i~4I tJ---G?u_t.__.:n._A:~er__i.ca_~_t_.rS t,---Luc-i.a-,•.-,I nr•-_------------------------------------- a
~2 S. Cen_ t ra Z A u e. , Knoxv i I i e, ?'enn. ~
o f a totol value o f$----------------------------------------- o
f which there remains unpaid $-----3-~Q.8~6--------•--- ;
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and furnished the first of the same on_____________________________________________________ 19____..__ and the last of the ~
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. same on ___._Ja!~L4~I7.'.3d.._~.~.,____________________, 19__?Q_ and (if the lien is elaimed by one not in priaity ~
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with the owner) that the lienor se~ved hu notice to owne~ on__ h~n.r~h__l~ 19_~,~._ by i
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(he~e desc~ibe method of service of notzce)..._.._______ _________f.______.____ _
. Cert i i Pd ~~a_i 1--------------------------•------------------ ¢
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Luck har- ~ t C;r ~ t ruc t i on Co., ,~n .
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Swo~n to and subscribed bef ore me this.__s.~~._..__ ay of ____C3!~___________________~~• - F~-•.~~ .~.~r
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