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itOR10A i1A1YT/f O~tM'f /O~M M tlpy~ tlV. '~i AMwhchwN ~N hr NN ~ TM N.1 W. Orhr CM~nr
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~im oE ~i~en
215'~'9'~
t~tace oE....?......~'~a.r?i~~!
~~Ulltg 0[...~l..:St..__Lucie
BEFORE ME, the undersi;~ned autbority, personally appeared ..~,l~..y.~..do~~...._..__
.----•--••--•d~~a Atlantic Conatrnation Cospsa~-•-• who,
the Lienor
be~in{ duly sworn, says that he u(the lienor he~ein) (the [agent] [attorney) o/ the Jieno~ herein)
whosc address ts ..~~$__~'~4..~~!!4.•._J1tP.~t4~'...~~4xi!~!?
f ~EO ~?ND R~CQ
~y~lE Cvu11T :
-................_....---------......_...........---•-1l68EF~~PO?=#l~-----•~
~«t~c ~~R~W~ ~4YRT qN
and that in pussuance oJ a contsact weth ~GiJa.ieq~..~bAA
...........................~~p ~€R~f1~0~ fi
~r20....lo i~-IM'TI v
GfIlOI f urnishcd labor, services o~ materials consistin~ of __~d.~.~1~
,
-----•-------------------------------•-----•--------•--------...--------.._.....----._........---.....---------•--•---------------...----------~'-'~5;~!~r .
(Dcscribe specially~ fa6ricated materials sepasately)
on thc Jollowing described real property in .N~._oi Gor. I,~~..5,__~4~~__~~..T.+~...37_.~..,__Bja.....41
E. , coatsinin~ 733 it. aore or leas on the At2antic Oeeaa, Less the r~i oi Stete
C.'ount3•, Florida road_ A.-.1=
A,~..Sls--Lnoie Coq;l~Y.,._.Fl~lx
k
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.
~Dcscribe psopertp suf
ficiently for identification and ~ive sireet acidress if aaailable)
ownrd b)' --~ti-ll,.i,Q--l~i.nrs-----------------------------•-------...---------•-------------•---•----.....-------•---...---------------•---------
o/ n total value o/ $•---1~2QaSlQ-------------•----._.., of which there semains unpaid $---~820.00------------•--
; and furnished the ~irst of tlee same on___ltq~c._22 19?l.._ and the last of the
samc• on .._~e--12-------•---•----•--...-------•----., 19_?_~--- and (i/ the lien is claimed by one not in privity ~
:
; u~ith th~ ownes) that the lienor .reraed hu notice to owne~ on_~~t.:~.../.Zl...._..__., 19.~1__ by
~
, (he're desc~ibF method of service of notice)~-,-~~:b:~~~_..~_ ;'~..~_..~~~-~~-~.,i~~
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Iaeno~
' Ronsld Y. Jordaa d~b~s Atlaatic Cq strnc~. Ca. r
.Sworn to and subrcribed befo~e me thi.c.....20....-------daY of----Sspts~er. I~_.?l._ .
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ota Pu6lic
~ :11ti• Commissiore czpi~es..._2~16~Z3.-._. ~~~~r
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