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FI.A. 1~67 LAWS 2b935 ~ RAMCO rO1lM ttOr
FS 713.08
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6efore.ms, th~ u~dsrsi~nsd suthority, penonally appeared-...- . w• D. Rance
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who, b~in9 dWy sworn, says thal he is the lienor lierein or # the ayent ~ of the lienor herein ' ~
the atfornsy ' ~
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gaTTHEASTERN MBTAL CRAFT, INC.
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(Lieno~ s Name)
P.O. Boz 848, L~agxe~d, Fl~rida 32750
wlwss address is . _ . . _ . . . , ;
(lienor s Addreu)
and that in puauance oF a oontract with VANCOTT•FER(~USOI~••CROFT~ INC.
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999 W'oe8cock~ ~Rd: , Suite ~ 28
n,R~~ ~t~ n F'~ ~ i
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lisnor fumished labor, services or materials consistiny of: (Deuribe specially fabricated materials separately)
PANS, TOBING AND FL!?T BAR
of a total ~al~e ofSia- Hundred_ Txo D~llars 8IId 4~~IOO dollars ~S 6Q2•4? )
of whith thero remains unpaid S 602 ~~*7 fo~ which amount he daims a lien on the fdlowing ~
_ _ . .
desaibed real Proper?Y ~n S t., L11Q ie _ tounty, Florida: >
(Desaibe real property wffidently Fo? identiFication, induding street and number iF known)
f - 3-~~1NY IxN Ft~ ~o ~fcoe fp
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; FUR7' PISRCE, FLORIDA os~~ ~~,tR~s ;
` t'lERl~ Crr:CUtT CCURT tC ~
~ NfCORO VFR!F1~p -
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~ 269353
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~ VANCUTT•drERGUSON-CROFT, INC. _ _ _ _ . _ .
Owned by _ _ . . . _ _
~ - ' ~ f i I r services or matenals on. 7 26~73
Hs further says that lienor ~um~shed the F~rst o sa d abo , ' ' - -
~ 7•26"7.3 . 19 , and (if the lien
19...- ~ and the last oF the same on . . ,
~ is daimed by one nd in privity with the owner) that the lienor served his notice b owner on -
~ Nov. 19 T3 II.S. IKAIL ~
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. . 19. by.
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(Melhod of Service)
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W. D.
Ranc ue~ Pre s ident
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SOUTHEASTERN METAL CRAFT, IN .
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~ Ayent or AtiQtlii~`! ~ ~ ,
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Sw«n to and wbscn'bed before ms this.......21s.t.........._ .......day of l~f~~t8t;'.19 =-73.
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2 f:a6E t7O~~. N~t~~ ;~r;da at.ld~~C'
~~•)K swn
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loses<-!r Fn~4~.~vrN1•ts'~'•'.
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~`7 %%ii~ IllJ//lNlll7!/ ~~rr f?~~ri~/
a;j~ SOUTHEASTERN METAL CRAFT, INC.
= .1JJrr.c~ P.O. Box 848, Longaood, Fla. 32750
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