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HomeMy WebLinkAbout1335 _ ~ iLA. Ti67 LAWi ~ 11AMC0 FORM ttOr FS 71~.08 ~ C~l~tim ~a~ ~t~e~t ~~3~9~ ~ ~ount~ of ~ Bsfore ms, tM undsrsi9ned aulhoritY. Pe~sonail~ appeared.. ~~~~~J. ~•./~%7 W the agent < who, bein9 duh? swom, says that hs is t lienor hsroin or ~~~Y ~ of the iienor herein, - _ H ~ ~ ~ J ir'j~t~~ OK~' _ ~6/i _ . . ...................._....._................................---......~..r/~r.. _ . _ . ' ~ (!ie 's Name) - ) ' whose address is... ,..'.._Q..:..~~.~ rv~y,~T, ~~y y~ , _ (lienor s Address) . and in pur nce of a contracf with._ .l~l.i~LL!~,~'.,~,~l~C ......i... -~/v-~ _ . , ~ ~ O / , ~ D. O y[. ./..l .D..1. ...~~'L: T. ~_~'0~.,'T~' ~ r~JC'1 ~ ~ ~4~ lienor furnished labor, services or materials consisting of: (Deuribe specialty fabricated materiais ssparately) ~'l~ v tC ~ D ~~r~~ f`-? n1js,~ F ~ C~,?,1~~~~~' ..~~.-~~'1 t~nJ !_v T~~ l~C' i~ L d T J- L~~r^ ~a T~~L c; G l a 7' 7.~"~~.,r?C,~IG, ~ 07- ~ •~L O~i~ ~n 7" ~ .~t C~'~ ~ r°n13 f- ~~,%;.s~v ~~.E'P~~~> • f/!~j ~ D E'" ~t 1~ C,~' L''~C L.G r/~L^t'C_ l~J Ll•' ~-f ~L G'~'',~.J ^ / l L OT l~~. c~E'~~ ~ L n T- nll~ of a total value oF.. _ n _.C . dotiars j ` ; of which thero remains unpaid S•~ ~ ~ For which amount he daims a l~e~ on the foitowing ' v ` described rea) prc~erty in . _ . _ _..~T±. ~ ~ ~ . . . . _ Cou~ty, f~orida: - ' (Desaibe real propsrty sufFiaently For identificafion, indudi~ street and ~umber if known) ~ , ' ~ £ r~->> 0;~ ~ S~`, _ ~iv ~ c~'E,S T" ~sir-~ TF1' ~ lt,~ : 7-- ~ r~~ ~ ~ ~ ~ ~ , ,~o~?~l iG ~~~E- ~y L~ ~ r t- C.~~~~~. r~~~~r ~~~-sr, ; ~ ~ ~ : ~ ~ ~ . / , ~ . ; Owned by. . ../~L L./..7i/~~,K_ . - ~/'~.i ~ ` He fu~ther says that lierwr furnished the first of said labor, on ` ~ - ~ g _ 19........., and the last oF the same on .~~l. ~ 19~7; and (il the lien_ ; is daimed by one not in privity with the owner) Ihat the (ienor served 'his notice b owner on ; ~ . ~ ' ~ -s- ~ . 1...~ , ~97j , b,,. ~ ~ - ~~~~~'~i ~F , ~--f T v~ ; To ~ Y...~... . ~ . ......y y ~ ! ~ ` J . , - ` ` f t~ ~"f~1~ ~ ~/VS ~i 'V . a LC.~~ ( e . : S- , , . ; ;.z ~ _ _ - : - ~ ~ ~ ~ ~ r l: ~ _ _ . _ i ~v , ' ~t8t10r ' v : : ~ '73'79'7 - - . . , ; : FEB ~ ~ 31 gy ~ ` Agent or Attorney ; ' Swom to and subscn'bed before me this.-......... ~....1.~ ........................day of ~t ~Zcc j 19 _ t.~:~~~,~.;.i? ; . ; j ~ ~ _ ~ j~br " _ ! = . ' ~ - ~L.~ ~ - ~ r. . ~ ~ ~ • ~i~~l. / ~ . . . . . _ . . . ` Nofary Publit ` ~~.lG~'~ r c, MYh , _ L'li~~ ' t - . . 7%r~ h~clnn~~ir/ ~r~ r~tr~il~~?~- .G.t`~. • ' ~:'~CE.,, :~;v • , ~ - ~ ~ f f J~ ti• r ~ r.",•._ _ a itt;'= ~t;, - •~t. 25. 1976 ~i ;~i;~t1 _ ',.t I: .,~~1'/(=tc//`~"~' iJ(/ . ' . .~f~ ~ Jj ~1.,. ~ t~ ~ .l-< << ~ ~ `'~~ri~ L, i1t~s~t'~`'- ~ ~ . 1 . ~~y=~~~= :~,:,{~.~5 v ~ - -