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HomeMy WebLinkAbout1277 DtIW'~ tOW N 11CYs !EV 'N wwl«~w~~ ~r~ ~ l~ct M.~n~fl~ N., C~~~ C~-oo~r ~1Ot10A f1ANTft N.Q~1 1 ~l ~1 N~ ~ - , l~lt Of ~ilen ~ , 286~91 : ~tate ot.. . ._.K ' . ~ountg at.... ' ' ~ crsonallti' a ea~ed ,/~G~~~~-- - - BF.FORE AiE, th unde~si~ncd authont~, p PP , . . - • who, .Q~ .GL-.----•-- bcin duly sworn, says that he is (thc 'enor he~~ein) (the agent~ [atto~nt)~] o/ the.~ le~•nor h~rein) ~ - . - - . whoJC address is ~ ' ~ J : • - . a»rl t~~nt in pu~suance of a conhnct with ' _I.O~~. _~~-t - . ; - ~ - ~ - . _ - ~ : lienor /u~neshed labo~, se~aices or materials consestin~ o~ . t FI~~Q.~`s:~.L:~~$_ ~R_-.. ----------------------~1`. l:;C _ . •.L'A ~LA. ' . a~:.: . -~as L CLE~t. _:"_:,i~JRT . ? -xKf''i~ ~i -------------------------~UL----~-----3-~~-~~-'-~~---.._---- - - - - - (Des~ribe. specialll• f abricated materials separate . - - ~ - - - - on th~ Jnllowin~ d~sc~ibcd real propert3 :n , ; . _1.~~_.__. ~2______________ _ { /~'U . Count Flonda - ~ ~ . 3 - - : - - , ~ _ - - - - - - - - - I :'D~s~ribe propc'Tt}' su~~ic'ientl~• /or identi~ication and ~it~e st~et't address f/ at~ailab e~ ~ - - ' - - - - - - - • - OZC'1ie'lI bY - f - - - - ' • ' • ~ ~ ' .~7-_'~ • /,.~_~/__j-----L._s~-------, of wh:eh therF rc~mm~s unpa:d 5----- -l ~ : ~ o/ u totn! aaluc o/ y 19--!_ .~and th~- last of tlrc n n d / u r n i s i t e d t h~• / i~ st o ~ th~ sa~n~ on_____ _ ~ 9~~nnd (if tire licn is clai»t~d b~' one not in prii•i~t' snr~tc on _ - 19~~'~.- b)' ` u•ith the ne~; that th~ lit~nor served his notice to ouner on._U - - • ; - . (h~r~ ~frsc~ibe nr~thod o~ serv:c•e o/ notic-c . f - i , s ; f ~r Lienor 19~% - S'tu rn to and subscri6ed bcf orc ~?ti t his__ ~L~1~lL -.da~• of - •~::...,~~r~~ . . . . . y., - ~ ..f_ ~i~ J,t~ , _ - - - - ' ~ . . - ` r ^ y_y ~ ~ (Notary Pu6lic) • t ~ ~ r + , 1 ~ • ~ 1 ~QS. _ ~r~l~~ 1,~~,llLl-- ~l ~ : • ~ - ,11t. ~~,oim~ttssion FYp l 't~ E;l.~ / , , _ . - ~ . - ~ ~ ~ • ,j _.u ,.use..~:ic ~s~~:s ~DUi~ F~ f~V[ i7~I~ a _ ~ - - T~~;r._.,g - . . _ . - - . . . _ - - ~.i 'd