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Home My WebLink About2106 FIA. ta67 IAWS 1 ~ ~ ~ Fi 713.09 ~l~tll't ~t~Yt ~ , ~ ~ ~ of . - _ , ~ s ~ + : ~ . ~ . ~ BeFor~ n~, th~ unc~rsi~ned ~uthorily. Pe~sonally appeared . . - swom, sa~ s lhat M is the lienor herein or ; a9e~f ~ o( Ihe lienor herein, _ ~ ~'^9 ~ fh~ altorney . _ . . ~ - - , ~ . ~ , (Lienor's Name~ ~ _ • ~ i . . ~ ~ ~ _ _ ~ - ~ ~ _ - - F whose address is~ . . . . . . . . . , . . (Lienor s Addreu) ~ _ , ; . - - • ~ ~ ' _ . ` . . . and that in purwanas of a oontracf wdh . • ~ , _ - _ _ _ ~ _ . . . . , _ ~ - ~ . , . . _ . lienor Eumished labor, servixs or materials oonsisting oi: (Describs speaally fabricated materials ssparately) ~ , t t . ' . ~ . - , ~ , _ _ . , , i ~ t , - - _ .doUars (S ^ ' ^ - _ ~ r of a tdal value of.-~ . _ . . _ . ~ of whid~ thero remains unpaid s-.....^ - for whids amount he daims a lien on ihe fdbwing ~ desvibed mal propsrty in . . _ - _ _ _Couaty, Florida: (Dasaibe real property wffidently for i~entificatron, induding street and namber if known) - _ - ~ _ _ ~ - ~ _ _ ~ ~ -p~ , . . - . ' ~ , - - - , ' • ' ~ fIIEG t!t: : :G~P.D£0 ~ . . . . _ ' - - . - ~ - iL iUC~~ . :f7kTY fiA. fiC~ : - ; ~'R~S ' C'.E~• _ ~~'F~ C~UR ~ p~~-;,.,- _ E _ ~o s 38 ~ ~7a I ~ Y . ~ ~ ~ ~ ~ - ~ _ . _ . y He fu~ther says that lierwr fumished the first of said labor, services or materials on - - f - . : _ _ ' ~ . 19 , and (if the I'ien . . - • 19......---, and the last of the same on - . . _ f' is daimed by one not in privity-with the owner) that t~`lienor served his nolice to owner an . . . , . - . . 19..._.. bY-_.. _ . _ . (Method oF Service) , _ . . _ - - , . ~ . . . . • Lienor ~ _ . . . _ . - By ~ ' `.._9.... ~ A eM or Attomey Swom to and wbsaibsd ~foca ~ns this ~ . daY of _ . 19 ~Y. , _ 4,1`~ ; ~ _ ..:,rc ~,er y.:) :,4 •-ac i~-s.: , - ~ ~ ~ - - • i - -~ssix Ea~:~M ~~p; .^Y.,?~i~ ~ _ _ ~~iic~i \ GL-•Y , _ :.y ..a~e.s_s.,.~a"a ~:.:{~+wni ~ ~ ~ . , ~ Notary Public : t~~r ~ ~ ' : f~'~' ='r: ~ , _ . '/lii~ I~i~/nir~irir/:f~~~~~~H~= i : _ . . - _ , , ' - _ . . ~ , . - . ~~~i~ir_t~ ~l~~~~ ± ^ ,,~~r `~-y ~ U 1{ ~ ~ , ~y ~ ~~fr~~~~n~~~~~~ ' ~~i7n ~ ~ w..s,~'r~'~~~ 7'"~~~~ f :<<- 6 . ~ ~ ~tf' .j " _ ~.e...? . .