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HomeMy WebLinkAbout2107 FLA. IY67 LAWS ~ i~ ~IS.Oa ' _ ' ~l~t~t ~t~1~1~ r ` ~ ~ ~ ~ ~ T . . . . , • _ . - - . 2 _ _ ~ Befor~ m~, th~ undersi9nsd auhoritY. P~rsonally sppeared............_. fhe ayenl t wFw, b~in9 duly sworn, saYs that hs is the lienor hersin or ; the atlo~ney S°f ~he lienof herein, : ~ . _ ~ ._.r..,..,.. . _ _ „ , ~ . ~ _ . _ _ (Lienor s Name) i . . ~ . ~ _ . . _ . ~ . . . ~ ' . _ , , . . . W~WSA ~QST IS . . . . . . . . . . 2 (lisnor s Addreu) and ' witk ~ ~ ~ ' _ . _ _ , : that m purwance of a oont~ad _ . _ . - . + . - - ~ i ~ , ~ . ~ , - • ~ ~ . _ . , . _ . . . ! lienor fum~shsd labor, servioss or malerials oonsistin9 of: (Describe specially fabriwted materials separately) ~ ~ • , . ~ - . ~ - ~ - . _ - - ' . I . . ~ - - , ~ t ~ k F ~S 1 i 1 . ~ ~ - - . . _ - - - - . ~ ' , . . a of a total value oF . . _ _ _ _dopan (S ' ~ - ~ _ of which there remains unpaid s- fw which amount he daims a lien on the fdiowing ; i . _ desuibed real prope~tY in_ . . . _ . _ _ _ _Cou~ty, Florida: (pexribe rea~ prcps~iy suFfitieMly For identificafion, induding street and number iF known) , , 3 _ . 3 FIL~U t:*l' =!i:O~~EU • _ _ - + _ . - - - = . . ~ - - ST. lUC _ ~ ,;:STT FLA. - _ . ~ . - - - - - - , R0 ,~?P.AS , - ~ CLL :f. :.~i~..~.~.1~ in~.~~T ' _ ~=p~r'. .f i ~ ~iUL I o ~ 38 ~M ' ~ f I ~ f ~ ; _ . . 2 . . _ _ _ ~ _ _ . ~ . . - ~ . _ , He Further says that lienor fumished the First of said labor, services or materials -on - , _ ~ 19 , and (if tne lien 19---------, and the last of the same on . is daimed by one not in privity ~??i1h the owner) Ihal the lienor served his nolice to owner on - - , ~ 19.. . by.. . _ . . _ _ . _ _ - . (Melhod of Service) . , , _ , _ . : _ _ , . _ . _ , . : • ~ Lierwr ~C, ~It!_ ~i'~ 4%< ~ ~ ~ By. . . . - - ~ ~ Agent or Attorney . . = ; ; , _ ~ ~ s . ~ _ i9 ~S! ~ - ~ Swom to and wbsuibsd bsfore ms this .......day of _ _ . " ~ + ~ _ F-~ ~ ~ ~ ' ~ %~`x No1~ 1rYi~r t1~ ~i Flwido a~ 1t9~: x ~ '=J My C~wnnidw~ E~1rew, SiP~. 20. 1976 • ~"~..Q..._- t.c...... ~J"Y/`"1.G-Tl~ . _ : ?-i f~~.sed Dr Arwi-a~ ~~r~'a e~.V~;~~eo- : Notary Publie ,y_ . _ ~ _ f-, . c %%i~ l~i~~rnrnr~d ~~nprurif ~ _ • , _ , - l~ % ~ :1~Glr~:c~ ' \ _ - - . _ j. , _ _ _ . _ ~ , a. . ~ : - 0 R ~V ~if ~~V~ ~ ~f•:,~~~,..:t~~' S~CK PA - . , - ~ ~ _ . - > ~ ; e~' _ :;~t« . . . . _ ~