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2108
II F~w. ~w~a ~.ww~ ~ FS 71 ~.Oe ~ ~ ? ~ (~l~tt~t ~t~eY~ ; ` 3 ~ O~ ~`W~ v~ ~ { ! • . ~ ~ . . i BsFon m~, fh~ und~rsi9ned sullwrity. P+t~sonally appearsd......._ . 2 sworn, says that he is tM iienor herein o~ ; the agent ~ of ~he lienor herein, ~ ~'^9 ~ the altorney ~ - , • - - . _ _ . ~ _ . . . . . . . . . . . . ~ . (lienor s Name) f : . - ~ , . . . . . , : . . . . _ w ess ~s . . _ . ~ . hose addr ' ' ' - (Lienor s Address) f and that in punuanoe oF a conlrad with . - . ~ ' _ . . . . ~ . _ _ _ _ , : ~ - . • - . - . _ , . - . . . - ~ - . . , , , . _ . lienor fumished (abor, servioss or materials oonsisling oF: (Describe specially fabricated materials separately) ; _ ~ . _ . . • s , ' , - ~ ~ ; ~ i` S t . - ' • ' " ~ . . . . . _~~ars (S ' _ 1 . of a total value of._ . . . . _ . _ . ' of whith there remains unpaid s-. ' , for wlwd~ amount he daims a lien on the fdlowing 1 _ . desuibed real PropertY i~ - _ . . . . ' . . . . _ . . . County, Florida: (Describe rea) propsrty wfficieMly for identificatwn, induding street and number if known) - _ - _ - - . . ~ _ - • ~ - ~ ^ FIIE~ ~kt tf::UADEO • - " SLIU~~~ ::,bYiY FIA. L RG:=- ;t7~~S ' I CLE~~ ~°r.~,~,31i COURT I~ ' f~CP-^' , ~ . - ~ - ~ ~ ' - .1~ l0 9 3aAN'T~ ' . - - . . ' . . Owned by . . . : . ~ _ _ _ He (u~ther says that lienor Fumished the first of said labor, services or materia~. on ~ - 19--~~-~---, and the last oF the same on........._....... 19 , and (iF ~he lien is daimed by one not ir. privity with the owner) that the lienor served his notice to owner on - . _ 19 y. _ . _ . . . . ~ (Method oF Service) ~ Lisrwr ~ t-- ?=1~ ~ - - ~ . : ~ _ s~ ; : . ~ _ ; gy. _ . _ ~ Agenl or Atlo~ney _ ~ . ~ ~ ; ~ _ - of .~7 . _ _ _ _ _,9 Swom to and subscribsd before me ihis ~ Y o- , _ . . . - . ~ - H~sTarv Pu6Gy Shffe of Fbri~A o! ~(crge ~ - . ~ ~ N.r Co.hnlis~ioc+ hp.ns Spt. 20. 1~75 ` .-~-.a..eL,r ~~Z.,v. ~~L~~.".LIC-.C. ~ij ~ e:~,~_-~ ~r n.~.~-a~ r.:-~-~:.~~~i*r c4 Notary Public - ~ ~ _ - : _ - ~ 7%ii.~ /il~~n~rnrul ~~r~~~rtrf~l:I?';: - - I JJ,rx~ - ` . ~ . ~ _ . , ~ . ' , . - ~ - . , , _ ~ ~ - - . ~ r. ' • ~ . RODK ~.~.~7 PACf ~,11J0 - - - - = ~ ~ y~< - ~ _ F~ . d ~ _ .