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HomeMy WebLinkAbout2110 Ff^71~.09 t~l~ttl~t ~t~en ~s~ ~ ~ • Y . 1 . . ~ : ~~-.1 ~ 1 ~ ~ . . . ~ Bsfon m~, fh~ u~d~rsi9nsd aWhoMy. P~rsonally appea~ed... . . . : who, b~iny duly sworn, says that he is tM lienor heroin or # the aNomey f o( Ihe lierwr herein, - ~ - - . „ _ . , , . , • . . t (li~ s Name) , , ~ , . , . ~ ~ whose sddress is ! ' . _ ' 1.. . _ _ _ _ _ . . . ~ (lienor s Addreu) . # . , . , and that in purwa~ce of a ooMrad with . . : . . . . , i , _ ~ ~ ~ 1 7 _ „ _ . . ~ , . , ' ~ . ~ ~ - . . . . . . . ~ . . . . . . . a . . . ; I"~nor Fumished labor, servioes or malerials oonsisting of: (Describe speaally Fabricated materials separately) ~ s ~ t , _ , . . - . ~ „ _ = ~ ~ ~ , ~ . > . ~ • t ~ ~ - ~ - . . _ • ~ ~ . . - . . , • - ~ - ~ . _ . _ i . ~ • - . ' - - . ~~a~S ,s ~ ~ of a to~al value of.._..- . . _ . - - . oF which the~e remains unpaid S . , for which amoeint he daims a eien on ?he following _ . desaibed real propertY ~n-_ . . _ . . _ . County, Florida: (Describe real propertr wfficiendY Ear ide~t~(ica~w^• ~ndudmg st~eet and number if known~ _ - _ , ' 3 - . - - - - - ~ - , • ~ - ~ _ _ ~ ftLEC ~'cG~e~.jE~ ST.Itl:~: ~ ~vkTT FLA. ` R~w.. ~ •11TF,~S ~ CI.ErK _ •.Uti CDURi n = C • . i " ~ f ~ Ju~ Ib 9 3a A~I'7?I _ . c~.-~ ~Y _ _ ~ ~ _ . _ . . . . _ +286~3... He hxther says thal lienor Furnished the firsl of ~aid (abor, services or materials on - - 19---- and tha last of the same on 19 and (if lhe lien is daimed by one nd in privity with the owner) thal the lienor served his notice to owner on _ - 19. by. _ _ . _ ~ . (Method oF Servicel - - . . . , . . . , , . ~ ~ Lierw~ ~ ~ f , -..1.f= -'1_ - By . - _ _ ~3 i ' ; ? _ . , ~ Agenr or Attorney - ~ ~ ~ ~ ~ /5............da t Swom to and subscribed before ms this . . y ef . . . .19 7~ ~ _ - , ~ ~ 1_ • ~ . l~ n Y~ f~lw ~ f~'~11~1 .Ir j ~ J • ' ~ „ ^ e-v . . ~ j~. ; . M , - _ _ . Gt:-1.~.. _ . ~ ~iw al~M . . . ~ ~ -~s sa~~ ~..~;o.~ ~r. a to~iA!*t.~:; • - . . Notary Public ~ r ~ ~ - 1. \ ~ ~ , ' ~ ~q : . . . , ~ ~ . - . - . - ; . - 7= ~ !%t~ lii~/mmr•a/ ~~rrfvirr~j /~1Ci , ` ~ - . - - - 7 ~ ~ .~~i~illt:~~ - r`1 ~ . ~ - - - , . ~ ~ . • ~ . ~ i - - aoox - ~ oR~~~i~O _ - - - s ~ g~E- ~ ' ~ ~ ~ 7 ~ : _ ~