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HomeMy WebLinkAbout0964 ~ / +i RAItCO I7RN 17t0 M ` FLA• fY67 LA1Ki ~s s~a.oe I . t~1.~'t~zt ~t~rt ~ ~ ; ~ . ~ ~ 1 ~ ~ - Z ~ ~ t -t . ~ - ~ . ~ ~,L.~ r~~s- ~ BeFcr~ me, ih~ w~dersiynsd sutFwrity. P~rsonally appeared.......~ ~ the ayent . ~ who, b~i~g duly sworn, says lhat he is ths (ienor herein or ~ atto~ney ~°f the lier?s~r herein, 3 , . ~ . .--.f .-.....I~..t..1.t..t~~..~,.s _ . . _ tuenc~i : Name) ~ n • ; ~ P ~i,~ 3 3 YS"~ , ~ - W~ ~ ~?......t~a_..~c........:~~.9 8' . . ; (Venor s Add~eu) ' ~ aod that in purwance of a oont~ad w~h _ ~~.~5.~ _ , ' w' ~ ~ s . _ _ , . I+enor funi~shsd labor, servioes ornrale~ eonsisting of: (Describe specially Fabricated materia~s separatelYl b 0 2 01~/ ~ a~ ~ ~1 S~it~/ TKd w~- ~oo /Z~S . fl k1 od ~ - j R ~~e c.,k~ o~~~ ~ r~ LL rve ~J K~ bt~ ~ ~ v~ ~ , ~lf e~'A- ~~w s 7~o h ~~cs ~e. ~ ~ ~ : : ~87.~. Sd ~ of a Iotal value of...~Q.K/~.~LsuS~rr-~~.St(l~s~./~sR.~sriri~t.l. .s~'s~f~oNa?s (f ~~c ) 4 ~N/~r ~~i~y . for wlHd~ amount he daims a(ien on tfie fdbwing of whi~ there remains unpaid S ~ .5~- ~l.[..Ll.'~ . . County, Florida: desaribed real properh/ un . . (pesuibe ~ea~ prope~ty sufficieM~y For identiFitation, induding street and number iF known) ~ a ~ -S~ w~ ~~~.~.K/ v.~,~ ~j,e~ ~_c.. - So~.~ ISo'o+~ L~f~ c7 /~~c,~~e~y's- ~b. SQ~- a3, ~ ~ ow n c 1~ 1 35 ~~w -e ~fl f.~st . L ~ f,~,~~ ~t~ 11t-t ~ , T ~ s j 4 Y`~ ~,~,cw~y ,~,,~t o~ w,~y F : I ~ - o~,,,~ . . ~u,~.l.~. _ . . _ - _ _ . . . . . ~ ~y~--- - e Fle f~ther says that lienor fumahed the first oF said labar, services or malerials an- ~ ~,Q~~/..~f.:D.__---..._.-------. 19--7-~.~end the lasl of the same on--~~~.K1.-t_.a~~--...._..._, 19-~~and (if the (ien j ; is daimed by one nd in privity with the owner) that the lienor served i~is notice ta owner on -~~~`L ~ > i . . _ _ . _ _ . _ _ 19~ Y-..._. _ _ _ - . . . ~ (Method of Service) ~ - - ~ ~ _ 3"CI~~-.. ~ 1. ..1( ~ ~4-~'~. r__. . , _ . ~ ~ ~ ~ . . . lZlfl~~` BY. . . . _ Aqw~e.cciM.ww~? . _ _ / - ~ ~ . . Swom b and.w6sa~ed before ms this ...-...day of _ _ . ..19~ ~ ~,,.•~..~~~~~;;,,~~~,~4; _ ~ . . , , , ~ p.:~ ` r . ~ ~ ~ ~ ~ ~ . ~ . . 1'.v... . . •v ~ ~ . . . . . . - ~ ~ . " . . . . . ~ • C I~ ~i • ~ . . . ~ ; : ~ , . ' Nofary Public 1 >pC 4-. R ctaam~ - ~ ~ i = • '!~.EO ~?r~ ~u~~y ~~A~ ?.t;±TaP1' PlfPl~( : rlTE Of A; .F ~ • ~ ` , t7. W4~~ ~ zRAS MY COlAMISStON E7~~R~ ~Y ~ ~j~~ ~ = sk~ • ' ' ' ~c - ~ 4~; r ~t Rt ( t ! tU7A`CF U~D~%~ _ • f~l~r•,F~tJfp'ia~iil ~~Q~..~?)~: C`tR~ Utt C01~ ~ nor:o~o r~,~,u ~_Tt . N ~p~~ftf0 • r. P'1 VE -~i.~~~ w~: ••;.~t RF ~ t~ ~ , ~ r~ Ni~ ~ y ' ' ~,.;,..,::.C~``~~ ~ ~g ~0 QS , ~~J~I ~ R f1~~ ~ d00a 1A~E ~V'! _ , ~ . ~~t ~ ; ~ _ . ~~~A _`_~~r_ _