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~tate ot.....:~'~!~'~?~ .
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' BEFORE ME, the undersegned authority, pe~sonally appea~ed ......~i~--~-•-~~~•-
President of B.A.S.K. BUII~ERS, IlaC., a Florida O~rporation, who
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being duly swo~n, says that he is (~ii~t~ain) (the [agent]~of the lienor herein)
whose address is ..Pos.t_O~£fa.ae.Box_27.Qr.P~7in.CLtY,--F~icia. ..33410
and that in pussuance of a contract with ......._~4C~,.'~..&.~I~.~X`~7.~K~C~T:.~~~..~
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lieno~ furnuhed labor, seruices~ materials consistin~ of ..~e~ood.l~ackinc3*--bloclcir~g.••dao~r-a~
window bucks., aooustical . s~raX _ of _ the. oeiZings,.. dYywall..P.?!rtitio~??..~.$~'-
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o~cat~~ _p~„l.. t;P.xt~e_~rin~..in.~ac~ao~. ~~.P.l~
(Describe specially fabricated materials separately)
on the following described real Q~operty in
County Florida 1..~ .~It4~_P.~i~~~.I!_ ~~X~~d. ~_k~~~,~_.".A"_. ~~h..7~..a.ttc~k~....
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hereto and made a~art _ hereof s----------------------_......---------..._....._..------------------------..._..---........_.__...-------
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j (Describe property suf
f iaently f o~ identi
f
ication and ~ive street address if available)
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~ owned by ~~~r 4551 Poa~e De Iea1. Ooral: Gables,Florida,
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..._89 800_b0 of which the~e remains unpaid $_._5,D01.1,6.....-..----.
~ of a total aalue of $ * ,
and f urnished the f
irst o f the same on._ ~?~?..i7.~. 19•- 74- and the last of ihe
san:e on J~_.27~----------••------•----•---------, 19-74-•- and (if the lien is claimed by one not in privity
with the owne~) that the lieno~ served hu notice to owner on.___~.1,.-------------------, 19.7.4--- 6Y
(here describe method of service of notice).___.m~];*~..said--Notioe--Zb--Owr~-r.-iu-a,c~o~°e
with Sectian 713.18... Flori:~. S~~~ -
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y Lie or
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~ Swo~n to and subscribed bef
o~e me thu...._~_~ da o ~~ri ~
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NOTARY PUBUC. ST~TE o1 FWRID!! st ` . - ~ ~
(~y4~~Public}. ~ _
~ MY CO~S~IISS:JN EXPIRES OCT. 2. 19~ , - t •.G =
1~~3' C01I21IltSSl01! CXt/2TP~!~.TAru.Gen..lnsur._Unde~r srs~ 1 • ~ ~
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BOOK~~~ ~aGl - ~
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this instru~nent PreRared 8y: CARI f. EILV~JANGER. Attorney ~ l~.
5l E. Ocean Btvd., P. 0. Box 1$60 Stua~t, Florida.
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