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HomeMy WebLinkAbout0008 4 - 3~.'74(~9 ' HOlIOA STAIYTtf 0!!W'f fOW M 120yy tlV. •61 Ww1~tN~N ~N f~r Nh ?Y 11N M. i W. G~w ~~~y~ey N.0~11]I--1N7 J«l~M~i1N. f1wIM ~laim oE ~ien ~ ~ 3t~ao~ ~ ~ 1~ t~Kt~ „ _ ~ s~. c~E ~au~~i~~~~, ~ ~~ly~^i P+~I~R~~ ~fitate uf..........~:[mt~ o~~t~ e;;~:~~f ~ouRt ~ ; IIF~(1RD 1~~ lr?Ei1 ' ~ ~ ~ ountp of.------~---r~z~ ~fP II 2~ AM'~S ` ; . . ~ BEFORE ME, the undexn~ned authont~~, pessonallv appeared J~..H~._..~R~ President of Jack Meyer Q~nstruction po,rp. , a Wisoonsin p~Yporation authqrized_~C1__~4.~~-i1eSS.,3,~[L.k'7.c~7.da...--••------...---•--•-----------------------------_._....:.:.~_._.... wl~o, ~ bein~ duly swo~n, says tkat he is (Ne~~ie~eer-~lrerc~~r) (the [agent~ [eiier~ey] o/ the lienor herei») ~ ~ whosc address is .---P:_0~._~2c_.397.... ~tu~x~,._.k~s~i.da....~3~l94----•----------------------•----.__.......__...----._._..__ ~ I an oral . f ~ and that in pussuance of / contract with -----._B~Q.H._.IlL'VFI~~P..(JDI~pBATI~IT,-•--------••---•----...-- ~ - a Florida oorporation._ ~ -/irnor /urnished labor, se~aic.es or mate~ials consistin~ of .~dK~~~a.Ag.~._~b~tS1__,~p4~.i~oe,s,_ ~ tile arul vinyl flooring, installation of shower cbor steam roun, drages and _ _ r~ ' 1 4--~-='-"'^~~"___'-'_"'_~'._.~~.'__'_~'__~.~.~.'~~.____„~_~~..~.~.~..~~.~~~~."___'~~~.~~..~.~~~___~~'-."~~~~.'~~~~.~'..'.~~"_.'~~~~~~~._____~-'._____~~.'._'. ~ (Desc~ibe speciaUy fabrieated materials separately) - on the follouring described real profierty in 5~:._~,1~~,~----------•------------------------------------------------------ _ Cot~nt~~, Florida ~t_ SE of `7ILI~ DEI, SOL OQJDOi~IINILM, INC. , a~daninitm, , . _ - ~ ; ~ (Dcscribe property sufJicientl~~ for identi/ication and giue street address if aaailable) ~ _ ~ ou~?r~~d bl' ------B.D.B._.~OPN~TP OOF80RATION--------------•-----..__...---------.....-------------------------------------- of a total value of $_.~3,932.00_____________ ~ of which there remains unpaid $_13,932.00.___.._,____ an~! furnish~d th~ Ji~st of the same on.____._Atlgi:~t__lz___________________________, 19_7_~!__. and ihc~ last o~ the sanre on ...______July.1,Q_____________________________ 19_Z5___ and (t/ the lien is claimed by one ~ in priaity u~ith th~ owner) th ' . . ~9:----b~' - - - - - - - - - - Lienor Sworn to and subsc~ibed befose me this___.l~i.. _ of____ .....:.............:~;j}_:_ - n,;lNR~ 'y,Ul ~i~;c L~ fWRIDA A~ lAR((iE Q • ,Q~ ` , - ~11 CU.vvH~SStUN EXPIRES JUNE 21, 1978 - - - ~ WNDED IMRU GtfvERAt tNStlRANCE UI~lpER1A/R(T[~t t1y~~ p ~j¢ 4' ' p : - • . , . . P ~ . Com~nission expi~es----•------------•-------•--------•----•- = ~ ' . . ' ~ • . . i s:. : + . . . - • ''r f~;"• ; , ~ ' ' • ` 'r. ~ 't . ~ ' '~{::,r. ~ c.i. i.c.sor.~.~~ ~s~~:~ C ~ V BGuK f;SGE - ~ ~ _ - . _ ~ -