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Home My WebLink About0471 FLA. 1007 ~.AW3 ~ ~ RAMCO FOIIM 1!O• Ff 71,.04 j~ t~l~ttlzt ~t~n . . ~~3~'~2 a~~ ~ ~ ~ f Befon ms, the u~dersiynsd aWhority. P~~sonally appeared-..........~.~~~~* who, beir~ du{y swom, says that h~ is tM lienor heroin or ~fie ayen~ of the lienor heroin, - 3 the atfo~ney ~ . _ ...,~r...~I.......~i~~........~~K..'....~.....~~r.... . . . . . . (lie~ s Name) . whose addreu is .....~5.7......~~Q . S~` . . ~ . .~t. J. (Lienor s Add~ess) and that in purwanos of a contrad with_ . _ . . . . _ _ _ . _ lienor fumished labor, servioss or material: consisting of: (Deuribe specially fabricated materials separat~ly) ~ F ?~o~?, ~?s C~eakr ~+r~Nc~~ R~?chc~ T,~i~ ~~D~nr~ ~i! iiyT Gv~tl.S ~!Y L~ vi~ira- ~A~l, li~4tt.~~ Y~~ p~a~~r ~e~ r ~o.~ w~sr ~~e~x ~Q~+~ ~a~rt oF a tota) value oE........_~~.. .~K~~~ _ dollars (S ~Q~' ) of which thero remains unpaid S-~-~ ~~O -,~or which amount he daims a lien on the fdbwing ST ~Ccx.t~ IY1~ described rsal propsrty i~ . . . . ..~V. _ . County, Fbrida: (Describe rea~ propsrty wfficiently for identificafion, indudiny street and number if known) ~t~s ~o~c~ ~c~rar~ A t 3 3 S/o /nowr~ !~<s~ S~po~~~ ~y ~ , ~TN ~ s S r. .Lv cit' (~Jf/iT ; acoGx .107'~ :.~t : . _ t o ~T .~~Tr F~A. ' ~ - ~4aa-srs- ~3-C~0(~ _ ; F~., - _~~5,~; ; ; ~ . ~ e~a~cy _ ./~Iv~a~~~ ___NOY _ L 43 PF~'1~ ~ ° Owned by. _ _ ~ ~ He further says that lienor fumished the first oF said labor, services or materials on ' _ ~ ~._.a . . 19 7.~ ~ 19.?~?, and the last of the same on . . . - . , and (if the lien ~ ~ is daimed by one not in priv'rty with the owner) that the lienor served his notice to owner on . _ s a ~ 19........., by. . . _ _ . _ _ _ _ . ~ (Method of Servite : ` . - ; • . _ _ . Lienor , _ . - : „ < _ . . : , - y . _ . . . . . _ . . _ : ~ , t~ ~1 ; r . , < i Agent or Attomey ; ~ ' ~ ; r , - . . ; . . , . . . ' .~i~vor~ an~• bed befors ms this. ~ . 14~k~ ~ 2 ~ ......day of ~ ~-`~r` _ _ _ _.19 . ~ S ~f •J _ . _ ' • . - ` / ~ C _ ? ~ ' - ~ L_Q~11_ B-rV . . ~ _ . . _ _ . ~ t ~ - ~ ~ ; ' ' NnM$~'~~JDR~TE OF FIORtOA A1 1 A4GF ~ - : ~ ~~.}''r MY GOMMISSION EXPiRES 11AAY 30, 1977 ~ t= L•' ~ tONDEO THRU GEkERAI INSURANCE UNDERwRITt~: e ~~~..,-...N • -n ~ llu:~ /i~yrrinx•r~i ~?nf~oml 1~~~: ~IQ~,+~ 3 .~,~,~<<:,, . ` sJ'7 /~~art.~ro .~o Ka~t 5'+t § r ~it~t„~,~~ / ~~(,t~. ~ 3~'y EG?~~'i~ PAGE ~~O _ _ ^:,4_ - ~ ' - ~d~ - r..__.... . - ~ ..Y.+a-^~'u,V'