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HomeMy WebLinkAbout0609 'f , FLA. 1967 lAWB ~ RAMGO FOI~M 1=OM FS 713.06 ~~~ttl~i ~ ~t~lt 324~ j~ ~ o~il~tts of ~lor~ x . ~ ~~r..c~ ~oiaitq af ~ ~ r~ - ~7 BeFore me, 1he undersi9ned authority, personally appeared- `.ri:~C.. ~.~.~1'1w-i--. the a9em c who, bein9 du{y sworn, says that he is the lienor he~ein or ~ the a~torney ` of the lienor herein, ~ L • . _ .Q!~ihL~:~.-...~,,,~,:~'?.c .ti!Q.t~,~ . . _ _ . ~ (lieror's Name) . ~ ~ f ~ ~ ~ 1_ • . whose address is ...~;~,p.c~......7~_y~~'~..LL~k'-1.~. e ~ ( Y4t~ _ ` ~ u ...~~c~c~. . (lienor's Address) ~i = and that in pursuance oF a contrad wiih ~a . , lienor fumished labor, senrices or materiais consisting of: (Describe specially fabricated materials saparafely) Sla ~c?-~. .,.~.~,~-,.,1~ , .=~"..i,r.~,~ a?~,1.~;,~~..~,.~.,~ ..,r~.~~ , . , J _,d,~~r.c~~;~) .,,~~~a~~? ~ ~ ~ i . ~ ~ of a total value of. ,~:y~= ~-l•l~.`ti ~`~'n~~ dollars ~S ~ o? 01?~~ .~i ) of which there remains unpaid s t~ I~~CJ~G'r I.1Q , for which amount he daims a lie~ on the followir.g ~ . desaibed real properiy in . County, Florida: (Describe rea) property wffidenlly For identification, induding street and number if known) ' ~ n / LEp t.N~ itt~;t~ , ~ ~j~~llC- ~?7' /r.ai~iv~ " 1~.,~ ~'.CiI.CIE L' tl~ J ~.4CER ~~~fiJ~p.~,'-~' ~ ^ , CIfRK er~:.:~~~~~ -t- ! ~ , ~ ~ ~a ~ r ,~1 ~G~; r~l _n ~ Y~~ 9~ ~ I ~ ~FC-o~.n ~~r~~.~FO ~ t ~ d ~ ~ '1~ ~ E ~Z'~~Q- I~~~- c:~0~- ~-~e-~._.ditQ, P~. .v : ~ i ~ ,-1 AppMtsERS • ~ ~ ~ oN~Y ~ /~1d.5- 600 -o~ / oD~7 324U04 ; . ~ ~ oM?~d by. ~C~.~.~~.~ 1/,..~~-t ~~+-t • _ _ _ _ _ _ _ 3 He Further says that lienor fumished the firsl of said labor, services or materials on ~~X~-. al ~ ~ 19-.7.~ and the last oF the same on ..._....~t~G~.-..~<.'t.. 19 ~ and (if the lien is daimed by one not in privity with the owner) that the lienor served his notice to ow~er on ~~%=%~~~t~: ~ " • ~ ~ , , _ ...............r. _ ti 1 ~C , _ ' . . , 19 7,~, by ~Melhod of Service) , , . . r f- ~ ~ , - u~ ~~;-~~11:.G~~. J,~y"N1 x,,~~y ~ ue U ~ ~ ~ ~ By. . . _ _ . . . ~ A t or Attorney ~ Sworn to and subsaibed befors ms this............~. / .......day of _._19 ~S ~ - . ~ . . . . - - . . . . ; . - . . , . - . ' ~ . ~ ` ~ , Cl~ ~ . . . _ r _ , . _ . " " _ - ; C , ~ ~ ~ , No ary Publ'c ~ %%is Ins/rrnnr~il +r~ ~,~r<<l l~y: ~.'~;~~~p~~,.~ J - _ . / f _ - ~ ' ~ NCTARI~ ?~J~ K S7A~ Ot RA4 .w1~//r~x~ • ~ COMAlISS10N roA AtUI~• ~ Y 'L ~~~!'t~~Ll Jt~1" . ~AIP~17r-. ~~~<<!A ~M'~ ~ ao~ 2~4? P~~ 609 Y' - _~3_~ - - - ~ J ~ ~ ~ : ; ~ _ - ~ e ~ ~ ~ - -