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HomeMy WebLinkAbout0077 . / ~ FLA. IY67 LAWS ~ a, IIAMCO FURM IZOM is ~~a.oe ~ ~ ~ ~l~t'tlit ~'t~n ; 33~2~U of . ~ ~ ~ ; E S~e~e~ ~AZO ~ _ i B~fore ms, th~ undeni~ed suthoritY. Personally appeared........ who, bsinq duly sworn, says that he is the lienor herein or ! the a~ent oE the lienor heroin, r the attomey ~ ~ ..~-aZO¢s ~ict'.~tL~:~C ....~..~7.. ~M (lisno:%! Name~ _ 1 1 i? . ' _ whoss address is............~:~..4.~?......_..:~.....-~.~.F~GQSon . N Ve- J~a/p0."~' h ~A.3~ 4.~.4. . , _ . . . . (lienor s Addrsss) • ~ ~?eaa4on . t<~a~+-'~' ~..n - and that in purs~nos of a conhad v~nth _ . . _ . _ . . _ . _ . _ _ , ii~nor fumished labor, servicss or materials oonsisting oF: (Describe specially Fabricated materials s~parat~ly) f'n p ~e~:,A1 a~~ ~~c~ ~u tlt~l~ ~OUMTY itA, ~Qfr~B 0417~45 O~ V~~f IEb tQifltt G`~c ~-~~.~-~c . -L' ~ - ~ 1- C~'~ ~ 3 " 382~p ~ ~ ~+C 19 PH'7s z~ oux s ' • y j ~ ~ of a lotal value of-...~:s~.G._.h~~r?ctQe~ ~~R~~~X _ ...?.00 _ ..dollan.~= _ . ) 34 oF which there remains unpsid S-.. ..'~`O\ for whid~ amour~l hs d~ims a li~n on the~Fdbwing ~vC~~.f r._....~~'~l..~.. _ Count . - destribed real property in............ . y, Flonda: (Desaibe ~ea~ propsrty su~f`ic Start at t~e laortt~est aswr ~t ~r..+rcs•t l~t 1. SKS1M Tr~sAt~ » SaviA. Ranye 41 Eatt; lM~c~ rw fartl~ ~0' Oi' 21' East. ato~{ t1N lksl line o: saiE loi 1 ae/ So+tht~lr tsttastee thee:rof. a lis:aau _ " ~ •t 2{t~.dC fceL; tn::ce run lbrcn 7S• 02' ~7~ Lest to se1E center line i et S:ate fi4~d I~IA; :Aense run So~.h 21' 1~• 52' Ecst aler.q sa:d ro~d ; «n:cr llne a Qis:ance of 73.9~ :.ct io • patn: fn :ise cer.tcr N!t ot ' SttC! !bid AIA~ 11.Q~KC ?vq f:orCh 81• 0I' !o` GsC a E{slasK! Oi 5~.19 I teti to 9aint ot ta:¢rsection uit:~ th.o tsstcrly risr: ot ~:e; Itni ot St~:e f Ro+~ A1R tnd Y.orth lit.e ot Tract 16. Plsi of Ket:les Ista:d 9rafect. ~ ~ ?la: Look 16. Pasrs IA tnd 1~, piSltc rtcorCs oS.St. lucfc Ca+r.tr. ~ florfCa. Mhfth poin: ts ~oint of ~rgSr.niaq; thcnce run Soat:? 21• 17"32' :aft alor.g tne fss:erly rts:+t ot vsy line of Scete P.osG AlA a dts:e:.ce o! ~ ~ ~i.;.tl iret ta a pn:a:; tirrnce l:±rth 7'a' t~' 09' East ~ ifs.rn:e of tI0 ~ tec: ~:.rr c: :c:s ;a L•.c vst: : at :~c Atlsaitc C:ea~; t':cr.:s r::r.:,r faid r~aten Y,orthwesterty a~t~t~~ct o/ f t oon K less W s potnt ~ .r tne~.secaoo M~ci~ cne +wc~ tt~..r t~.ce~i~: eJ~eec. t,p,.:~ •t• w~ 7i' !:est a dfstar?ce ~f Sl2.1! te~t t~ tA~ r1~t ~f byta~~~~. 1 ~ Owned br ................~I..n ~,:a.1.~o_~. .n. _ . _ ~S!~.~ ~ . . . . Hs further says that lienor Fumished the Firsi of said labor, services or mater'wls on... .7 4~ 1~... 19......._, and the (ast of the same on y... 19. , and (if the lien is daimed by ons nd in privity with the owner) that the lienor served his notice to owner on 19......._., by. _ ~~r.~.. . _ _ _ . . _ . _ _ (Melhod of Service ~ la~.o Q s ~Q~,.,~ (.n ~ . . . . _ . . lienor ~ ` ~ ; ~ , . gy . . . . _ ~ , 4 ~ , = ~ ~ ` : $ A9eM or Attorne . , ` ~ ~ f . . . = t - Swom to and subscn'bsd bsfors ms this........_~....`..5....... .................day of ~iy?.~~' = ~ I _ ~ / ~ ~r `r• _ ~ ~ ' .•~1~.' • = " , . r . ~ ~~j F~~ - _ _ . ~ _ . . , . • . ~ ~ ~ , ~ ' • ~ Nofary PubGc ~ • : _ ~ - L- • I%iu Iiis~niin~~~~ pnf~nr~-~l S: m~.~t ~~f~. NOTARY v+~111C STAtE OF FLORIDA AT IARG! /1 t/t~ifcs AAY COMMISSION EX?1*ES FEt. '!3. /9'79 .n..•in ,a.o• ~ ^r•.•o,• • ~t f ~,r?KO+NPITFn E r I 254 PA~f ~ , ~ _ - . , . _ _ _ _ e r~~~