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HomeMy WebLinkAbout0313 ~ ~ FLA. 1~67 LAWS ~ ~ RAMCO I011M 1sOM Fi 71JOa t~l~tt~t ~af ~t~e~ - ~!s of ~loriDx , ~3`~ f i~~~~~' 4lou~ of . , L~~ ~ C~ ~ ~p- ~ - BeFore ms, ths undersi9ned authority, personally appeared.. ~~/.~~~y~i" ~~'JZ'~'~G- who. bein9 ~r sworn, says that he is Ihe lienor he~ain or # the ageM ~ oF the lienor he~ein, F the attorney . . _ _ .......~~.~1~.~..1~~.~~...._.~%r%~T~i`l. . .L,~G~: . ~ . _ . _ _ . . (lienor's Name) ! _ : C.~ . . whose addreu is . `..~.5 _~n 4~Gf. ~%/.1~.. . f. 4 (lierwr's Address) ~ ~ and that in pursuanos o( a co~irad with ~-~,•~~......~-~'~~~C~~~~~) - , i litnor fumished labor, services or materials consisting of: (Describe specially fabricated malerials separately) ~lG,/~~~~~i f/` 1~'~~~ y~~f~/Y~_~ f1LED Ak~^ flECOHQEO ST. ~U~;;: .~ukTr FU. ROGE " ~'p,T4AS CtEF~ i ~;.J1i COURT P~~ . - i..- 3~E~~~~~~ 1~ 4 i~ PM 'T6 of a to1a1 value of l ~ ~J ` ~1~~ G/%~ "J ddlan (S ~ -i- ~cs~ S ' of wi~ich thxe remains unpaid ~:~~i%! . For wh~h amount he daims a lien on the fdlowing desaibed real PropsrtY in r ~~~L~/~~ _ County, Florida: (Describe ;e~l property sufficiently for identification, indudin9 street and number if known) ( ~ I'~ ~ 1 CX= Z " ~ / . ~Jj. ~L''C'/~ .E-'~Y-~' „7' ~9GG'v!c/~ ~~'~~~V~~• ~ ~ i ~ RPPRA!3ER~ • ~ ;r:~ O~Lr • ~L~ G• Jr t~,~' ~G' 7$' D ~'0 ~ i f ~ ~ _ ~ pwned by_ . G!~/~ _ ~~/c'~-.~?TjS~'C~C~~`,L~ . . . . . _ . _ _ . ~ Fle furthe~ says ~haf lienor fumished the fint of said labor, services or materials on ~ / - ~ . ~ f ~ 19~~, and the (ast of the same on _...`/l.Jf G.. 19~~ and (if Ihe lien ~ ` is daimed by one nd in privity with the owner) that the lienor served his nolice to owner on ~ ; _...,19 ...,by~ . _ . ~ (Melhod of Service~ r ~ ~ L ~ ~ ~G'~~iv . . G~~~~.CL''! ~~l . ~ _ ~ u~ ~ f`~ ~ ~ ` ; gy • . : . , { ~ . Ayent or Altorney ' ` . ; ~ ~ . ' . - ; } ~ , . ; . ~ , . . z Swom to and wbscribed bsfore rrw this.. ~ ~ . .......day of j.~.~~.~ '~19 ~ i • ' ' - . " ° Noeary Pvblic. Stafe of Rorida et lora ` ~ ~~y `•i ~ 197~ {/~.,~'1/~0..~ ~ Mf ~w"w~i:siow Fxpirts Jdy 4. ~ - ~i . l _ . . . .r ti.y.e~ ' . 3 ~p f7 I~T~I lJ!l F'f': 6~'J:VO{1y ~O ' ~ Not .Pu6~li~_ ~ ~ , . ; ~ A ~7~~~ ~ 7%~~ /~t~~r~i~i~r~N ~~n~~~rrr~l 1~~~: ~Gy(y/~i' ~ `~~j' ,~/5~ v ` ~ `~7. e~~ 1:/~/n ~c G~ ~lC~- ~ ~ Eoox2~o PAGE JV~