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HomeMy WebLinkAbout0314 ~ ~ FLA. 1867 LAW3 l1'~E)V~~; ~ IIAMGOIORM 1SOr ~ Ff 71J.09 . ~ I (~i~ti~ ~t~~t ; ~xts of ~toriDx ~ . ~ ~outd~ of • ~ t~C : ~ - ~ . ~ B~fore rr», tM undsni~nsd suthority, personally appeared ~~11Z.~~ • ~J.~!'~Q~e- Y ~ who, btin~ ~iilyy sworn, says that he is the iienor he~ein or ~•~he a9ent ~ o~ (;erwr hersin, - \ i~Y V~~V~~~V~ ) ...........1~~.~f.~..~........ \.`.C.. ...~.w~ ' : ~'V..~ . . . .l (Lisnor s' Name) . c? _ . ~ cZe s_~ - ~ C,~ whose addreu is_ - ~ p c ~ ~1~~25 , . (Lienor s Address) ~ . ~ - ~ and that in pursusnos of a contrad with l~J~~~ ~saCs-t~c--~C~). , . ....W`Q • . V~..~s.,~~~~/ '~.Q- ~ 1~~~~ c~e . ~t~ ~ ~ ,c1ll°,~ C. (ienor fum~ (abor, services or male\ Is donsi ~tin9 of: (Descr~be specially Fabricated materials sepsral~ly) ~ ~ ~~~~~5 ~x~C.,~r eS ~ ~ c?~w. ~ ~ f11ft1 A~~• ~~~~~a sT.tuc~£ f:t,ewrr c~a. R4C~ R P _~!?R~S ~±EnK i• . ~:I CCURt RFCC~~ ~E~.:r~~~ 3~~f,~'.;j;, SEt 1~ 4 PM'T6 `~r~`~ ' 2 oF a total vslue ' E'_ W~~`eO. `v~~/ ~~r~~~ ~ U dollars (s ~ ~ ~ - ~ ) l~te • ~~vU 4 ~ c `:~~5 of which thero remains u~paid S , for which artwunt he daims a lien on the Folbwing desuibed ~ea) property in ~~f• 1 t1~C..~ _ County, Florida: (Desaibs reai prope~ty wfFicieMly for ideMification, in~u~ing street and number if known) - ~ ~ o~ 1z.~- 47G S~i iun,~ ~(v ' ~ b~ e ~•v ~ ~ ~ 'ac'o c T . ~ v~C `GL ; ~ ~ Gc / /~yz~~ _ ~~~c ~~?s- C'~~ ~ ~ ~ ~ / : ~ ~ ! l a ~ Owned by e~.. _ N..~ S• y. Q~ Q ~4~,:~~,~~' l~~ 1 UvJ ~O ~ ~ ¢ He furfher says that lienor fumished the first oF said labor services or mabrials on = . ~ 19...~6 and the last of the same on V:?~.°-- 19~.~4and (if 1he lien ~ ~ ~ is daimed by one not in privity with the owner~ that the lienor served his notice b owner on _ _ : ; . . . . , _ 19 , by _ _ ~ (Method oF Service) J , . 1 ` - {~t.,.~ U l _ ~ L.'~ . ~ \ ~.a ; _ ' lilnor ! ~ + _ ~ , . _ ~C . ` ~ . . . _ i ~ A9eM or Attorrts~n~~:.. ~ ' . ~ r . f-. : ~ ~ : Swom to and subscribed bsfore m~ this-.._ _......day of ~e. (~1~O~~.X.^~4.~`~,'~g. F ' ' ~t~.,~ • 3 ~ ' ' S : c =x Notor Pv~'~c. S f Floodo ot lorgt _ f ~C~ ~-s n~ _ • VI~ ; ~a t of ~ _ - . ~O IAJI OL~ 7 ~ Ny Comm~iuon E~p~res )uly 141~ . . . ~ - ~ Modad e y Ar....co~~ t:.~ q C~.o-,+~y ~_e • ~ Na~ . ~1,Qr~` '1 t ~ l " ~ • p ~ ,s . ~ ~ j - ~ ~ r ~j ~ ~ ; ' ~ A~/~ "/~fi ~~,V %%ii, /rr.~~rnii~r»l ~vrf~irr~l l~?': Gll~i " . ,,~~~~h~~ . .1~/i/~r « . ~l ~~~/S~Z-'--~~ ~ . ~~~-I ~~JC.~~ t f; ~ ' . ~~~x2~ t~ ~~a