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HomeMy WebLinkAbout0315 „ ~ FLA. 1967 ~~ws E~~;;)Ej ~ wwMCO ro~M r Ff 7~~.09 ~1~ttri~t ~f ~t~ert ~ ~ ~r~ , ; ~~'""'li ~ . i `~C~ ~ ~ ~ ~~L~ ; ~ B~For~ ms, fhu undsrsi9ned a~horitY. Personally appear sd .,~.~AQ.C~, ~~A O VJ e,, i Y ; 3 fhe ayent t ` who, bein~ duly sworn, says that he is the lienor herein or tF~ atto.ney i~f the lienor herein, ~ . _ . .~.~C ~ ~v,~.~.... . . . . ~ (li~nor's Na ) . ~ r ; whose addreu is ~lD Q. . ..`..~.~..~.~.1..° ~'a~. ~ Q.. 1.JLe..S ~C~„ ~ ~1~ ~ . (lienor's Address) ~ ~ . ; and that in purwanoe oi a irad with ~V~.~ ~-!o WS~rL~.Q.-!1t 0_NJ ~j ~ ~ ~ ~ ~MeS.~.. ~vV~~~-~ ~ C,._.. ~ (d ~:~~FbSa+~~-~1~@v~ ~ li~nor Iabor, services or materials consistin9 of: (Describe specially Fabricated mate~s ps~afe~iy~~~ ~ , i ~ 1 1Cki~.~f ~C ~ ~G`.L.~..~..~ - FI~E7 :.1;.' RfCJRUEO ` \ \ l~ ~ ST_ LtlCiE ~OUMTY F~A. ~ RCGi r : "~•TAIe . CtiR! ;,~•.;,J~T C~URT ~ ..-.':~tF . Yr_ C.~ ~3~~.~3:~E; S~ 19 4 i~ PM'1b _Wo 1~e~c~ ~eYew~ d~~ oF a total vatue E ' ~ doilars (S °1~7• oo ~ " ps~ a C.~S~'~-4-`-~ of which the~e romains u~paid s ~~1 ' , for whid~ amount he daims a lien on the followin9 ' ~ ~ ` described real Props~tY ~n . ~ Coun~y, Florida: i (Deuribe rsal property wffiaently for identiFication, induding street and number if known) ; f , ' 1.-0~•~ ~o ~-~'1. 7[YPi'iAiS_c: , j ~LG~~-`a.~'-^'.1~ l~.TE Jri!Y ' ~`-t~V _ , ~ I .~YJ ' f~~_ E k I ~ ~~~~}o~~ ~ s F ~~..k~~ e_ S ~ k X ! pwned by_ _ . - ~ -~s v~uG ~ o•~ , . _ . ~ ~ ~ ~ He hxther says that lienor Fumished the 6rst of said labor services or materials on -.~+1.~ ~2.. s ,k~ _ 19.7 6~ and the last of ~he same on _.5~~!~= p.... 2~.. 19 7~? and (if the lien ~ ; is daimed by one nof in privity with the owner) that ihe lienor served his notice to owner on . ~ = . 19 . _ by _ - , ~ Melhod of Servite) ' ~ V ~ \ ; _ . . _ C _ ~ ± ~ Lienor ~ , _ . ~ , . r y . . ; B , ~ .l t € ~ A~M a .x, ~ , ~ ~ . . : • . • - . ~ ~ • . _ _ . • Swom to and subsaibsd bef ' ~ : ore n~ tha.. _ day of ~ . '~n Z ~ '19 ` - ,J1~ ~:J ~ a~t~ o~ ~o~~~ to•~ ' ,l , _ ; s ~ Notary PubGc. - ~ l9iT ~ ~ ~ . ~ . . • \ - 1~1y Catt~:•:='ca VL~?lJ~..l.~i:,~..'• ~ ' ~ ~ y,adcd ~ ' ' ` - - t.` . • ~ ` ~ y • _ ~ L~ ~ I^A ~ ~ ? s•it~, . x 7%ic~ !rn/nir?ir~nl ~~n~~~~inl /~1'- i.I~/5~~- j% _ f~,~:... .1~1~/n~"„~/?/ ` ~~`~l', ~''L'r`~;~ - fi k " _ ~ 6~~258 ~ 3~. ~