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HomeMy WebLinkAbout0318 ( i N 1 FLA. 1967 LAWS ~(~v ~ 11AMC0 F011M It0 M F8 71~.08 ~t~tim ~r~ ~t~n ~ ~$t~te of ~loriDx , ' ' , aa~ ~ . l t ~ ` i Bsfor~ me, tM undeni ned autho ' ~ ~ 9 nty, p~rsonally appaar e.~'r1 G~~ 3 ~ .t ~ who, bein9 duly worn, say: ~ha1 is the (ienor herein or ~ ~he affo ney f of the lienor herein, _ ; , ~ CG~I.>V7 ~ ~ L X l v~.~ _ _ _ _ . _.~..,~;~..cr . . . (lienor s Narrti) ~ , ~ ; wh~~. edd~eu ~ _ . _ ~.e~ ~ ~ . . . Q v. eS~~ , . ; (uenor's Add~eu) ~ ~ _ ; Sk~~~,o and that in pu~wance o a cont~ad with ~l~ Q f . . ....'N. _ _ ~ . e. _ ; .1~-~A.. e.1Y ~ ~ ~ y Cll~/Ul-~-`-7 ~ ~Z.~7,/l11~ r-1J~~ lienor ished labor, services or mate~ials consistin9 0. scribe speciall abricated maleriaCu~'s~ps~~hry"""'~ 1.5~-~. ~x ~-,.,,c~s ~ ~c~w~. ~S. fILE~ Avt~ kECOROfD ~ SL IUCIC WUNTr f~~, 1tOf « ~OITRAS CLEF ;~t~~T COURT RECC4^ v~P'~~FD 3~~E~3:~~ s~ t9 g ie PH'rs , . ~ ~ . oF a total valus ~LL~~~ ~ Q e- dollars (S I~P~ ~ a3 00 ) ~ ~ ~i 3 ~v~s~~ of which there remains unpaid S~ b`3 ' ~ v~, for which amount he daims a lien on the fdlowiny desaibed roal propsrty in k~ 1 IJL~-l ~ County, Florida: (Deuribe rea) prope~ty wHiciently for identification, i~duding streel and number if known) 1~ c~ ~ a'~ cj ~~~•~~:sc~,-~ . ~~~e~ ~7 ~SE o~~~ ..3y~~G.~.~~5"-/~~ c ~ ~~7i o~l; l U . ~ ~ ` ~v -r ;Vrt ~ `~,c1~~~, ~~c ~ - ~ LIL~t , ~ . s~ ~ - . . , ! , ~ ~ ~y , w 4 V ~ , . ~ ~ € Owned by ~ . . '[S • ~ l.rv~ ~ ~ ~ ~e ~M~~ow ~ u ~ - . . . . . y . . . . . 1 ~ Hs further says that lienor furnished the first of said labor, services or materials on t~..41J ~ - ~ 3 _ 19._. .~r.-, and the last of the same on~~1+.~.Q ~ ct._..._., 19 and (if the lien ~ is daimed by one not in privity with the owner) that the lienor served his notice fo owner on 3 3 E ; . 19. by (Method of Service) F \ ~ " . . _ . } - , lienor : . . . ; , . ? t j /l``~ F AyeM or Att~~?~,,,,,. ~ ' ~ ~ ~ ' Sworn lo and subsaibed bsfore m~ this..__...... ~ ~rr"'~ ' . ~ .Y : _......day oF ~ Z .~o , . _ ~ . r s : '~s ~ -J.. "~,f ; Jl'" E Hotay Pubfic. S1afe of Florido ot lorg~ - r'. ~ t' %Z,• . , ~ . ` O~ ~ l ,~t : = Alr Commissiow Ezp;res July 1977 ~ ~ j • • _ ' donded by Amcricon f~ic 6 Cusvalty Co- NOIan/~ + IC ' ^ ' ' ~•~t:~ i . ` ~ ////~/y f . / / ~~I~ • • • v , ./lll~ /!I~/nlillrll/ /Yr ~~/Ii'~l l'1': . ' . n r 'r'I- ` ~ .:~~~~:~i .lr/~lrr.~~-.?,li~G~' ~i!~~~ ~ ' ?~f~ ~ ~ • ~ ~ . 6ooK258 PACE 3~4