HomeMy WebLinkAbout0440 352345 ~ y~ -
FLA. IN7 LAW• ~ wAMC01011M Ii0•
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i ~i~tim aor~ ~i~n
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w~ws +~w, ~~rs wws~s+yriw aiK~KNN~. Pf~SWlaifr ap~iiii{i_ _ .
who, b~in9 duly sworn, says Ihat h~ is tM lienor her~in or # 1~~9ent o( the Gerwr herem,
St. Lut•ie 1'tintp cC {~"~r~rr Sunj~l~•
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whose addreu is . . . ,
(lienor s Address)
and that in pursuanc~ of a cont~ad vi?imh ~~~~?iJ~l.~.+V.... __.f
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f~a... ~3~,,r_ ~s~y s'~ ,
lienor fumisbsd labor, servioss or materials consistiny of: (Describe specially fabricated materials s~p~snf~ly) '
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oF a total value of. . . . _ ddlan (S ~ 2 7
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of which thsre remains unpaid s!~ Z•'~'~ , for whid~ amouM he daims a lien on the folbwinp _
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desvibed real prop~rty in . ~-t_. County, Florida:
(Describe real propsrty wHicisMly Eor ideMiFication, indudin~ street and number ii known) ~
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' owned by. ..L,i~/~r•r~?l.,cv ~ ~ ~ ,
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~ Hs Furths~ says that (i~nor Furnished the first oF said labor, services or materials on ~ l0 .?G l.y. -
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19. G-.., and th~ Iast oF the same on -~.~r2.... ~J,t.r .1.~~. , 197~ and (if the lien
i is daimed by one ra1 in privity with the owner) that the (ienor se?ved his norice to owner on
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(Method of Service
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Sworn to and subsuib~d bsfors rn~ this.._ .,1~~. _.....da of .
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