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d.1on n», th~ und~si~d authoril~r, pKSO~slly apptar~d.. _...Walter L. Morqan_
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who. b~g dul~r sworr~, sars th~t M is th~ li~nor M~ein or # tM sno~n~y S~f tM Iwnor hK~in,
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I ............................_..._.....~SP.RAXRQft...G'URP.~JRAT.ION . _ ~
1u.~,o~: r,~,e) ~
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who:. addrou ~s .S.ZQ.~... ~.ay.v~.~w...R~~.ue.~ Fort Laudexdale.....~'~o.r~..s~a . 333Q8 . , i
(lienor s Addrou) ~
and that in purwanos of a contrad with ..Joe M. Rodq.ers_..&...Ass~ciates,_..11 Interna-,
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tional .Plaza, Isashuille, . _Tennessee 37217 . - . _ • . _ ,
li~nor himished irlldr,~~M~ mat~rials oonsis~iny of: (Desuibe specially fabricated materis~ s~parately)
1,350 Bags of Spraydon Standard J Sprayed fibre products ~
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EIGHT THOUSAND SIX HUNDRED THIRTY-
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of a tdal value oF.. FOUR _ DOLI.ARS and S IXTY CENTS----- ~~an ~s 8, 6 3?4 . C 0 ~
' of which thero ~emains w~aid S$ ~ 6.3
4. 6 0__ , for which amount he daims a lien on ~he Fdlowin~
dexribsd real prope?y in St.....Lucie . . County, Florida:
(Oesaibe real proputy wFFiaently for identiiication, indudin9 street and number if known)
SEE ATTACHED DESCRIPTION -
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p~,,,~ br _HOSPITAL.. CO1tPORATION OF _AMERICA~_ One.. Park_..Plaza,
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Nashville, Tennessee 37203
Hs further says that lienor fumished the first of said labor, services or materials on -
. ..Itiov~Pr_...12.,........., 19...T.6, and the last of the same on ..~Tdnu~x.~t .7... 19 7.7, and (iF the lien
is daimsd by ons ~~01 in privity with the owner) that the lienor served his notice b owner on
.Apri1...6 1977_--, by- ..Certified Mail to H06PI'I~I, QDI2PORATICN AI~RICA,
C/o Regi.ste~red Agealt, DOnald W. Fish (Method of Service)
242 25th Avez~ue No~th -
Nashville, Tennessee 37203 SP~AXD.ON . .....O.R~TIQN.
lienor '
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By _ _ --z:.~i~ ~ `
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Swom to and wbsa~d bsFore m~ thia .-~:~....................day of ..:.~~Z 19.~T.
Notory Pubtic, S~ate of Fb.i _ ~ • . • ~ ~
do at la.g~ ' • ~ ~ .
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Mr ~ommission E:pires Sepf. 1~, 1l79 y~ - t
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Loadsd br /?meticon Fire a co~~,::r c4. _ . : 4,..-..:
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I%u I~r~m,n~,~i prrp?»rJly: Wal.ter L. Mo~~gan ~ i
AJ~lnxs DIl~?LL A1~ID I~'~id, Suite 510, Cunberlat~d Buil,din~g
800 East 8roward Boul~vard, Ft.Lauderdale, ~'L 33301
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