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HomeMy WebLinkAbout0372 ~ / ~ F6A. 1Y67 LAW• AAMCO ~OiIM IiOr Fs ~~~.oe ~I~t'trrt ~'t~rt ~ • ~ ~~9~46 . ~ ~ ~ ~ ~ sr-~i.~~-~c d~fon n», th~ und~rsi~n~d aulhority. P~rsonally appear~d..........~.k~.~P.!.NE... ~a.N~..~ . who. b~in~ dulY swom, says thst F~ is th~ li~nor herein or # t6a_atto~~y f of the li~nw hsrein, . . ..~fi.t~ckrr.t.~...... _ _ . _ . ~ ~ ~ (V~nor s Name) ~dd~.u ..~'~....~.x...G.../..ol... ,ti~-~-?.~-~-~-~~~,..`".7..~.~...t'.._...3.~. ~i G _ . (lienor s Addrsss) . ana insi m purwanos o~ a aoniraci wnn . _•Q~ ~i.ct .s,.,a.-.,~. _ . . _ , . . . _ _ . . . _ . _ . . . . , li~nor funwshsd (abor, sa~?iaes or materials consistin9 oF: (Desuibe specially fabricated materials s~psrslely) /c~ ~,~~'""Gt~t~' l~~!`L~ ~ („~,/Z' ~.,~-Z- f-- ~~7u[.~C~,t,r~: ~ ~ - ~ > > ~ ~.Zy' ~ t~~Cr'.L~~C -l~I.L~~rG~UC~ ~-z ~ t ( 7.r d ~ oi s tots~ va~us oF.. . . . _ ~ _ . av.. ---,--dollaa (S ~ of which there remains unpaid S~~~• U Q___. for wlwd~ amount he daims a lien on the fdbwi~g i~C. </vz:=-G"~ _ ~OU11f~/. F~O(t~: dASQ16Ad M~ ~~Y M.........._ ...........1 .~.~I..... . . ' / (pssaibe real property suFFiciently For ideNiFicalion, indudin9 street and number if known} ' v~ (Q a(~ `~a-~iC-~c~.+.c~' l~-~ ~~.--~c c~.~ ~ r ~EO ~NO aECVAUE~ ; S~.ll1C1E COUNTY FLA. i ~ ' ~~R , ~tOCER POlTiiAS .~Cl-~-~ ~ ~L=~E. :i?C01T CQURT ~ _ ' 3iS'IE~J.....r~. P ~ ~ ~ - ~~~.~zr 30 I i zs AH'~~ - 2. ~ ~N.3o ~ ~ ~w~ S ~'~~s _,~,~~a.v.~~r/ . _ Owned by ..........................(~r. y.. .~f/t%e / / 11~ further says that lienor fumished the first of said labor, sarvices or materials on 19?~, and the last of the same on 197~, and (if the (ien _ . i is daimed by ons nd in privity with the owner) that the lienor served his notice to owner on - - ~--.....,19 by. _ _ _ ~--~r-~- _ _ . ~ (Method of Servicej ~ ~ ~ . . . , .w-~~ . ..~.~c~.,.. ~ ~ ~ Lienor ~ ~ . 's ~ By. . . _ _ . _ i ~ A9eM or Atfomey ~ . , q d ~ • ~ - ~ . . ~ Sworn to and wbsaib~d b~fora ni~ ' ...........................day of ` c2'.. 19! . ~ ~ . i .,~r~ _ ° r • ~ s ~i` . . ~ - ~ ~ ' "c: ~ ~ ~ ~ . . . , , _ ~ • ; - . ~ ~ _ Yrn't c C.\.. . . ' ..-~t ' ~ Public f ~ t • - ~Y l ~ ' - : ~ ,~~•~~i~.•'~~•~'.~ ~ ~ ~.,'.A 11~ ~ eOl=i ~ % %is lus~r~imr~i~ ~~n f~~~n ~l l~ . : 3 r . ~ ~TAV~/ r"~c K MY CO/~MI3310N E7~~IRFS F~- ~ ~~~RS ~ O ~ Q INSL'~~ l}NDEfN• ~ :1 JJrr« ~OOK 2Vi, PAGE ~7~. TMRU c~Neai?i ~ - - _ -