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~LA. 19fa7 LAWS ! A~~~~~ . . • F S 713 Ot7 ~ (~l~ttlzt ~rf ~t~rt ~ > . ~os~ ~txte of ~IoriDx ~ . ~~7D,,,~ ~t,c~.~t;~~ ~Oi~ Of ~^~tt c-c~ ~ ( . . BsEor~ me, th~ wxl~ni~ed authority, personally appea~ ed who. b~in9 cluly swom, says lhat hs is Ihe lienor herein or ~~~h~9~~Y ~ of the lienor herein, ~ . . l'.G~ 1 . . , . . . . . _ . . . (Lieno~ s Name) . . . t . r'~' / - ~ whose addreu is ..~10. -?t~ l~v~lu : ~J?'.`~~,;~ . _ . . (!ia' 's Address) and that in purwance oE a contrad wifh ~'~=>1k4.'~/:%~ ~A;;~ _ , li~nor himished labor, services ~s ma~istjpg`oF: (Describe specially (abricated materials separalelyj ~ C~~~,~~ ! ~ yJ~i ST~I C E L RECOkUED . ~ ` CUNTT F~A „ ~~'~L ~ F~fTRAS : ~1 . _ . ; ,~,j ~ . . . 3~,~ 3 0o PH -'7~' ~ . ~ ~ ~ ~ r. ~ ~ L~/?,~'.i.',~~ ' iL . ol~lars ~ ~J . ; } ~ c of a total value oF. (s ' ~ 333. ~ of whith the~e remains unpaid s - ~ , for whid~ amouM he daims a lien on the following , ~ desaibed real propsrty in . . r..,C-~C.J Coun~y, Florida: ~ ~ ~ (Deuribe real property suffitiently for identificafion, indudiny street and number if known) ~ l ~ I S ~ . ~ :~y~ u~yu~r.~.-~ < ~1~ ?.c 2 5~'~ c~ ? ~ A~r -~'-'~~~r.. . ~ ,l~ F~ •-7 ~ ~ 2 'l. E°L~'r ~'4t~ ~f ` . ~uK.C csl J ~ _ F~/ ~.'G<<'~,t~~ " ~ r' ~y` _,.r. . '~i ~ J ~~~h ? D ~ t'' ~ ~ 7 ! f " f ~ ~ ~~a, - ~ (.C T /V~ C' I~, ~C~'T~rC . l~. ~ / - x ~j ~ ~ ~~~I Ji .rT ~'G!~ h C .~i. . ~/~t~ .N'?r') 1 ~.lc:~ / y. ~ _ _.~1-~'~`'r'~' Hs hxtF+er says that lienor Furnished the first of said labor, services or~ateriaran ~ . T. " ~ . ~ . . 19.1...., and the Iast oF the same on ~.ll... . ~.3... _ , 19 ~ b , and (iF the fien is daimed by one not in privity with the owner) that the lienor served his notice to owner on 19 by - ~ - (Method af Servi e ~ ' ~/I~~.~~ . M . . . ' f y lienor . - ~ . ~ - - - g~ _ . - Aqenl or /lftorney ~ : Swom to snd wbw~ed bsFore ms this ......day of "!l? 14~" • , _ ~ - ~ ~ . ~ ' ' ~ , • ' '7'i 7 ":~........~~f.7( V.:~ . . ~ • ~Nalary Public L~ ~ ~ ~ : : - ' 7%rs I,is('rK??;c~rp,~~;~n~_Ty: ` . ' . , ' . IYOTARY R'~t k` t?,{1C ; . :~~~i~R_tf- : , :i k ~ ~MAb551 ^F ~Tr?orpA AT URrE ~ ~ ~ ~~K 2~ ~ •,r ~ SOP1DEp ~ ON EXnIRES FE~. ~ ~ ~ ~ r ~ ~ ~ ~ ~ _.y~. ~ " ~ 1K1GfIV~RAI ;~x,rc.~,~IJNDFRWRITEl~ - > e ; ; - ~ _ S~ S^ ~N 2 "°r-'#--d":-~5~`~ ~ . " . `~'.a'Ji Y