The URL can be used to link to this page

Home My WebLink About0435 , ri ie~: iavvs ~ ^`!~,y` ` ; w .~cu ~ a: . F S 713 00 J~ y~ (~l~ttzzt ~af ~t~n ~ ~ . ~ ~ ~ou~ of ~~f ~L~~ ct ~ ~ ~ Before ms, fhe undersiyned aulhority, personally appeared - - y ths ayent ( who, b~in9 duly sworn, says Ihat he is ths lienor herein or ) ~he atlorney f°f the lienor herein, ~ ~ , . _ . _ _ , (lienor's Name) whoss address is .....~~G_~....~.~... . d~-~ _ _ . (lienor s Address) . and that in pursuance of a contrac~ with ~ - . . . ..........~~7•~~ _ . _ . . _ _ . _ . lienor fumished labor, servites ~Rrate~ials consisfinq-of: (Describe specially fabricated materials separately) ~ 1/ ~~7, ,,'j,? u,I~C,C',~t c~ - ~ ~`'`l `"j .IZ/U..(~`~~~ Y~`j . / ~ ~ FILEO ANG 3E(,Uf~Uku SL lUC1E COUk7Y F~A ~U~:: ?•0~7?~5 3 . _,.,._j~~_~~~,~~ 9~~2 ~'~~='9 3 ~ . . c PH r=~~~~:. ~ i j~, ,~U ~ • . ~ . ~ - of a total value oE. - . ~~a'S (s "7 -S ~ of which there remains u~paid s'~'~`~ , for whid~ amounl he claims a lien on the Following ~ Count Florida: desaibed roal properfy in _~~~1/ . . y (Desuibe real property wHiaently for idenfification, indudiny stre t n ~f k ww~,) ~ ' ~~~a~~-~°~ ~ . ~ 7 / ~ . n~, ~ n - ~ ~ ~ . ' ' p' ys j ,~o~~. .~,7`-~~...k 3 3 y5 ~ ~ ~ 4 } $~l~ Y~~ ~,6 LoT~~ 8~1~ ~'7y ~ ; , ~-W"~`~ " ~ ~ - ~ . ~ ~ ~~~H... _ . _ Hs Fu~ther says that lienor furnished the first of said labor, services or~ls on ~Z~....~1. ~ ~19..7.~, and the (ast of the same on 3... 19 and (iE the lien is daimed by one nd in privity with the owner) that the lienor served his notice to owner on 19._....., by. . et of Serv~if,e~ ~ . ~ . . G ~ . _ _ _ ~ ° . ; ~ `/=~/I?! ~ B . ~ Y . _ . . _ ~ ~ Agent or Atforney ~ ~ ~ . :t•: ; . ~ ' - Swom to.atl~ wbsa~d,~fon m~ this ......day of ~.7?«"-~- tq~ - ~ , . , ~ • ' ' _ • - ; . , ~ - ~ ~ . _ . ~ ~ a.~ ~ _ ~ • _ ~ ~ . , _ - ~ ~ ~ Notsry Public ~ ~ ~ ~ ~ %lrr~ lir~/mi~r~~~l vtt~ktit~~-~!y: ~ ~"=r.~ ' PIOTARY p~~M!(' t*~TC IK cInQIDA AT U4(~E r - ;1~/~/rr:cc U k INY co1NJ~tlSStON lxFIRES FEd. ?3. t47'9 ~ ~~^K ~~e,~~ ~NDED 1MK1 GENERAL INSUQANCE (RJDERWRtTEd ~ ~ Y - - - - t~~~ ~ - ~~';°*.~y r:~.~ . _ .