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HomeMy WebLinkAbout0436 I'LA. IY6~ lAW! ~ i 11AMf.Q I t~i~M I7Q N ss s~aoe ~l~tl~t ~t~Yt ~c~ , . ~ixte af ~lorii~a ~ ~ ' ~ouid~ of G~ c r' e, 1 8efor~ ms, ths undersi~ned authority. PersonaHy appea~~J. . . . . the ageM t who, bein9 duly sworn, says 1ha1 he is the lienor herein a# Ih~ allor~ey `°f Ihe lienor herein, _ . r ...C,~.,C?~.~ 5...........~~.._.. . . . . . . . (lienol~:tJName) _ ~f c whose addreu is ~.Gt..~~.....~. l....~r.~.. N.~ ,f.T~~ V... ...l.(.Ct'~.'~~ . , (lienor ~4ddress) . ~ _-y~-~ and Ihat in pursuancs of a con?~ad with . ~ . ' ~~~(~.~f.l.:K~ . . . , . . . . . . . . . . . lisnor Furnished labor, servicos or materials consisting o(: (Desuibe specially fabriw~ed malerials ssparately) - . ' • ~ - - ~ . oi a tolal value oF...~i~ . . _ . . .dollars (S `JC/if ~D ' r~ oF which there romains unpaid s..... Ea w~wch amounl he daims a lien on Ihe (ollowing . • -CG CouM , Fbrida: • desuibed ~eal Prope~tY in . . . _ _ ~w.......... _ _ y (Destribe real property suffiaently ~or identification, induding slreet and number i( known) . ~ ~ ~ ~ r t• _ , y.~ i i:J. ~l i C~li ~'i. ~~f' L C/~ C~ `.L w ~ . , - IPS .Cv~-'y ~ r~ ~ ~ d - n ~ ~ s. L . ~ ~ - , , ~ ~'L~ - ,t ~..:C4. %/:~~2--L ~ c: • _ ~ • ~~i%ux~/Z ' ~ ~rYl e l,~ ~ ~-ec'S~ - t ~;:,1 ~-.E_~.`;,:- . - ; f,~~--.,~ ~,~I tl7~~ ~ Z~' , /f E . l / f , ~ 1 ~ l, r , ~q . ~ Owned by. _ , . /-j s ~ ~ ; . , ~ t:? -j . ~ 4 ..l...w.... ....,.......\......_.~y ....:.v~.r:~ . . .•KT'.... . . ~ ~ • i ~ Ha (u~Ihe~ says ~hat (ienor (urnished ~he first of said labor, services or materials on.... . r , ? , r :~.~..~~:.~f.~lit..:.~.r..~7. 19~-~ , and the lasl oF 1he same on ? .~.~.i'~.. , ~9..7.g, and (iF the (ien ~ ~ - is daimed by one not in privily with the owner) ~ha~ Ihe lienor served his notice to owner on . ~ - ...~.~t;1.~.:.;..~u ..........................,19........., by...... . . . . _ . . . . . . . . . - ~ (Me~hod o( Service) ~E ~ ~ ~ ~ Q •2 f11.E0 ~'N~ ~EN1'f f LA ~ "CL 2~~i~• _h/-~ ~ - . 3~~C7~V St-kQ~~f ~?UiPAS~~C ~ Liena ~ ~ 1 ~ ~ ~ l A ~ 't ^ y y ^ ~ ~ • ~ By _ . . . . . _ . . . . ;s ~ 29 QQ Ayanf or Attorney ` ~ ` v Sworn to nnd subsaribed be(ore me Ihis .........day of ~~Gl!'.. .1~0 • ~ . - ~ ~ ~ ~ t;it~~t~~t~~~~~~, . ; :n., ' i.. ..~G-~-~ ~X ~ Y _ ` , ~ . , . ~ ~ Nofary Public ~ : : e - f! - . : ; . , _ , ~ ~ ; ~ ~ . : ~ c_ ~ e ~ %1r~Fh~~lr~mrrii~ ~g/?,iir~~J?p: • •s ; ~~~i~(f~ ~ fYOTARY PlrqlK' ltll*f C1t tl(1PIDA AT URP,E ,y,-. . , 0 k ~~~K 2~4 ~:~~F ~36 ~ ~~RFS ~ ,-f,, . eorwEO n+RU cFr~Ra~ tn~o~~i~RS z y' ~ , , - - - - - = .a ~~`-3.~a;:. - - ~ ~ .kx v ~-f v_ ' -