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HomeMy WebLinkAbout0836 ! IIA. IY~7 I.AWS ,?~U~~C wwMCO ro~w ~sor ; Fs ~ta.os . V JO a~ ` i r ~l~tim ~i~en ~ ~ • . . ~ ~ ~ ~ ~ t B~Fon nw, th~ und~ai~d authori~y. P~rsonalty appesr~d...... M_ N.~4 ~ ~ the a~snt t ~ ~ ~ who. bun~ dulY swcrn, say: thst 1~ is th~ lieno? hsrein or # the anorney f~f the lienor Mr~in, ~ t~ ~..~...5..... . . . (li~nor s Name) ~ wlws~ addreu is-....~i~P...O!P.... . ~'I~~.DGJ. . _ _ . _ . . . _ , (lienor's I?ddress) . , - and that in pursuanos of a contract with ~CI l.S...~1...C...,~....~, . . . . _ \I . . . . _ _ ~i~nor furr~ishsd labor, se?vices ar materials oonsisting of: (Describe sp~cially Fabricated materials sparat~ly) f ~.~A~~ ~ ~b~u.o-Q ~-y~ ~ ~I .i~G"~t•~' ~ . , oF s total valus of:..~~.4..... ./J~Gl~.~~'f l.L dollars (i"~ Od ~ of which thero remains ~u~paid S~~- fo wladi amount he claims a lien on the fdbwiny . desaibsd ~eal PropertY in . _ . _ . _ , . _ _ _ _ County. Florida: ~ (Desuibe real prope~ty wHiaeMly for ide~tifitation, indudiny street end number if known) ~.,1- ~~ak /3 ~'A~~ y~ ~lK~ #s~~ s~e~-,d•~ ~3 p~. s!, L~,c~~ ~ tll~4 #N~ ~t~~•'•oE~= ~T.l ~IE C U TY F a RGCEF. ?O~iRA" i r ; ?;,~„It C4 T ; _ r~~t i~3 ~ - MaP 30 ~ ~6 aN ~ ~Cft' ~ ~ o~d bv ~ . ....G-Q ~e _ . _ _ . . . ~ ~ He fixthe~ says that lierwr fumished the first of said labor, services or materia(s on . ~ 19~/~and the last oF the same on ~'A.. ~9'~and (if the lien ~ is daimed by one ral in privity with the owner) that the lienor served his notice to owner on . . ~ , q _ ~ ...t. y. _ ~ ~ (Method of Service) . . 'f~ , ~ ~ • 1: fI~ w ~ ' ~ . . , ~ . , ~ _ . _ . . _ . - t, = ~ ~ ' Uenor ~=~i = , . , ~ ~ _ . .~.,a~ . ~ „ . " - ~ • ~ . ~ _ , - y _ . ~ y ' ` . - ; .r, - ~ ~ = r AyeM or Atto?ney .j - _ :'~w~~io and subscrib~d before m~ this . ~ ..........._......day of _ . ~q . ~ .'~?C. . . . tary Pub(ic ' ~,~y a~+ 1f' e+Ats :1ii q r?o1hA A l0! ; %%ii /~iUr~imr~r/ ~n ~dn~l At~ OOluM1SS10N OcMRlS fH. • / 1 - sON0ED1M~11.^_ew~ep~tlNt~roe?,tC~lllJdfR'WR~b ; . t~J,ln 600K ~H~ PAGE S~ ~ ~`~~d ~ ~ ~ - - - ~ ~ ~'~z~.~~',T~,,. 'x " ,"x". . i~ ~a~"~3~`{3~'`~s~'~~~ : . ~