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~~~'~3 ~ i . iLA. 1Y07 IAW~ wAMCO F011M 1~OM rs ~».oe ~1~t`tmc ~af ~'t~rt . ! ~ af ST L c<<.'~ ~ ~ ~ Q n C ; 8~for~ m~, tF~a und~ni~d aulhorily. P~rsonal~Y aPPear ed........ ~A.E_K-T f~ : • ~ the a eM t . who. b«n~ dulp swom, sa~rs that h~ is tM lienor herein or tM attorney the lienor herein,. ~c.~m.o~~._.....~~.s=t~..~.~-t'!_.~~ . ~~P- . . ~ (ti~nor s Name) • ~ ~ ...c~. M 1 DP ~T Q"T.S7. LUG . . wlws~ sddrass ~s . • . . l . A ~ . J (lienor s Ad rsss) and that in p~su~nos of a contract with QH?.~ .~.~.~..~.Q~.qTH~~ ..._~_1 _ . _ _ _ _ , li~nor Fumished (sbor, ssrvices or materiais oonsistin9 of: (Describe specially fabricated materials saparately) ~o~ST~uG7~on~ dF ~ 'SItJGI_iL ~AMtI.~ K ~S ~nE~ G~ ; ~ ~ ~ ~ . ~ C - t of a total valus. oF..~v.12.7..y...,?I~ Iilo~..s. aaA.Six uu~~,¢.~.~7i?.~ac+~ .~o.v~ dollars (S ~j ~ ) s , .4. ~ : of which thero romains " V-~ . for which amount he daims a lien on the fdbwin9 . T~ ...I.~U C. ~ ~.--.c....... desuibed real PropertY ~n _ _ _ County, Florida: . , (Desaibe real propsrty wffitiently for identification, indudiny slr~et and number if known) C~ G L~C fIlEO AND Rf CURL~EO ~~a Ml l.tT ~G 5 s bE rJ C~ ~(a-"~ Sf. ~uc~E cOUNTr Fz~. ~ ~07 I ~ ~L~C . ~ $ . - _ ~P.OCER POtTRAS j ~c. ~ ~ C_"LK {:;'CUtT CO T ~ • ~(L~~fi~ `~"~P2.AGE ~ M~R 30 I ~2 PN' ~ P~. L ~ E , . ~ . . ~ ~ . _ t ; oM,~,ed by_.. °-~..t•~.._ _ P ~ -I?_ ~p~~-TN ~t' 1--1 _ _ . . . ` _ ~ Fk hnthsr says that lierar fumished the first of said labor, services or matetials on . _ _n ~ ----.-~.k.Y'......~..~~...- 19~-~., and the last of the same on ~--.~.t~KG.N...~.~., 19~g and (iF ti~e lisn ~ . : is,d~imed by one nd in privify with the owner) that the lienor sen?ed his notice to owner on . ~ : . : - . . . . . . , 19. by . . " - ~ (Method of Service) . : ' . - . ; = ~ . . - ; _ Q • ' J . . , - IGNMON.~.. ~ ~t1P ~ ' - ~ = .Qr,~..5-T I~-~? ~TI O • . • _ . . . - ' ~ ~1er10r ' • ~ ~ t . = t • , . . C , . , . By . _ ob.~.~-~ _ ~ . ' AQent or AHomey ` - / ,p- ; Sworn 1o and wbsaibed before .n~ this.......... .....~.day of ~~G~ C~h. . 1q~~1. ~ . ~ . . ..-r?~r~r. oe~.~/ ~ Notary Public _ ~~A~ O1rorK ~TA~ ~ RnQ~OA AT IA~ I%i~ /uvnan~•rN ~~r~~~.~r~~1 A19 toJiu~usstoM cxtt~FS ffi. 43 ~o~o :'~~~,~n~. ~284 I~ ~MFI)Tti1Vt'.^tw~cOAI .'~e~•'•••n I?~~.....-..~pt ~ . a~~~~~~~"~4''' , - _ _ . ~ . _ ~...,ti r.S>~." .s .r k ~.r,~'`'~~-~~~=.~.H..~.~s., - . ~