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HomeMy WebLinkAbout0626 / 3 ~ I PLA. 1f67 LAWf RAMCO 1011M t~Or Ft 71J.00 ~ . ~l~i~t'it. ~r~ ~t~z~t ~ ~ i . ~ . ~ ~v ~ ~ . . i ~ ~ ~ . . . . . ~ 8~fon ms, th~ ~rnd aulhordr. P~rsona~~Y aPPsa~~d . . _ . who. b~i~ ddY swom, ssYs that ht is th~ lienor heroin or ~ th~ a9ent ~ of the tienor he~ein,_......._ th~ atforney ~ ~ . _ . ~ . . . ~ _ . ` . . . . . . . . (Lisnor's Name) : - , . . . - . , ~ • • . . ~ ~ " whas~ addrsss ~s . . - (lierwr s Addross) . - - ~ . • ' '_,.,~"'-~••I?1 ;.f~`'~'_'1 F~. . 1.`;J~ : - ~ ~ a~d that in purwa~os of a cont~act with > ~ - _ , 1 Juni ~er ~'L~J4~'' - _ , ~ . . . . . . . ~i~~ Furnishsd labor, servioes or materials consistiny of: (Describe specially Fabricated materials s~parate{y) ~ 3 :_~i-; - ~elivereu narauet floori^,; - I': ~~~t 3 _.u~ - i.rni~_z;^C~ C:00?' to~ r1.:,:-tic ..::?~or.-- - ~ _ 1 7 - :~-~1~ _ ~ ^ •c: ~z: ~ ~ 1~0~ ~ . - ~ ~ ~f t~' - . ' _ 1' - . - - ~ ~ ~ - - ~ - . 1-_. , t_ ' . - - - - , . _ . - - - - . . _ - - ~ - , i_._ . " - _ _ - • . - _ . : , - _ _ ~ y~ ~ : . f - ) - . - " ' v.. Qollars ~ oF a total va{us of....::..: : - . ' . ~ ~ oF which there remains u~aid s-.'. - for whid~ amounl he daims a(ien on the fdbwing . _ . - ~ ~ Count Florida: desaibed roal properfy i~-.. 1.:-.'...... . . . . . _ . _ Y, ; (Desaibe rsal property wff'icie~tly for identification, mdudiny street and number if known) g ~ __l.u.. . . ~ _ ~ Z " _ .r'_ , L .~r:.._ ~ ~ . _ . . . - " ~ ~ .~i: --~y~ ~ =~,~-,=1-~ ~ ' F ~EO a~o RFC~xo~o ; S~. LUC3~ COUMTr Fl~. ~ - _ r: ~FKv' ~ S J' F ~ ~ ~ Ocr 1 11.~3 AN'~8 ~ _ - . . ~ . _ . _ , ~ . . - - - ~ . _ .._r . _ . ? ownsd by _ . . _ . . ~ ~ ~ tis turther says that lierwr furnished fhe first of said labor, services or materials on ~ ` ' } t. . v , , , ~ . , _ , - , - _ 9 19......._., a~d the last of the same on..........:...... 1'_ , and (if the lien ; , . ; ' F is dsimed by one nof in privity with the owner) that the iienor served his notice to owner on - t . . . • ~ i. .....................................................,19--....._., by. ~ _ _ _ _ _ _ ~ (Method of Service) t)} } .-i_; . ,,,1 _:1.',. . . ~ - _ ~ ~ LIl~10r ~ ~ gy_~j.. . . A~eM or y ~ . , ~ r . - - _ f - ~ . Sworn lo and wbsa~d befors n~ this .......~y of ~'.•..`.~:..~..t..:.f; 19. ~ ~ _ , . . y. _ ~ - t:~ . . . _ - ~ - f : , ~a i-• ~ - A~ :a:°-~.. : ~ ; :~pt. 27. 1;SJ G k . ~ _ . . ,y `x':. . 60~1K~~ PAGr s .N~~..~. _ . ~w~ A=-i~ c~a'f.~~ ~i :~.aa~t~ CG~FJw/ Y . _ _ _ ? !%is liis~niii~r-n~ ~m f~~~rr~! h~': ~ 'r~ 1_: or.,:: 1.1 ~ ,1~1~ltrx~ ' ; , :;i:,:. _ ~ - - = - _~1. .>:.'.n~.. - - - _ - - z ~ L4 c'L ~..:e . . ' _ ~ ~`"a `..z" .i> , ' < ' _ - ~ ~ 5~, .r