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Home My WebLink About0627 r = ~ ~ I ; ItA. tY~7 IAWt 4~~~ wAMQO FOQM ta0• ' Ft 71i.0~ ~l~t'ti~t ~r~ ~it~rt ~ : . F~ ~ ~ ~ Luc~.~ ~ ~ ~ . . f 1.,,.1:~.- ' ~ .,orv^i 8~ on n~, th~ undKSi~n~d authorily. P~?sonally- appea~~d t . . . _ i . _ . f: who b~in~ dul~r sworn, ssys thit 1~ is th~ lienor herein o~ ~9enf ~ of the tienor Mrein, . ~ ' ~r:~itw~ar . - . - - - - ~u:.la~~.> ~~z.~: _:o~,e :.~u~~l~r, I~c. ........................uw.....~.r...~..w..~...«................~r..................n.~T..... . . (li~+or'S Name) ~ - , _ . . . . ~ ~.}1.'.1e : 1;_;h'•'; ~ Ll::_2' i i'I~ fy ' ' r -t . . wiwse address a _ . , (lienor s Addrsss) and thst in punusno~ of s oontrad wi1h........ ~~.~r'~tUt'rn 's:.:;~e:: ~ . . . _ , li~nor himished (abor, servioes or materials consisting of: (Describe speciatly fabricated materials separately) ,-.r I:~: i.:, ~ o~ _ # ' _ ~ ~ ~ , ~ oF a total value oF-~! ~~[..v~~DIP~~ ~_~'~I?~i 2. ddlan (s f O'3 ~ . . _ ~ i oF which them ~emains w~paid s-..... 3.. j For wl~id~ amount he daims a lien on the Folbwinq r{~ . VYi{r~~VYV ~ ~NOAAI~ M......,/..M.....M1~ Y.~..i~ . . . . . . . ..COUMy~ F~OrI~: (Describe rea) property wFficieMly for identification, induding slreet and number if known) ._L.'^.:?: ~%i •'LU~ ;J~ L1.=~~ _li~~::U _~11r~~ i~i i. _~L LIiE`.~..~~ L~_...~'r~ :;r~~~ :i`lo~~ ?.C<_• ftLEa AM~ ~~cv!-v~u : - ~ ~T.LUCiE COJNTV F~e ~ ! - 9GG~:~. '~,~c ('lfprr ;r~1. ~ ~ 4~8'78S Oct 1 11.~3 p~'~ oM?~ed by-.-...~;=..rL~:- : ~ . ~i. ;~:rco;~ ~.t~,. ~ ~ ~ _ . . _ Hs hxthe~ says Iha! lisnor fumished the first oF said labpr, urvices or materials on . u. G ~ " 19-1~., and the last of the same on ~.1~........ 19 ~~and (if the lien is daimed by o~s not in privity with the owner) that ihe lienor served his nolice to owner on ~ v G . 19-Z~ by.. f . /4l A~c, _ . _ • ~Method oF Service) ~'uil~~~: _.t~~i ~~~~1.-', y__c. . ~ _ ~ li~nor . ~y . _ " = Ayent w A» y . Swom to and wbsaib~d b~fore m~ th;s..-----~--...'.:' ...........................---...~y oF ~~=^'~~='"J°r ~ ...19. - Fktanr P~::.. , < j1 " - . ~ f.4± t.,~r. . _ _ t.~;,.::_s - . . . . . t i7, i; ~ . . dh1 ~7 6..-r..~n {.r~ s ~ Notary p~ ~ . +~~h Cc~.tinl " [INS ~l/U///1//('l// ~m~?~m~l l~y: ~1;, : ::c~. v'11. ' - , . . ry ~ J1:'7..1' - a ~ ~ ~ J i ~ U ^ .i ~ ~1 i 1 % - ~,~/~/I..~.~ .~r ~ s •.L - _ ~ ~ • I i a~~ ~-s~s _ _ _ _ ~;r: - E~~ . ~ ~ ~ - .