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HomeMy WebLinkAbout0639 . / ~ 41.8'~'92 . FLA. lYe7 lAW• AAMCO FORY 1~0 • Ff 71~.00 ~l~ttrit ~a~ ~t~rt ; ; l ~ of S T t~ c~~~ 1 , ~ . ~,L- ~ o~ i ~~P ~ B~Eon m~, iht und~rsi9ned authorih~. Psrsonaliy sppear~d . . . . . . . /Ci Ihe agent ; wlw~ b~in~ duly swom, says that M is th~ lierwr herein or of the lienor herein,. : . ~ the attorney ~ ; . : ~ ~ G ' ~Y1,_a.~..~.1C~.........~.. ...-e . , ....P . ; _ (u N ~ . whose addrass is-.... °2 . . . . . , ~ (lienor s Address) ~ ; ~ e~l.a~__ ~ ~ and that in purwanos of a contrad with_ ' I (~~.~1ti..~.,. . . . . _ , ; , . _ _ , ~ . _ _ . . (iMOr fumished Iabor, services or malerials oonsistiry oF: (Deuribe specially fa~icated materials separately) ~ , ~ - '1°_`~ : _ ; ~ " ~ " l ~ . ~ w,---~-~-~-~ _ ¢ ~a - ~ ~'?Ti-'L 7~~~~lan (S ~s. ) : of a tdal vslue oF . ~ ~ . of which Ihero remains ur~aid S~'S ~ , for which amount he daims a lien on the Fdbwin9 . ~ _ . _ _ describsd real propshY ~ . . _ _ ..5< ~ v~ _ . County, Florida: i (pesaibe real property sufficien~~Y for identiFicalion, induding street and number if known) . ~~~c~c ~~~~i~ ~~Tr~ ~ ~q o s- ~ rFO~~Y R ~ ~wy - ~ ~ F 7 4 ~ ! i 9 • ' ~ . ~ . 71 ~ _ - ~/~/C~f'~ ~ . ~I~?e~~~n ~ ~ . . . . r - He kirthsr says that lierwr fumished the First of said labor, services or materials on s~ 19.7~and the last of the same on~..---:.- 1~.. 19 ? and (if the lien is daimed by one not in privity with the owner) that the lienor served his notice to owner o y~ ~l ~ ; - ~ - a ' ~ _ 19........., by.. . _ _ _ . . . ~Method of Ser ice) ~ ~ ~ • _ j ~ ~ 'erwr ~ . ~ S i. ~ ~ Br _ _ _ . _ ~ ~ Agenf or Attorney ` ` ~ . ~ ~ ~ :.....~y oF G~''~ f _ . ,9~ t;'~'w ~orn~ ta :and s~bscn~sd before nw this.- _ ~ ~ . . - ; _ - ~ . . , ` ; . . . . . ~ _ . _ . ~ - ~ ~ u ~ tJ? : a; .~1. ; : : : = _ ~ ..P ~ - . f_ . : . . . _ Notary u ic _ . - _ . : . ~ ~:~;;19ns:fiiiutirrNi~i~i jm~~~?.~~~1 NdU!'1? Mr~ltC ~AfE OR ~1dt10A AT IARGE . M? C+OIMM~SS~ON lx~IRES FEt. ?S ~ ~MAM1alM' ^-•~~Del nM.....•V'O1~'rrA•r0!tt~ ~ , {~~i~fi;n ,v ' ~OVVn~ : _ - _