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FLA. 1Y6~ LAWS ~~~1sa~ ~ i1AMC0IOIIM IiOM
F5 71~.08 ~ -
(~1~tl~t ~t~ert
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~ ~,nu~tq uf ST. ti s ~
BeFore ms, the undersi~ned authorily, persanally appear ed- ~~M u~. l G. IV t eso, ~i~ •
1he agent
who, b~in9 duly sworn, says that he is the lienor herem or #~~~y ~ af the lienor herem,
_ ..................................~~?..Q ~+?.,~i~it At.A.?...... .l. ! / C G~? ~~J ~ C H- y ~
(lienor's Name)
~:...4 ~ .57: - ~/`fee~~iAlSea~ 395f7L , ~
whosa address is. i~1?i.Z......A~/.
(lieno~'s Addross)
and Ihaf in pursuancs of a confrad with FRR~K l~9~'~~ • ~ F F i
~ ~e ~ I.c~.e~e.s =',ve, , _ S Tc~.s~-T,
(ie~or himished labor, services or materials cor?sisting of: (Desc~be specially (abricated materials sepa~at~lya
~we~,,~ . n~ i,usT.?i~ C~ T~ A.c. u~i,T, L'A~z,~~.~., C~~
/.Z K4~ ,t~ec?, Y`u ~eN~c~ W/G~At.te e.t~ RPPieov~~ ~eel.~, C~o~~
Alk s 3'~9t ~uxs.Ty 6a ~r~/ , cs} s~PP y d~~~Ts, .
Re-rk~e,J Ai2 ~,e:N ~K ~Qcy~.~~~~ ~opPe.e pve
C~Ryp,e ~9~ RfT't~e `i0o~ (JC~T' ~s ~QDOF d~l~C , ST~,-?
co~rr~l ~~..~„e ~ , jk~. r ,~~Q - •v~.e,eAvey.
,~"Ih. Q~ef~e'~J. p~?.. dRN.d `v ~1r~JT•eo/ 41•i2ts
of a total value oE...s.Ot~Jl~•t~ h kvder~ TiE'.~J . dollars (S/?! D. o O y
of which there remains unpaid s!7/ Q~ 0.0 ^ ,(or which amount he daims a lien on the fdbwiny
descri~ ~es~ PropsrfY ~n ST... l~ t+t-Q County, Floric~a:
(pesuibe real property suffiaently For identification, induding street and number if known)
~
j ~T S ~IoCK 1 !o ~ , Sec~Ti otil _ . . . _
E ~,u.c'~~ ~oK~, l, 4 ig ~H'1~ .
' ~oRT ST, kcr e, ST.
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~ ~ ~ O~l Gl ST.LIiCiE :i~~-~TT.F!
• uP~,cR ar i~t~S l
CLEar :~S;.U~T+:vUR ~
t C ~ 1tECOti0lERlitfa
; ~09 w. ye~-[y f~ue. .
~
~ 4~~354
b Owned by._...~.....~..... . ~c~.~ Ide~es , ZNe,, ST~.~n.~.T~ _ _
~ ~
~
~ Hs Further says that lierwr Furnished the first of said (abor, services or materials on S'ep.T.
~ _ Q. . ~ . 19'1p , and (if the lien
_ ...............~.Q.~.......... 19.?$~-, and the (ast of ~he same o~ ~-T..... ,.2.0
~
" is daimsd by one nd in privity with the owner) ~hat the (ienor served his notice to owner on
:
~ 3o S. 1~ p? : I- C,e_~e..-r ~ F c e J
. 19?~ , bY u- ~
. . ,
~ (Method of Service)
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~ lie
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_ ' i . AyeM or Attomey ~
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~ S,worn ro ar~d;'subsan~ed bsfore ms this.._...........~. ~..~....'......day of ~L'-TQ.~e/.~ 19 78~
- NQj/1RYVl1~1J~C Sir•T~ ;'JA AT lAR(* '~~i' ' ~J~ ^ ~ e
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MYCOlf~1M'55;~ . _ ,~T. S t979 / L
. . iOt~P~11RU G: .::;.~.1 ~'+S . U~~UERWWTERS Notsry Public
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. i,i~i.~ « 2 oz 9- sr. aocr 297 PAGt ~4` ~
~Ke~~o6ee~ F/. 335/~i
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