HomeMy WebLinkAbout0733 ~ i
ILA. IN7 LAW! AAMCO /OI~M fa0•
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6.for~ n~, th~ w~d.ni~d ~uthority, p~r:onall~ spp.ar.d............L'ar1_ -~:a.rlton., dr._ . ~
who, b~in~ duly swor~, says that M is th~ lienor h~rein or h°~°~y # of the li~nor h~r~in, .
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..............._....G.1.e.m...Hl,ackb.ur.n....T~ucki.ng.,.....Inc._
(Li~nor s Nsme)
. _ . . . . . .
whos~ addnu is x t. Box 157-A ,
(lienor s Addreu)
snd that in pursusnos of a oontrad with . ~ F Bu i 1 d e rs
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_ . _ . . . . . . _ _ _ _ _ ,
(i~nor himishsd (abor, servioss o? male?ials oonsistiny of: (Describ~ specia!!y Fabritated materials s~para~ely)
Fill Dirt
of s taal valus of.:.s_even Hundred Forty Four ,and 12/l~an (s 744.12 _ ~
of whi~ there . remains unpsid s... ~ 4 4.12 ,(or whid~ amount he daims a lien on the fdbwin9
d~saribsd roal prop~rty in_....... t..;.__i,taeie _ _ _ . _ County, Florida:
~ (Desexib~ ~eal prop~rty sufFicienlly for identificslion, indudiny streel and number iF _known)
` ~v 3 11 aH ~1~
~ 209 ~S. lh. ~;yerly .
~ ''ot 5, I~lock 1b2, Section 4 ;tlEO~M~~fCORDED
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~ pM,nsd by.......Fr.~ta.k. B.a.e.hn .:..j.AdcF Builder.s ) . : _ _ _ .
~ F~ further says that lienor furnished the first oF said labor, services or materials on - August _ 15- -
~
~ 141._8..., and tha (ast oF the same on S~{:.~.eruhe.r--. 2.U. 19J8 , and (if the (ien
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~ • November
~ is daimed by ons nd in privity with the owner) that the lienor served his notice to owner on
~ 3 ~
~ ~ ..,19.. ~18 by. _ _ ma i 1
~ _
_
~ (Method of Service)
~ vlen Blackburn Trucking~ Inc.
;`3 Lienor .
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AgeM or Afforney
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` . rd ' ovembe 19 ?8
Swom to snd wbsanb~d b~fore rn~ this..........._ .......day oF 'y _ . .
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r~ 0 P . ~ . ;~~Gr~.~. r.,y,., . ~r_.
Y BOGn~~7 1 /+i~I ~1o~~Y~P~I~~c - ~
~y commis9iot~; ex~p~:~eg 5~pt. 1 80
~ . .
!%i~s /«</r~i»rr~rl ~+rr~~~~r~~/ l~?~: Beverly Busbit~ ~ ~ 4 -
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Kt. 4, i~ox 15"l-A ~ i•'.~ .
,1JJn« Ft. ~i
~.j , z erce, Fla. 35450 .
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