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HomeMy WebLinkAbout0732 4~~~82 ~ ru? »n MECw~w~cs' 11AMC0 FORM 120tih uEw ?~w. n naa t~l~t'trit ~f ~t~el~t ~ ~ ~ ~ _ _ 8sfon me. th~ undsni~n~d autho~ity. P~nonally appaa~~d ~ • ~ i who. bein9 auiy sworn. iwys ch~~ h~ i~ th~ ii~w ii~~~n or ih~ 3~s~t ~t t~s t~s~ar lsar~in . _ _ _ ~ r,*-,~..' 1::::. ' ~ a . _ . . , (U~~'s Nam~) ~ ~ : . ` ~ ; ~ ~LU ~ ,~L i ; , whoae addrsss is • ILi~~w's Addnss) ~.w. .r....v.is~.1.. .i:1e ~ L ~ . and that in punuance of a contrsct with....,,... . . ~ ~ , , . ,L , ; ~ - . . 1~J: r _ ~ 1'a ~ _ lienor furnished labor, services or materials consistiny ot: (D~crib~ specially ~abricated mate?isls sspa~atsly) ~ 7.'li:t:..Ct.'. ~ l:~ fl:..', t:c';t . :,:,1 -"v_:~.~.~"~i __.y ~ O:i".t;/ Cl@:.: _ ; t~ . . _ i~j L ~ ~ - ~ t': . t - :tL::;~ ~ - _;1.;:• ~ 1 - , ; . . : i~ . . 1_~~_ ;~:ull - ~u::e . .._..:1 _ .~'ui`_:i~::i.'a - ~ ~ li - - ' " . ' • - .,.;-i , on ths following dsscribsd real p~opsrty i~ .••-•.....County. Flwida: (Describe real propert~? suNiciently for idsntification, i~cludin~ strest and number, it known) r~ , ' !1lt~~lt' :.Lti::L~'~ ~''L Lf:' ~ ~ ...G - ~ • , „ • . owned by . = ~ ~ - ~ _ „ . - , ~ ~ • - ~ . ~ • - - - "~.ci: ,.::-i -~i~r~~ ~ -'-L~ It .1 . . ot a total value of - - - . ••-~---dollars . ~ , . ot which there rema~~s unpaid 5...~ ~or which amount he claims a lien o~ ths above desc~ibed resi property. ~ He further asys that lienor furnished the first of said labor, ssrvicss or materials on ...:'.'~:...r.:~~.el... i::' i . 79_........, a~d ths last of ths sam~ on....; ...4 C+ 0~~i.••-----..... .19...~ and (if ths lis~ E . ~ ! is claimed by one not in privity with the ownsr~ thst the lisnor served his notice to owner on...._...j.~` .~GJf' 7-~ 1 :11 ' . ...,19---._....., by (Msthod ot Service) ~ and, (if the lien is claimed by one not in privit~r with the contractorl that the lienw served s copy of his notice to ~ ~ ;}:cV@ ::~_riiZ ' owneron , _ _ , ~ntractpt} 11 i.l . ~..C,,uE=i . • o~ .19... by...........................-•---.....--••--•~--~--.....---................. , lMethod of Servicsl and additionelly, (ii the lien is claimad by ons not in privity with the subcontractor) that the lienor served a copy oihisnoticatoowneron ~ ~ (Subcontractw) ; r ,.~r ~ on ..................•--....'.::.~`J...,.~?u-.t~~COR~~C .19---......., by............ . r • - : ~ v ~j'~ r , MAtf1 SMVIC@~ N " ' " - ~ • - - • ~ . . ~ . ' . . ~ '~82 . ~ nrr ~ r u ~ 6 bt~1 9• 42 _.uilder; _-.:.u _:~:_:c :~:~-~1~-, l_z~. . ~ er---~~--~~-~ ~ , _ g ~ Agent . : - Swom to snd subscribed biiore me this.:.~~t ~'.._..•--......_.._.___day oi '~e e.:t:%°r •~t :J.'.i1~........... HC;~:Y ~c.``• . _ c' f~~t~~1a bt ~atg! . _ ~ r.. . ~ 1~1y iu~: .a tz~ros Sept. 27, 1980 . • r . . io.ea r... ~ t..ww? e+.rar Npt~r~t' 1~ ~ /~~.ns.s~s/ wrnnnro~ j?v• . ~ _ . ' ` - . , - ~ . . nw ~i~u~~as~~~• r..r.. :i i.vrve i i - - 1 ~ ` ~ Q *y 1.Jt~~„ a 4 _ : _ ~ Addr~~ss Ji~ie• .:i ; 'i,a...rt _'L J~'; ~ ~ ~ ~ ~ ~c;_r ~~V ~n~E ~ 3~' . .:t. . . ..a ~ ~:t. _ _ _ r: ~ U,~ - _ ~r:1