HomeMy WebLinkAbout2285 ~~~F'~0:~ ~
FLA. 1967 LAWf ~ RAMGO IORM ItO1~
Ff 71J.Of
. ~l~ttm ~f ~t~rt
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Before rlle, tl?e undersigned authority, personally appeared.. ..~~y Rollyson
the a ent c
who, being duly sworn, says that he is the lienor herein or ~ t e attorney (of the lienor herein, . .
ROLLYS4d ALUM. PRm• ~ INC• FLA•
(Lienor s Nsme)
8y4 N- Dixio Highway, I.antatte~ ~ Fla. 33462 -
whoss addreu is
(lienor s Address)
and that in BverQtt N. Chamber
pursuanot of a tontrad wlth
lienor famished labor, ssrvioes or materials oonsistiny oF: (Dexribe specially fabnwted,~tl~ely)
windows, Patio Doors
r~;~`7Uy
and 15/100
of a taal value oF.. one thousand three hundred seventyfiv~lars (s 75.15/100 )
of which there remains unpaid S ~75' 15100 ,for which amount he daims a lien on the folbwing
described real property in-.._ _ County, Florida:
(Desvibe real property suffiaently for identification, including street and number if known)
Mr. and Mrs• E.N. Chaaber-Qarnezs
' Lot 1,2 + 2 3 , BL 20
t 1317 Parkland Boulevard
` White City, Fla.
0
~ Subd: Riverdale Yacht Club -
x
e _ ~
Mr. and Nt[s. Bverett M, Chamber
~ Owned by..........__ _ _ .
) He further says that lienor Furnished the first of said labor, services or materials on 1st
December 79 14th Dec,
19---------, and the last of the same on 1978 ,and (if the lien
is claimed by one na in privity with the owner) that the lienor served his notice to owner on
19- by.. -
(Method of Service)
Rollyson Alum, Prods Inc. of Fla.
lienor
By Randy..Rollyson -Agent
Agent or Attornliy
3 March ~ ` •
Sworn to and subscribed before ms the............8th.. _.......day of _ _.._:79~._
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, a _ , Na Public ~ -
%i~ /icvmnrrrr~ /~?t/~dirJ by: Elisabeth Kuzma ~ .
.1~/~/r<x< 854 N-Dixie Highways tj R ~,r=~~7~
Larrta~ s Fla, 33462 SQ~a ~ ,
a;~ _
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