HomeMy WebLinkAbout0091 ~ • .
ea :
~ ,
~ ~j~ttln '~1t~Zt
44~8'~O }
State of Florida ~ _
County of
Before me, the undersigned autho.ity, Personalh apueared ~~~1 ~ ~/S ~L
the agent I
~~9 ~Y swotn, says that he is the lierwr herein a the attomeY ~ of the lierw~ herein,
1
(lienor'a Name)
„~,~~.~a ~D/ E~ularo~S oc?o~ ~l~rf ~ier'~[,~_ ~
Ilietai s Address) ,
~~t o~ e~,u~ w,th ~en7~ ~~?~a o~ x ~ B/o c,~' 9`~ .
~
1 a~~ ~~~n .~?er ~
.sf~.s .S~,L.u "e C''p. ;
and fa the impro~rement of the real ProPerri, hereinaher described. lierwr furnished Budding Mate• ,Is.
r ~ / /f'f~
ot a to~ rak,e ot i rfu Se vQ,rzl,i U n~re~ i rfeP? ?,(f !D dona~s ts 3 ? -
4
of which there remains u~paid S~~~{, , fw which amount he claims a 6en on the foNowing t
a~«~a a~, n~D]~~ l BIaC~' f~y ~/A~ ~r~ ~i'er' S~~}e `Sc~/JtFL
~e~ e
~ (Uescribe real property wtticiendy for identification, including legal descriptan, street and number if krwwn.l
; ,~~'/03 '/uC~'c7 C~/~?'~/e i9T9 I~AIt 16 ~ ll~ 38
~
~
~ ~ ~0~ RtLisku~o
~ =~~t~
aTRA~~' ~?1
~ A,}~ ~CU17 CGiIRT
~ .RFCDAt1'1~ERtf tf 0~ _ _
` _~~?u1~ 44~8'7U ~
; Owned by
i
( He further says that lierwr fumished the fwst of said mater~als on _
6
~ " 19_, and the last of the same on ~ 19~ and (rf the lien s
~
~ is claimed by one not in privity with the owner) that the Fienor served his notice to owner on ~
~ ,19 ,by l.e~/I~/e~ ///U/j/
~
~ IMet ot Servicel
~ A copy of this Claim of Lien has been furnished to ~ ~ ~
~ tfie abovanamed owner iand aN ather entitled to Lie~qr '
$ receive the samel by certrfied mail (retum receipt 3
requested).
~ ...~;:~eN~~ r8~a~os ~
,
~,o,~-~.,9~. 8oi Fdw~~ds ~Paac~
:
~ ~ . . _ ~ ~P~ e r~e . F/a 33 ~{s o :
j ~ I - Address
~ 5~rywrrtQand'subscribed betore me this L~ day ot 19~ ;
~ ' .
3 • ~
~ ~
~ ' ' IIJQterial Seall =
;
Notary Public
cniai~i~ - _ ~ -
~~os~ rn ~ My Commission Expves:
, po~~~09 ~~~f
y .
~
~ -
~4 ~.ea~ ~ - ~ ' _
~ k o ~:z -,.~,~ir , . ~ .
; 5
:~:`v:a