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BEFORE ME, the undersigned authority, personally appeared .....H?.~.I'~I,•I~!'1.~1,•..~iS......••.•••••••
,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,who, being duly sworn, says that he is the lienor herein
(or the agent of the lienor herein), Adobe Building Centers, Inc. whose address is
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................205f..Scott„Streetc..T~~~~....~~5?f;744....~~24.......................................................
(Lienor's Address) '
and that in pursuance of a contract with .......l~.F....I~IDUST~....INC.
lienor furnished labor, services or material consisting of: (Describe specially fabricated materials
separately).
Drywall materials, metal framing materials, screws, miscellaneous ~
small tools, equipment rental and services
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of a total value of ..q.`~...~r?~?:m Iy FT~IE ~K7[)atITID EIQ~ HUJDI~ FORTY Dollars
SE'VF~1 AND 02/100 -
($.~.25.,$.4.?..A2........1 of which there remains unpaid $ ..49~~6R..SS........., for which amount he
claims a lien on the following described real property in ....~:.:I.LICIE County, Florida: _
(Describe real property sufficiently for identification, including street and number if known)
SEA AZTACfIF9 I~7CGAL DESCRIPTION
~ _
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Owned by tOR-0CT~1NA • ~ 9900 Ocean Boulevard, Hutdzinson Island, Jenson
.................................................................................~eacZi ~ •Flori'~a' 57
He further says that lienor furnished the first of said labor, services or materials on ...Ja??~YY......
- i
...9.... , 19..7...., and the last of the same on ...t..23 19.79..., • and (if the lien ~s
claimed by one not in privity with the owner) that the lienor served his notice to owner on '
January. 16 19.79.., by ........certified mail.....
~ and if the lien is claimed by a sub con-
(Method of Service)
tractor or materialman to sub-contractor) that the lienor served his notice to owner on the privity con
tractor on JanuarX 16 , 1979 ~ b certified mail and if the lien is claimed
y 1
(Method of Service)
y by a materialman to asub-subcontractor) that the lienor served his notice to the subcontractor on
.............NL.A,......................., 19......... by .....>Y/.lA........................
' (Method of Service)
~ AD ¢E•; ILDI GCE ERS, INC.
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B y :......................................!~k$..............
Lienor or Authorized A nt -
SWORN TO AND SUBSCRIBED before me this ~,6...... day of ...lJlrtQbP.Jr...: 19..7.x.:. .
.1~1.
Notary ~ StatEOf orida -
KECURD A:~D ttF:!'t !t.\ TO: ' : _ ~
s Thi.c 1?rstrr:nrent prepared hy: Ttt(I3L1S R. X31 1tf 1DY 'Mary Pu51'x;.St~1e'al
a'rtu~aG BLD~- . 182
:ldcln~.cs: •TF.7.7,-1~t\E - t~TE: ~ rr,~:IT.tSSyiA E~•~~y .
L:S F..Ati1' S{;~:r!`=E BL1'D. . ..e.~e, ~.:,.~:.~~:r. t..k...
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