HomeMy WebLinkAbout1514 4'2085
(~l~xim oaf ~ri~en
State of Florida ,,QQ
County of ~ • /Zuc..o
Before me, the undersigned authority, personaly appeared ~ t S_._ _ V '
the agent ~
who, being duy sworn, says that he is the lienor herein or 3 the attorney 1 of the lierwr herein,
S C b T'T ' S N C
ILienor's Nanmei\ p
whose address is ~O ~ t 1~ 1'L/r~ ~ K • ~ T 1 / ~ ~ . _
ILienor's Address) I _
and that in pursuance of a Contract with s
~M I ~ OL E S /°IC ~ N 6,S' CFi~/1/fC T ,OM~4S~
SDu-~~+ ~2ST/f ST. SD U TH ~F j~~~ti«-_ _ Ik y~ - .
and for the improvement of the real property, hereinaher described, lienor furnished Building Mate GIs.
of a total value of _ _ dollars IS ~ ~ ?~G 7 ~ 1
r
of which there remains unpaid S _~1~_Z~~ ~ S ,for which amount he Claims a lien on the following
I Sr_ LuuE
i described real property ins-ZLL-LZ~[1= /~Hl~~ll SF~T/ON .Z~- CountY. Florida:
~ IDescnbe real property suff~c~en;ly for identrfication, including legal description, street and number it known.)
-rp wtitS/I ~p 3 i S o Q~~E
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r; 2 ~ 1
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f ll 0 A Mule p
St~OGER~I~Oi T>~
CLERK CIRCUI~ COURT
S ~ R VERIPtiO_~~~_ .
~ owned by ~~sN~~_ _ ~1±%~-s --~--~~Nk D E ~
---10 ~ _ ~ ~ 4'72Q85
He further says that I~enor furnished the first of said materials on .
19___ and the last of the same on ~'Z ~•Z O , 19~.~and (ii the lien
is Claimed by one not in privity with the owner) that the lienor served his notice to owner on ~7
1 Method of Service)
S ~O T`r t_S ~/t/C _
A copy of this Claim of Lien has been furnished to - -
the above~named owner land all other en;rtled to ~ nor
~ receive the same) by certrfied mail (return receipt
requested).
Prepared By _
Certificate Number _ Agent nn
this day of . 19_ ~ ~ 1~ w ~D S K
g P/ ~~~E . FLT -
- address
~ SMprp W
t~;ybtaCribed before me this day of SA'N 19L1SJ
• ; _ r~tarial Sealy t, .
s` ; r; ~ Notary Public
- fiT97i`' ~ My Commission Expires: I1 _
BOOK ~14 )c PACE ~~JIJt)