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S•for• m~. the undersiOn•d authoriq?. p•rsonalh app•w•d ................~•„~tIH'1'$.....................................
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wrw, D•Ina f~u1y .worn, says {flal (w w uw NNtW ~~N~~ N iiN ~wiii w w+~.i««r. Gwir.«~
~irCJB BOILDIBG PbODOiC'!'S .
Itinor's Name)
whose address h............22Q1..~...R...7a~di,~.~Bt~cN.t,...Rt~t~..?l~osida.3349
(l.lerar's Address)
and that in pursuance d a t~ntract with C~Ia:UCIf[9i'~OIL.~L~ ,
li•nor fun+ish•d labor. services a materials oonsisdn8 of: lOw:rib• sp•dsuy fabricated materiab separatelyl•
SIYGLg HWiG SID Ci+S4S VI~DOYS
SLIDIIFG GL4S8 DOOA VfID ~POLLQ 3QiS~
IASrP~LLh7.'IOII CH4RGR4
on the foilowirp described reel property in st Ltioi e ......County. Florida:
If)escrib• real property wfy foc identification. indudin8 street and number, if known)
449 Seabreese, Port St. Lnaie, !'lorids 33452
Lot 14, Bloot 248, Snb 6
LIIIS. C~4~
ovmed by
of a total value o~!!~ . handred..sizt~, fib - dollars /thirty-. fcy~,11A11i~4~s.......:...?G5...3!4
.............1
of which there remains u~aid 1..........765'•34 for which amount hs claims a lien on the show
III
~ described nal property.
He further says that lienor furnished the first d said labor, services or materials on
................~~-79.----.... ls.........., and the last d the same on......12-20~7~.---•-•-•----...18........... and (if the lien
is claimed by one not in privity with tM owner) that the lierar served his notice to owner on
. 2-~t8~ ...............18........... by........................... Qe~rtifiad..bail:.................................................... .
.
(Method d Service)
and, of the lien is claimed by one not in privity with the contractor) that the lienor served a coP1l of his notice to
owner on ...............................~.~t..~OdR]C#a..A~..~l~. p~A~'OER.................................--•---..................:.......
(Contractor)
by
on ......................2.:~5rB0.............................:.....18........... Certified bail........................
(Method of Servic•1
and additionally, l8 tM ~n is claimed by one not in privity with tM wbcawactor) that the lierwr served a copy
of his notiq to owner on
4'7342 Isubcontr.ctor)
on ,18........ , by......... .
1M•thod of Service)
1980 fE6 I S PN ~ 42
..~caY ~.nrxc. ~onucrs
SThL~ ~~A- L3p'°r
' ca~li cmcuir co
pECQRS 1'ERlFIFf!_ 0y !mil
Swom to and wbscribed b•fon me th ~ r• , . ..........................18. .
This Instrument re red b ~1? .c~~ ; 4 Y"~•~~ ~qA
Addreaa P Pa Y~ IAit Cos ,
area r~~"~~