HomeMy WebLinkAbout2327 .
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ru ~m rtewuMCr
uu~ uw a lane ttAMCO FORM 120 f4
~ l~aoul`.r ro: .
~ ~ Ltotar? Boiildiag Prodttate
Before ms. the undereipned auatoriq. penona~r appM.ad
_ who. beMp duly svrom, ssya that ne a tfte p.nor h.r.rn a th. a o» .
a.rgr - -
~LC~i 80ILD~G P80DAQP8
(t.i~or's Name1
2201 S. B. Indian St. Port St. T~aaoie Flaacida 2
who.. address is ~....................3345.............
It~isuar's Address)
and that in pursunnq of a contract with ,~8'P1~40'tIQ~
......................:........83~: ~~..s~.. frt. st.:..Lnat•~..Morsaa..~~452....... .
lienor furnished labor. serviws or matetiab coraistin~ of: l~escrib~ spedn{ly tsbricat~d materiab separately)
SI~IC:LB HtAiG 1~IFD0Y3 PALL VID Cdih'bR
3LID~1G GWSS D0088
~P03r1D St~~t$
zxs7c~r~oa caa~$s
on the tabwinp domed real property in .......................st~...I~npi~..---....................................cw,M~r. Florian: _
(Describe real property suifidently for identification, indudirq stmt and number. d kraMml
718 Hororost:, Port St. Lame, Florida 33452
- Lot 14, B(Loalc 377. ~b 6
owned by ....................F... Yu+LbRIO..............................................................................................
of s totalQliAe~4As. . t~~tT..l~B~. ~R1~~1J1'.~..B~..Q~tdbitars tti .~•A3Q..36
....................1
of which tMn remains unpaid i....... I~~'fg!'.~.......... for which smount he claims a lien on tM above
described real property.
Hs further says that lienor famished the first of ssid labor. services a materiab on
...........9..27,++80
..............18.........., and tM Isst of the same on.......12.~27.•8Q••........... ,18.........., and (if the lien
is claimed by one not in privity with the owner) that tM tienor served his rwtice to owner on
.........?-15-~ Certified bail -
.
(Method of Servical
and, (if the lien b chimed by one not in privity with tM contractorl that tM lienor served a copy of his notip to
owner on ~iQl'~'fS OGIIPYfl'
ICo+rtnctorl
on ~-15-fl0 ,18........... b~?............ QOC~ti t#~t~d. l~J6il ,
(Method of Service)
and additionally, (if the lien is chimed by one not in privity with the subcontractor) that the lienor served a copy
of his notiq to owner on
4,344 (Subcontractor)
on ,18........., Mr........................................................................... .
(Method of Service)
19~ fE8 IS !~3 ~ 42 BUIL P~omtcrs -
0 Atip FECGt+Of 0 ! - Liertor
r sy.....
. i 'i.T•~
Sworn to sad subscribed before me ti~ - 15th ~ ~ ` ~ , ....................1
. ~ t....:... 8 ..t.
` _
Ps6ic. State of f~att'Pti,e!-, ~,q ~ ~ blic
This Instrument prepared by: ~ r`_
~f"~ N tea. r.. a . ' ~~j' ~
.lddresa ~ =