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FLA. lYe7 LAWe RAMCO FORM /tOM
Fe 71.00
l~ti~n ~t~~t
Before Ills, the Ilrldersiglled sulhority, personally appeased.•
+ who, being duly sworn, says that he is tM lienor herein or # the agent ~ of the (ienor herein,
the attorney
T.cn+~~lar._~.......~.~..~a.ws-~...._S qA_
. (lienor s Name)
whose address is....~.~.,..~.........~Q..~~..~ ,
~l \ _(Lienor s Address)
and that in plxsuance of a oontrad w~h........•l.,.rA'TY1.....~tJS~.
lienor famished labor, services a materials consisting of: (Describe speaaiiy fabricated materials separately)
SoU -t- ~-~~b`~
~~a~~
of a total value of.-~j~Lc _._...dollars (i- ~0-v~.~ b
0
of which there remains unpaid S - ' - ~ ~ for which amount he claims a lien on the folbwing -
~i~ t
o _ .....County, Florida:
m........
described real property ~ ~'t" C7~
(Describe real properly wfficieMly for identification, including street and number if known)
P
I
y.........- - - .
He further says That lienor famished the first of said labor, services or materials on- _ - - -
qq q ~
....~s~~..,_.,~.~_...._.._, 19•~•.a, and the last of the -same on 19 ~ j and (if the lien
is da'misd by one not in privity with the owner) that the lienor served his ratite to owner on -
r ~Y1A~
t9~. by.........~ _ _
(Method of Service)
190 FED 22 A~ ;i= 2G ~reAS~~.~..~oA.S~...~~p......
ii't:G ~Ml ~=CU3r'C
SL LUCIE COUV i Y. FI A. ` '
ROGER POITRAS B .
CLERK CIRCUIT CQUR - ~
RECI}i~1 CE?:r ~ GJ~~_._ Agent or Attorney ~
.f.'t.. _
'
.
Sworn to and wbsaibed before nle this....•..........-~•~...•-...-•••day of _,._.~;.:.i9. ~ .
.
Notary P , , . ,
%is /~t~/nnru~r~l /m/a~Irril !~t': +,IpiNgr IIIILK Si/11E OF ApRlDA Ai t!~'i+. - -
,1./~/a:c, M1 GOMIWSitCM iX?NEi MAR. It N~
ta~om TiMU cep las . ul~,oEUVwtais aao~~ PIGS ~