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4'x'706
FLA. 1SS7 LAWS ~ RAMCO F011M Itp11
Fs 71,.00
. ~l~ti~n tilt
~
Before 1i1e, the urlder:i~rad authority, personally appeared-........-l~r$nlc.-Ile...~homas......Sr.
who, being duly sworn, says tllat he is the lienor herein or ~ t~ # of the lienor herein,
~r~~k Dg....~hoa~a4.....~.oP..~~rx'~!~~.~0~1...~14s... _ _ _
(lieno~ s Name)
whose address is ...............3.7.~....f'S~,d~tit~..~.d.....~t.....Merce..~`~.a
(lienor s Addreu)
and thst in pllrsuanoe of a contrsd with-.-----...-.Earls .~..rit:rss...nnd..Reai.na..Merse. kis..xife
lierar Famished labor, ssrvioes or materials aonsistirl9 of: (Describe specially fabricated materials separately)
Labor aad matsriala for a one famil,~r house
of s total value of...~--....52,121 ) lrifty txo thousand oAe txentT~~ (s 52121.00
)
of which them remains unpaid s 13, 851.00 ~ for which amount claims a lien on the folbwing
desvibsd real 3t Lusie
Pr~Y ~ _ ....County. Fbrida:
(Desaibe real property sufficiently for identification, indudiny street and number if known)
Lot 32 91oek 32 IIiiit 4 Rimier nark tort 3t Lxsie lrla. 4'781706
f
Knoxn as 324 aoxth liaranja Dr. tort 3t LYeis trla.
~ - Q
. 3T
LUC~~CppR~~E
tT~Y~f ~
R POITRA~
t".LERK gRCUiT COURT
~ R.CCIItR 1FERIitfO~.~~
Owned by....."........~.ASle...~..23.e.rte...and...8e6i.na .Meese ~i.a xiie....._
f
He further says that lienor furnished the First of said labor, services or materials on ...-.Des- ~-1978 - ~ ~
19........., and the last of the same on -..D4a-rsh...~...- 1S~E1 ,and (if the lien
is claimed .
~ by one not in privity with the owner) that the lienor served his notice to owner on
.
(Method of Service)
e
~'ralztk..D,e....Thoisas..CoestrnsLion-
~ ,.~tt~,r~ .
.
-
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By
A9snt or
~
•
_
~
F Sworn to and subaa+~ed before rem this .......................l..C..................day of . ..~1.~~1,. - ~ _ - " ~
t
I%is h~s~nnnr i~ ~~n fam
/ `~7 % u~IQ,Q/ t+OiARr MkUC STATE Oi fiO~tYA wT M~iE
j .'~~!'i~fi~ ~~1Css~ f! IA1 CAMMISSION fxI1RLS Rte.-~ MS>l f
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( am~ir.ICll P11[:F.~l~i~~ ~ Tesu Gft+tltAl MK.1R~1>! ~