HomeMy WebLinkAbout1820 nA ron Iwtclu~lcs RAMCO FORM 120 s7
LIEN LAW t5 )17 W
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Before me, the undersigned authority, personally appeared , _f!t/~/~J . .
who, being duly sworn, says that he is the lienor herein or the agent of the lienor herein.
• Ilienor's Name)
whose address is .
. (lienor's Addre.,s[sl S
and that in pursuance of a contract with ~.J.A I. 1? ...~,~Qn.c~. /..C~. V ~iC~.N......~~C1C P... _ _ . . ,
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lienor furnished labor, services or materials consisting of: (Describe specially fabricated materials separately) ~
S/~w0 "~Or ~4u.i1 c~A~io•ti ~ S~/ ~ wu~ ~ •
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on the following described real property in .....~~~!~-.~R-......... _ _ _ _ ..County, Florida:
(Describe real property sufficiently for identification, including street and number, ii known)
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1 f±;o~ ' 718 Sr /l/e- c.~ l~uE.
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~v f- /H~ ~/oc~/(' 377 Pori S/ - ~r.~t~i c ,
owned by ~ ~ `7 ~j A .
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of a total value of . _ ~wJ ~N,l/l/r ~A'. L. ~~~.`9...' ~i/1F. ...-~~;odollars (S p~y/......._.._.._ 3
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of which there remains unpaid S O'~..(.~. - for which amount he claims a lien on the above
described real property.
He further says that lienor furnished the first of said labor, services or materials on
>~e' `i • ~7 , 19 ,and the last of the same on. ~P..G..... /7. _ , 19..7/.., and (if the lien
is claimed by one not in privity with the owner) that the lienor served his notice to owner on .
~ ~G~ry..G..r+~. ~y .,19._~.,by ~J ~.._.Pi]S~c+'.~ Se/d.C.R,...._. _ ,
j J (Method of Service)
and, (if the lien is claimed by one not in privity with the contractor) that the lienor served a copy of his notice to
i
~ owner on
(Contractor) _
19 _ _ -
(Method of Service)
! and additionally, (if tfje lien is claimed by one not in privity with the subcontractor) that the lienor served a copy
i
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~ of his notice to owner on
(Subcontractor) -
S
t
° on 19 _ , by
<
(Method of Service)
I~~O MlAR 17 P~ ~ 36 ~i~~ / t ~ n - - -
• - 7 Lienor
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E ~ ,STIUCtE000NTY.fIA.
_ ~ FI~OGER PQI?RAS By C<~ - ~~~~~~~C~ a
ftK CIRCUIT CAI1R7 ~ Agent
Sworn to and subscribed before me this ~ ~ _ ......day of ~1~~ 19
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• Notary Public
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