HomeMy WebLinkAbout1821 rig iu~ Mrc~whics RAMCO FORM 120',
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Before me, the undersigned authority. personally appeared . CI~.~iI~... G...
who, being duly sworn, says that he is the lienor herein or the agent of the lienor herein. . .
(lienor's Name)
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whose address is .o..X.....~?_ ,
ILienor's Address)
and that in pursuance of a contract with ~ IR. 1~.......~'fl.!~ .S~r ~ . ~.r~ - - .
lienor furnished labor, services or materials consisting ot: (Describe specially fabricated materials separately)
c~a~'i on E 5' TG wo ~l~
~e SAND "T'O~ Ow /1
on the following described real property in ~.t.'.... ~ ~ ....County, Florida:
(Describe real property sufficiently for identification, including street and numbe/r+, if known)
4. G 8S / /~i~rblt, Si ~ T0. nv ~ IGS iGif t n~c,.
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'~~.4i~i01J • Rss1~/1.rus/• w4.~ rL •
_ s Pe~~ • 7 Pf . sT lt,..c~.~, S~t,,~,J..l~
1.0~?~_ ~I! ,Co . /7 . _~/fwd
owned by . .
A~ ~ ~'o
of a total value of /.(iVD - //W A.~~~f..'(~ . _ _.../i10... dollars (S -..~.~d . - 1
~n ~ ~
of which there remains unpaid S v..~. _ ~ for which amount he claims a lien on the above
described real property.
H~~e++further says that lienor furnQQished the first of said labor, servicesrror materials on .
DG.G • !3 .19.~J ,and the last of the same on... ~S.~.G..,...a7~.. - . 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
(Method of Service) _ r
and, (if the lien is claimed by one not in privity with the contractor) that the lienor served a copy of his notice to
owner on _ _
(Contractor)
on _ _ .19__._..,by _ _ _ _ ,
(Method of Service)
and additionally, lit the lien is claimed by one not in privity with the subcontractor) that the lienor served a copy
of his notice to owner on • ~k./~ _ (jQA S.~r.fA±C~.'~i.0~! 4. f.~ • .
!Subcontractor)
on t Mr Orr / ~ . 19 a 0 . by . ~/ff/?tai(. w.7G/IIi(,P?~
/cam ~ -
(Method of Service)
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- - ~J _ _ 1/. _ / ~L.CK 4-
' - ' s- Lienor ~
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~ ~ 1980 MaR 17 ~ x,,36 G~..~ ~
_ Agent
FflEO /?hC l!EC 0
ST. IJCIE CC A. ~ C/ / / U
' R~GER P 5 /L/
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Sworn to and subscribed before me th~Ep~.~~ ~ ay of / ~ , 19 ~
~ ~ Notary Public
' ('his 1?rslrrrrnr•rrl r~•purr•~l h~-:
~ Ids/r~•...r ~ i'Ai/ur f~C STA1E Of ?WEJOr? Af
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