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Before me, the cedar:i~Md aulhorily. Personally appeared.... .
who. beirq duly swum, say: that he ~ tM lienor herein or # the a~oreniy f of tM lierlor her
................_..................._....~..........._............~.................»........tUenor s Nam.)
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whose address ~....•..Q l
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and that ' of a coNrad with...... ~7 . ~
~ienor labor, services or materials o~si:firlp of: speaaay Fabricated m per~ak~ ~n..~elY)
~y~e .
of a total valve of~~i~ -~Litrxkeollsrs (i ~ ~ 7~ ~ r'~- ~ .
of wlwdl there remaxls unpaid s../ .Q for whidl amount he claim: a lion on the fdbwirl~
desul~ed real propwty ~ _ ..County, Fbrida:
MI
(Disuibe reel property wFfiderltly for identification, indudirl9 str and number if known)
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Owned b - ...-.r~. - -
fle further says that lierlor flxnislled the first of said labor, services or mater Is on _ .
19-.d~0 end the Iast of the same on ~
.....,f 19~G and (if t I'
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is dainied oee rlol in privity with the o ) that t lierlor serv his not' to owner on . .
hod of Servi
- 1980 JUtiI 16 AEI 08 •
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C1E 4tiyiY~~~. Lienor
ROGER POt7RAS
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CtEtllt CiRCISt~ COURT/j
$ R~CCR:+ ?'FRit-tiE.:1__-~' - Or ~?ttorri0y
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1 Swom to and wbsaribed before me tfiis .................day of.... • ,
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!leis IiWrilriu'111 prtpnrr~l NpTARY MJIUC STATE OF iUURtAA Ai LAKa
M~ OOMIWSSION IA11RK MAE;. p it~i
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