HomeMy WebLinkAbout1032 49K1206
ru? »n wrc?u?w~cr RAMCO FORM 120yi
uEw ?ww. rs ~?~w
~l~ttm . ~t~n
~ ~
~ sT-
Bofors ms, the undersigned authority, personally appeared
who. being duly sworn, says that he is the lienor herein or the agent of tM lienor herein, -
r _
" (Lienor's Namsl
J ' IJ- '
_ whose address ?s.--~--~~ f:.:......_...•~.......~.~-~-~.........,''~~..W....t...... ~.......~f........,~..:-I ~2 C%~...
(Lisnor's Addre_ ss)
f , /l JJ
and that in pursuance of a contract with .1.".. ~/.C.... f'Y.L,e~. t.r.. n.A.. -Q..~.. ~.e:..!~ ...(~~~..C~~.Wf~ k
_ ~
~.~.A/..y. ,
lienor furnished labor, services or mat1erials consisting of: (Describe specially fabricated materials separately)
.~Sl~'O c~ 1°~ , T ~ji.?~% J(;~.F , jyi y, a.T f ~tfe,t/,:~.t.4.~.
. ,
c N ~ 2 / ~ / N y I G~ L. (,r
f• r / b ~
_S ~ ~ YITi ,G: L .
~ S
~ ~ A 6 r~ •L
on the following described real property in..,,,~./......~.-~w..C./•`~• ............................................County, Florida:
(Describe real property sufficiently for identification, including street and number, ii known)
r L ~ % Y
f-~ v s ~ T1~A i fc~ ti a.v ~~~1 y /yi ~ -~?-e ~
ids// /-e al ti's ? " } ~ ~ ~.c- c f - ~t
i
C --~ls
.2.3 7
owned by............. ..!1...H.-Si.....v..~..c......---•-------.....
r-. /
of a total value of .._,..:~,`.,.-L-...!`.-'...•t~,.~l~t.~..~-`------------------------------dollars (S ...,7t~n-.d ~i----..-..---
of which there remains unpaid 5....~1~~? U-•-------------•--.-•----. for which amount he claims a lien on the above
described real property.
He further says that lienor furnished tha first of said labor, services or materials on ~1.~l~ ~
.
j . 19. and the last of the same on-..~~C.rit~.,~.,,,-•-------•------• , 19.....d. and (if the lien
s
is claimed by one not in privity with the owner) that the lienor served his notice to owner on
I
1
i ..........................................19........... by...,f.~~at~L-..~....
IMethod 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
1
~ owner on
(Contractor) Q
~ (Method of Service)
and additionally, (if the lien is claimed by one not in privity with the subcontractorl that the lienor served a copy
of his notice to owner on ~
490206 (Subcontractor)
.............................,19..........,b
. (Method of L~ av~ ;
i9o0 JU~~ 18 Phi 3~ ~ 4 ~ ~ ,
..r ~ ~ .
FILEQ Ah6 FECL`yl'sEti lienor d.:'..~_-}-, . • : ti
ST.LUC~f.CG'J,ITY.FU1.
? ROGERFOITRaS sa-T•7 y~- " -
CLERK Cf1iCUIT COU3Z„ ~ -
lif•fQ2~ lER'F,i'1__~ A ent •~V'~'`, - -:y:'~`~
Sworn to and subscribed before me Lhis ..............L.....~.................day of .~~~!3~ E
-
4
~ .~''YIfIC--
' ~ Notary Public
%'his Innfnrn?v??1 pn~pur?vl fig-:
NpTARY NiIK STATE Ot AI V.a,.
1rl?Ir?~~.~ Mµ. tt 1p~~
Mt GpMMISSIOPI fJVIRK gQ~e~
p?~?pED T11RAJ ~ .
- - ~ -
~ ~ -
.
'"?rs; -