HomeMy WebLinkAbout1435 ru? »n ~ecw??+KS• - RAMCO FORM 120 y.
ucr u?w. ss visa
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Betore me. the undersigned authority. personal{y appeared -~-..[V.......-f`..~,'..c~.-..T ~ Y..-
who, being duly sworn, says that M is the lienor herein or the spent of the lienor herein
.........~./.G~.r-c..-...1.~..~.~~Cl.... YS.~~,IN.s
(Uenor's Nsms)
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.whose address tie .......~.Vr.. O ~ ~.~1~%*~w.'. • - ....0.!''c -
• (Uenar's Address().,, c )
and that in pursuance of a contract with....... ......-1'- ".Q ~..t•1•~-..~.•~•-......~.^..~..
lienor fumished labor, services or materials consisting of: (Describe specially fabricated materials separately)
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. .(rf`4fNR ......................•--•--...............County. Florida:
on the following described real property in ...r,, .~..7~..
(Describe real property sufficiently for identification, including street and number, if known) -
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owned by ......~.~:~~.i.~.S.-------. e.~.S---....-•
of a total value of dollars IS . ~,..~~:..11..V
of which there remains unpaid::•--~~-~•--~.Q.••-.•••••••••••••• for which amount he claims s lien on the above
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described real property. c~
` He further says that lienor furnished the first of said labor, services or materials on
----.-•--~~~~~~.......19..~G: and the fast of the same on ~~~/!.t!Jt...~~ ,19.-c~<1., and (if the lien
is claimed by one not in privity with the owner) that the lienor served his notice to owner on
I
.......19..-........ by
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.••••IMsthod of Servica)
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 -•--•----~?.R!~~ ev~~ ~....-<..T....-.. ~
~ lCorttractor) ~
i U (Method of Se ice)
~ and additionally, (ii the lien is claimed by one not in privity with the subcontractor) that the lienor served a copy
i
! of his notice to owner on
i {Subcontractor)
on .....-..19..........,by.....................-----......:.........................................
• (Method of Service)
49489 lienor .
FtlEO ~HG FFCIiMi~t U ~ _
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- fi(3GEft f'LITRA5 - ~ -
CIRCUIT COt~T y _
CU,RK ~
Agent -.r.
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' Sworn to and subscribed before me this.._._._ ----_-•-.---day of . .•;:~9.:~.~
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{ Notary puDiic
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