HomeMy WebLinkAbout0793 491'72,8
Raw. ues t.wwe tuurt:o RoeM t so r F
R• 7iti.0e
~l~i~n ~t~rt
SeFore n», th. undersi~ied authority. Penonafly~ appesr.d
who. being duly sworrw, say: that he ~ the lienor herein or ; the. agent # of the lisnor F>.rein, 9
/ ~ ` the attorney
(u«ta's
•
whose addnu a ............._:..............................,~.~...~,al...................................................................................
(lienor's Atldreu
and that in purwanoe of a ooMrad with......... Q.~~...1....L1~~.~-~............~...~',.
Uettor Fttntislted labor, services or materiab oonsistirg of: (Describe specially Fabricated material: separately)
t-~.1,pC~ ~.~.~~11\. A ~bV
` ~ u C, ~
of a total value of Vii..\~.a+,~.~5`~„~i~... .......doUars (i.
~ 5~ for wltidt antowti he claims a lien on the fdbw'
of whidt then remains unpaid S . . : . ~
descried real ProP~Y in..-....~t-.---~.. . ~`c~.~ . . _....County, Fbrida:
~I (Describe real property wffiaeMly for identification, indudin9 street and number if known)
i
i E
i}i
I
Owned b .f ,Q.~i~,.'.1....~....h~_`. ~ .
r
_ U
Fle further says that )Tenor furnished the first of said labor, services or materials on .
:....a.~_......_.., 19.~..~-, and the Iast of the same on ~j..'....(~............---. 19.,~:~F the lien
is dawned by one not in privily with the owner) that the fienor served his notice to owns?~~t ~
1;^., - -
) (Method of Service) = : - 's -
19SQ JUL -3 A8 ) f ~ 4 8 ~ ~ ~
t FILED A C FECOROi 0 _ ~
STt~OGf~
P~TRASA. f
.
6EERK CIRCUIT COURT D g _ M or Attorney
Sworn to and subsat~ed before me t!>is............~ of . _ _ ....19.~Q
...1i?!1~............ .
nary Public
%is hiynunr~~~ /~n/?r~rr;l 1~~~:
. ao~rwtr t~uut sarntE a Ewua? ~r w.r
. ~,/,/RY~ a~~34 P~ 79`3 t~s~» t ~
~,t~~.~t..~. t.
_u;