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Beiors me. the undersigned authority. personally appeared JOHN.. D.•... RICHARDSON, . , , _ e
who, being duly sworn, says that he is the lienor herein or the agent of the lienor herein,
...............••„_-.,JOHN.-D ~--,RICHARDSON
(l.isnor's Name) ~o ~~%P~
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whose address is Rt e....4. BQK... ~ ~ ~ ~ t'~ ,
~~ku F ~q (lisnor's Address) ~
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and that in pursuance of a contract with...WOODROW.•W~•L$ON--I~DKISON,..-~7R..-.. ~H~_.,~-...
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....................MARTHA -FAYE ADKISON;...his.•wife...........-....................................
lienor furnished labor, services or materials consisting of: (Describe specially fabricated material ~separatslyl•
KITCHEN CABINETS DISHWASHER COVERING
2-VANITIES -
DRESSING TABLE
BAR
1-PANEL -
FLOOR PANEL
on the following described real property in 8'L . -LUCI E- . - - • _ • . - - - - - - _ - - • , - . - , _ _ . - -County. Florida:
(Describe real property sufficiently for identification, including street and number, if known)
The South 1/2 of the East 223 .feet of South 7.88 Acres, of the
N 1/2 of the NE 1/4 of the SW 1/4 of Section 19, Township 35
South, Range 40 East, LESS AND EXCEPTING the East 33 feet thereof
for road purposes. - -
owned by........... W04I?EO[~1.. W.IT.tSON.:.ADKISON.,...,IR....and...MARTHA..FAYE..ADKISON
his wife
of a total value of ...SEVENTEEN.. HU~IDRED dollars (S ...1700..00-- - - -J
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of which there remains unpaid 5....1:7QQ-..QO .............................,for which amount he claims a lien on the above
described real property.
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~ - He further says that lienor furnished the first of said labor, services or materials on
MaY...~,5 19...$O, and the last of the same on....tTUne..15..................79...$0.
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lienor ~ : - •
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Agent _ ~ - ' r
Sworn to and subscribed before me this......... 2............_..day o .:....::,.`~..s;: ~::1,., , r•~. t
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tT'e:isna:•
Notary Public
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