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Home My WebLink About2161 ~ ~~ FIA. IY67 LAWS 5, ~_S~ Fs 717.06 (~l~tim ~arf ~t~~t ~txk of ~lasi~ • ~outd~ of I~~ 11A1.1C0 fU11M ItON 6~For~ ms, tl~ unds~si ned sut ' //1 L• ~~d "~^'~ ~ honlr. P~rsonally appear ed.. ... ... ~ ...... . .... ... who, b~in9 duly sworn, ssys thal he is the lienor herein or # ~~ a~sy ~ of the lienor herein, ... ..............~ .... . . . . .. . . .. ....... ........ ................ ....... . ... ... .. . .. . .. ... .. (lisnor's Name) ,~,~. ~~ u .......Po,..,~Q.x...~~o. p~~,l~~~'~k ~~.. . ~.~ss . (Lienor s Address) and that in pursuanos of a controd wit6 _-- -v ~~ ~~. .................... ... .• --._...... . . .. ..... .... . .. ... .. , . __....... . . ... . . ............ ........ ...... . . . .. _ , li~nor Fumishsd labor, servioss or materials consistin9 oF: (Dexribe specially fabricated materials s~parately) L~~ ~~~+-k1~~~~~~1~ 01 a total value oF... ..~~Lv .. . ~?/~ dolfars (S ~~~`~' 7~ ) . of whith there remains unpaid s ~~~^~!- ~~/ , ior wFwd~ amount he daims a(ien o~ the folbwing ~~.'l- • dsscribsd rsal prop~rty in . . . .~~t ~.... ._ _ .. County, Florida: (Desuibe real property wfficieMly For ideMiliwtion, indudiny street and nixr~ber if known) ~r~~u- ~'~ R ~2~,~.~~, 3~, ` 3n . ~ ~ ~ ~/bgo se ~/ ~.~",~`` ~~ ~. ~ ; ~ ; `'s ~ ~ ~ ~ bY...~a.~~~- ..~~~. ~o~~ . . q~z~. ~~o~,,~~.,~.. ~ ~ He further says that lierwr Fumished the first oF said labor, services or marerials on .G~k... .................~.._._._..............._......_, 19.~~ and the (ast of the same on -...~. .'~3... .. ... ._. ..., 19 Q, and iF the (ien ~ is daimsd b~- one nol in privity wi~h the owner) that t ienor sen-ed his notice to owner on ' .............._.................----....... . --.-.19~.~ by-. ... .1~': . . ~ S„_90~ ~ (Met oF Service) i 19~0 DEC 30 PN 12 SO S ; FlLEC RhC =~COrpF G -~ P ~e~ Sf.IUC E COi)ti'Y.f t A. ~^ ROG~A POITRA5 By. ..... ~- `~ ~ . . . .. ...._...... . ...... CLERKCIRCU-7C:U::i n AQsnt or Aflor~f~y RfCC?!~ ~~Fr~~•:;~ _ .~ r~ Swom to and wbs~d befor~ m~ tha ....................:~J~``...................day of ,~~F.!-~ <sER ....19 s`' . %%is /ii~rriai~•~~~ p-r~rin~/ l-y: Addrrxs Notary PuDtic, State of fbrida ~1 lu My COmmiSSiWI Expuq Y~,Y 31.1011 ........ , .~ .~ . ..• iV. ..~ .. .. ,,3~ Vp j~o . -. . .. . . .. . ~: . ...... .. . . . . . . . . : :: J ~ " Notary P ~ u~1ic / ~ ~ ~r~ ~ -' ~ . ~- -~ _.: "7~ • /~i~v - . _~. dd, • d ~- 1 ~ N `'~ . ~''~ ~ . j ,. ~ ~~~3~~ F~2160 4~ ;, . . ~ 1l ,i; i n;..,'- - .,, ,,, ~~ . ....,..