Loading...
HomeMy WebLinkAbout2909S 12.:31 ~ F~w. ~os~ ~~ws Fs s~a.os ~I~r'tYit ~f ~'t~ert ~~~ ~ ~ ~S'T- ~~ ~ ~~ ~ d~Fon n», th~ uncl~rsi~nn~d suthorify. Persor-ally appear~d... ..... .. ...... . 1he a9ent c who, b~inp duly swonw, ssys Ihat h~ is th~ lienor herei~ or # ~he attor~ey ` of the lie~or herein, ._ .. . . . .. .. ... . ..... ...... . ..........~.~~~~-+~_.._ ,~~,-~.._~~a ............... .. ... ... ... . ....... ... (Lienor s Name) ~. addr~ ~......~'..~..Q...~....t~....~~ ~f~;crce,~~. ... ~3y~~. . , (uenor: Address) .. .. and that in purwanae of a tontrad with .-~'O~-Al-~~~.. . .... .. ....... .................... .... . ..... ..... . . .... . . , li~rwr fumished labor, servioss or materials oonsistin9 of: (Describe specially fabricated materials s~ps~al~ly) 9 ~~~0 ~ _ ~Ah.A ~~ ~,,,_A•a qv-~ RO\~e.~ 0 r7'? ~ i{L~L' :.,~c :: cokrr n $~OC~ St•IUCIF ~CUNTY.iIA ~e ~ O ~ EOK (~ ~ QI TR J~ : A~~~!`~ln . ^ ,~ "~SL .. c.~R ~~ •-- ~~`~ `, ~1 ~31~ Owned by ... .....1..~..' T~4. . . _..1~. , ~~ tJ ~ F '~ . ` ' ' K d of a total value oF.~~w+~+ ~v+~'~ ~~~`~- ~~- dollars (i ~~ V, O ) C~ D v b oE wbich the~e remains unpaid S ~~~ V~ , for wlwd~ amount he claims a lien on the fdlowin9 desaibed ~eal properly in ..~'.. 1~--~]C~E. County, Florida_ (Describe real propsAy wFFiaently For identification, induding street and number ii known) ~~o~ 5 .~. . A\c~e~ S-~. ~o~~- ~. t_.~~.~, , ~1. ~ ~., -~- ~2 ~ J~N -5 p!~ 2~ 49 Hs hxther says fhat lienor fumished the first of said (abor, services or materials on ...Ne~........~ ....................., 19-.$~and the last of the same on ......... .. . .._ ... .., 19 , and (if the lien is daimsd by one not in privity with the owner) that ihe lienor served his notice to owner on ......;,,,~eC.~.~~.. ................, 19~, by. . ~e~Sbw1 Ea~ ~~'.~G~'~ (Method of ~ervice) , 1~c ~ ~ e. .. . ~ s~ ... ~~..~ lienor i ~ ~ :~ ~.,r:;>~. ~~~ .,.._.. ... ~ ~,..~~,~~ :, ' ,~+`' ;•r ~ - • ~ ~. ~; ` By 'i ~C3-U-~...r.~... ~i..~~ ~~,~~' ... _.:... ' ~~ Ayen1 or ' . , ,~J r , , _. ~ ; , . _, • . s ,,... , . , - Swom to and wbscribsd before rrw this ........ .....~....... .... . . ...day of ~ . . - ._. .:....19~~. ~i s ~I •.~±:;,J'..~,~-~ %~ ~ t~1 s • •.. - _ .J.~~- .~M~ ~ '''. ., i_. ~-• . .. . Notsry Public~ ., ,~~,,,•,. 7%ii~ /~i.vr~a»riil ~~rr~~~~rrJ l~-': 1 ~1~1i..•.~ 6A~K~~ P:(it ..~pi~RY -UKIC Si~R u- ~w•~v,. ~: v~._ Mr CAMINN~S-UN EXlIR~S M~-~. 11 N~3 a,,o~ Tww c~~- ~ . ~'w~`aws ~~ wwMeo ~oRw ~so• ;. ~ .~.~ ~ ~~ .~ ~~~.,w-~~,~