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515~235
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~~ ~ S~. Lucie
SNo« m~, tM und~~si~n~d authwit~r. pe~sonally appes~ed ~. ~ Al . Ches s e r ;
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vrho. bs~~g dul~- swwn, ssys that h~ is the li~nor hersio or the agent of ths lisnor herein, .
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Chesser Tractor Service,Inc.
lLienor's Nams) ~
wlwse add~ess is t'~t • 7.a.OX 535 ~r. "i t/jC P~ ~~Q ' . .
(lienor's Address)
and that ~n pursuance of s contrsct with ~SCc~~ xQLtCl~;
147~1 Tyler ;:t. ~:i.amx. Fla.. 3~1~~ .. .
lienor lwnished labor. services or materials consisting ol: (Describe specielly tabricated materials separately)
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Tractor ~fork =
(mow Lot~ .-
on the foibwing desc~ibed real prope~ty in S~ •.~U~~e .. County, Florida:
lDescribe real p~operty wNiciently for identification, i~cluding street and number, if known) ,
=~ tz Street and Avenue ~:, ~
owned bY OsCa~' You72~ .
of a total value ot r 1 f ty-.`.' 1 X A11d OO~l OG dollars IS 56, 00 1
of which there remains unpaid S 56 • ~~ , for which amount he claims a lien on the above
descri6ed real property.
, He further sa~rs that lienor fu~nished the first of said labor, services or materials on Apri 1
'2 ~Z ' . 19 ?~ , and the last of the same on ~ecember , 19 ~~ , and (ii the lien
is claimed by one not in privity with the owner) that the lienor served his notice to owner on ~ anuary
i
L 1 :.^. . 19~~ , by ;~~311 ~. ,
~ (Method ot Service) _
and. tit the lien is claimed bY one not in privity with the contractor) that the lienor served a copy ot his notice to
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[
~ ~~ne~ ~n
E ~ ~ t. r_ ,'9 lConbtractor)
~ • Y . .
~ (Method of Service) =
! and a~Jctiuonally, (if the lien is claimeo by one not in p~ivity with the subcontractor) that the lienor served a copy :
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' of h~s notice to owner on
~~C~?~C (Subcontractor-
~~ irt~)
on . 19 , bY
~~ t~~F 2~ ~~ (Method ot Service)
•r ~~. ~ [~
F'-:c ~^~~ _ ;. ~ Chesser TraC~ox' ~~xv~c~ ~nc..
~t i ~~.~~ ~: '.,: :F= - .
. _ t C. f C 1r' rr. .~ . ~ ..
;'~r: -' ~' , + . Lienor
_ . . 7I"~ = / B ,.Y.. Chesser. . .~, .~s-:~;r~:,,:' "~~ .
i Y Agent . - '`'!!~~'• +'~ ,
Sworn to and subscribed before me this v~~~ _ day of 7~~/~t ,.: •`~ ~ r t -~~
-.. . '.~~ 19;~;.~.': '
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~)"1~:~-~.~ ~ : ., :
Notary Public ; ' •r ~; °• ~~"
_ ~ I I I ' I-' Chesser ;,~~' ~-,~." ~~ :• '
~~Ns q~//IfN1~•fll /II' lIl/fY ~lt: J• .• / N~tary Public, State of i~orj• ~ t '~~~~,
' f ~l~l ~•••, _ ,~( t . ? b0 X O !„ comnicsio~ ex ras Feb~ ~f~ ~ `''.:
53 Y ~ ~y4, »a~
p~r~ ~4? ~,~ 1?94 s~d@d wi15 Lawyers Surety Corp. ~. g ~
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