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~- FLA. tY07 LAWS F8 71J.09 ~18816 s 11AMC0 FORM 120 r ~l~tt~t ~rf ~t~rt ~cte of ~laridu ~osmtq of S~. ~uc.~.e Before ms, Ihe unde~siy~ed authority, personally appearsd ~. ;~. !!l.i,~eit who, bein9 duly swom, says that he is the lienor herain or ; ~he a9en~ ~ oF the lienor herein, the attorney ~1).i..C1ea'.~ ~'.LumG.in~ Co. ... .................................. ......... ........ ....... . ............... .. ..... . .. .. . .. (Lienor's Name) whose address is ....i •...~J•. j~x 7S7t f~.• ~.i.eRCe~ f.~a, j34S4 {lienor's Address) and that in pursuance of a contrad with ~1~~-~'e~ ~'e~fwv~ dba I~i~ ~~,v2~.tituct.i~vn ...... . . . . li~ fumished labor, services or material: consistiny oF: (Describe speaally Fab~icated materials ssparately) fwur.i.~fced ctn~ .in~.ta,~,L ~umb.in~ .in. hvcv~e v,t 260~ (,v~a.~ ~~ve. . of a total value of ~t~'D ~~~v~~ ~u~ ~wul/cet~ ,~.in.e.f~ f.i.ve ~lan (S 2'2QS.~ ` of which there ~emains unpaid S 7°S•~ ,(or whid~ amount he d~i~ a I~en on ~he (dlowiny described real property in -S~. Luc~-e County, Floride: (Desuibe real property wffiaeMly fw identiFication, indudiny street and number if knownj 261~ (,vital .lve . ~ Lv:~ ~n, 1-'!h 6, U.u.t ~, ~/D ~~,ZQL ~o~,e 52~816 ~ eC. 2i,~2G, %wi'. 3~1, ~~rznr, e~i0 1~'J$~ 1~~t"~ -3 ~".°. 2~ 29 il'_C tv: ~:Ci:4~~E~ 5' lL~l: Cr:lV'Y.{: ~. rr ;~a t~Gi ~ r.~.s C~ : ~ !: C'tnr J{. : ~ ~~ ~ '~ i ' • ~ ~~~ - Owned by . i~~~ite~ ~p~ea Hs further says that lienor furnished the first of said labor, services or materials on fe6. 3 .............. ....... . ............... ........ 19-...'40and Ihe last of the same on --.-. - d~!n-e- 2- . 19 ~40, and (iF the lien is daimsd by one nol in privity with the owner) Ihat the (ienor served his notice to owner on ~'',tir.ch 3 . t9 ~' 1~ by ,}lat.l ......................... ....... ... .... , (Method of Service) i ;.i,(,l ea'.~ i'.~umli.vu~ Cv . li.nor ~ s~~.- ~~,.,,x. e __--. _ ct ._,-1 ~.~_`: ` ,,•y',:.- =: . . _ r ~{ A~nr or Anom.y . _. . . . , . . _ . . #. ~ , . ~ , . __- : ; ~;• Svrom to~M! wbsaib~d bsfor. n~ ~his ....... ...... .-.._.~„ ..~.... dar of , .j.'.i _ ~!L i9J~ ;~ . ' ' _ :~ ~ _ i ~ ~ ,' ,~ ~ ~~ ~ . ~ ~~- ~~ ~~ 1~ ~ ::~. . ~ . 4 ~.~ ..y ~_ _ ~ ~..L_~_ ~ . Ndary .~Public ~ p _ vG:nR~ c.,9:~~ ~ ' ~ : .F.~~. ~ <<R , II ~/lii~ hir/miririd ~~r~ f~~nr~l 1~~~: ~`i1.l.d~ed ~. I'1.[,~F~it Mr ! •. ~ ; .. :c~ i:,~i I ~ ~111''~1~ •V• /~WX / -( • ~~.L.e2Ce~ ~~Q• ~'1JJt17 7NR,.r .~t-~'. . ' -i.l ~..~ ':Pi . , , ~ ~ ~5~, ,. ~ 33~ S~ ~ i::~~t~~ FM~~ ~ - ~ -- ~`~ ~ ... . . . . .. . ... .. . . _. . .- - ::: ~ - ~.3 ~ r _ _.::~