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HomeMy WebLinkAbout1177~ / 52t)U33 r~w. ~oa~ ~~ws Ff liJ.08 11AMC0 F011M 1 s0 r ~l~ttnt ~rf ~t~rt ~ ~~ ~~;~ t ~ ~ Sf -~ ( B~fon n», th~ w~d~rsi~n~d sulhorify. Personally appaa-ed.. ... .~.' ~~"~ g~ who, b~in~ duly sworn, says lhat h~ is th~ lienor herein or ; ~h° a9°~~ # o( the lienor herein, .. fhe attorney .T~~c......~'.Q.~ .....~- ....... ..... . . .. .. .. . . . .. . .. ...... .. . .. .... ... ... (lienor s Nams) w~ ~dd~~ ~`~.~?...~......3~.5~... ~.'~;~~c~e . ~.~1. 35~~'~ . (lie~ s Addreu) ~ and thal in punusnos of a contrad with .~:~~ {'~ ~.~~R~.~.... .. ~.~AV~~ ~o~.~ ., (iMOr fwrwshed labor, services or materials consislin9 oF: (Describa specially (abricated materials separa~ely) 33, 500 -~'~. ,-$Eah. A So~ ~ A~~ d. Q.olle~ ~ ~''~ ~ -~ -~~ - of a total value o~P~'~vws~'~'D~ StVt1~~'D~'~' ~ Sttlt~~" Iars (S ~~ 1• $~ ) ~ of which there ~emains unpaid S~~1y~• ~~ , for which amount he daims a lien on the fdbwing ~~~ ~~ P~~~Y ~~ Counry, Fbrida: (Desaibe real propsrty wf(idently for identification, induding slreei and number if known) I..o-~ - 1 ~. ~o ~ . ~$tocl~ _ Now~e ~e , C oM-~d by .~~~"~..~ ~A"~'~~c'SO~J tt 3~5- -5y~"~dt.1J. ~'.,~:~er-~ ~1. Svb~:.~, 1~A~~ ~Ae~ L'oo~.r~r~ ~s'{'. iie iurii~er says inaf iienor ~urnisned i1x firn of saia iaDor, services or matenais on ~A~-.•...~..~~ ...... ......., 19.~..., and the last of the same on ........~l-N . a~'t ._ .. , 19 ~, and (if the lien is dairt~ed by one nd in privity with the owner! that the lienor served his notice to ow~er on ._....~.~.C.~...a1..._.._....-~--~ -- --. 19~.., by . Ce~'~:~ED iM~-• ~ S'~,i)033 q$I HAR I 2 p~~ i~ 07 iU f I' i1:C ~i i.3~~t ~ 51.lUC.lf CCUN; Y.tt a l~CGrR rOiTR•'•5 CIEFt! Clf:f t':1 Et~':F~ ~~ ~<<{.:.-, •,: 7~r. (Method of Service) ~T~'~ewsv~`t eo~~-~ ~,~,~, - _ <'"';:•;'`~:t-i:;,. .. t~l~''1~c1,~_~ ~°' ~. . ~1?' -' . ~-~-~~ ~.. ..,r ' ; :'. ,, ~ . • ., _~~;~ By ~'~'A~~.. .. __.*.?~Dw+~- ._..: _ >~:~ . A9enf ot ~ Adomtjr :.r. t ' . . . ~;;-~„ ~ . _ ~ r ~-•~ ~ 4. , 2 • _ ~/ ; : : ~ .. Swom to and subscibed bsfore rr» this .. ... .. ...... . l~. . .......da o{ //7~~ar. - . ~; : - ~ : Y - ~i" • ~~: %lin /~t~lr.~inrid ~~r,~~,ir~~l l~-': t,~,t., ,: ' I! _ , ~ -- ~~: :: ~~~ ..r.y, . _ .. ~ -r.. ~ ;. ~. ;,.~". . _~' . ~'' •.~~~ . t . . .,/ ~+ . ~ ~ ~ •. •.. . .. . '~. - ~ ~~~ ~'~ . • , ~ Notsry Publ' ~vc~~Ntr -wt~c st~ic u~ -w.~or- w~ w.,~ ~-~ co~uwss~a+ Exr~~s ~wt. a Ms~ ^~~~ 350 ~~~~ 1175 ~ ~ ~ ~ . ,.~.w,. U :~K • i I ; 4 ~ ~ ~~