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Home My WebLink About0564 5~1:3~t) FLA. 1967 IAWS FS 713.06 (~l~ttl~it ~f ~t~n ~ctt of ~toriDx - ~ ~ount~ of i I' ~« < ~ ( Before me, the undersi9ned aulhority, personally appea~ed ~-•'~ ~~~- ~~~ ~. / 11AMC0 FONM /20 ~ who, bein9 duly swo~n, says thal he is the lienor herein or ~~he agent ~ of the lienor herein, f the attorney ; __ , ~- --- ~-~ 1 ~ r.. - . .~~._F;.. ~ ~ '~ 1 .. .. ...t... . . t.\..~ti..,.. . . _ , L X~. ..~ ~C. t_.1 _ (Lienor"s Name) _ , -- ~ ~ _ l _ ... -' ~ ~' ~ whoss addreu is .. ..... _..... . ~ L.: _, ~ -~~ ~ ~- ~ (Lienor's Address) , and that in pursuance of a contrad with ~E~C r~-~.E ~-V. -ta a~~~5 ~~ ~ , _. _ _ lienor Furnished labor, services or materials consisling of: (Describe specially fabricated materials separately) .~--~ `~( • -~ ~ , t~~F~~~, ~,~ `~t~ ~~~ ~_~~ ~ ~~ <~ ~' c~ I IE' ~~ ' ~ ~ - ~ ~, of a lotal value of ~~`~ ~~• ~.~ ~ <_ . ~~ ~+ ~`•~ ,~! ~( ~--C .- ' . ' << dollars ~S ~ ` f ~ . ~x ' ) ~ ~ ~~ ~1 of which there remains unpaid S' f~' , for which amounl he da~ms a lien on the followin9 described real property in ~' • ~~-~C ~ E County, Florida: (Desuibe real property sufficiently for idenlification, induding street and number if known) ~~' ~ ~ ~ ~ C" 1991 t•' "' ?; ; ' ~:t 23 ~~: . p ~~~-~- 1 l F~<<< «; .. _~ S' t.u~.rt ~,:v = r ~ _ . 1~/''~ . ~ ~. ~\~~•~ ~~~1=~ ~i~i,;/~:f J..~.''•. :~ _e;r: ;,, ~ _ ~~ ~~ 1 ~ ~ ~, ~ ~~ a~~~.~U ~ Owned by ~ E:~<^E. ~ ~~ . ~ ~ f ~4~ i~_ ~ J ~~'_ ~ He further says that lienor furnished the first of said labor, services or materials on ....~~..'...~....1......_ ....... ......, 19- ~~; and the (ast of 1he same on -_ %" ~. l -, 19 ~~~ ; and (if the lien ~' is daimed by one not in prrvity with the owner) tha~ the lienor served his notice to owner on _, .) `~~ C'~-~, ~:4-~c-~~ 1 ti`.~'a~ ~ . y ` _ ..... .......:~. ... . ... ... . . .. . , 19 ~ , ' gY Sworn to and subscribed before me this -~--~ ~ ~'r ~ ~'••....:'•••~" .. J, ~ \ c- _ ~ .. ,~,~, .`~~.: ,.. .~~ ~ Nofary Public, (Method oF Service) ~ c. `~ ~Tf-'1\~_t_'t F .~ _l_~f`~J~. .jJV~.I `,;. , ~•i.-~_ ~' ..~ ~,. lienor ,~.~~~'_,°":.,.. ~ EyZZC ~..~-- t~C~. C ' -~ ' r+V`~'~•. ~, .~'. ~`t: ';~~~ Agent or . ~~ i~~ ~ ' , .r~ . :. t ~-p _..day of ~, ~'~: ,l~?~7 , • (. . w - • t -..;~ „ 6 •. ,,~_ .: ° .: s , ~..:j. ~~-., v ' ~ y;-i : /7rr~ /~n~r,~~rir,ii~ ~~r~`~,;r<<l l~: ~~3-iviny3cnvtt iN+ ~~ nIN! ap,~0i ~. ~/rr ~~ 1,x~~~ ~ Efbl ll '~llw 5~1~1f~ NOISSMN~ ~I~ ~~~, r ~~~J~ Vl/~ ~-~1~1 r V~~(7'ti! !O llY1S )Illf11 ATIiON ; ~ f~ i j ~ , ;'