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Irils lnstrumenc ;~as Yreparea by ;
~-3 (Name s Address) ~
CLAIM OF LIEN ~ .~Q~i~-J~;~N... . . . . , ~
. . P~.~x. . ~ ~ : . . . . . . . . . . . . .
State ~ 2 . .~F1~-`.~.r A~:~13~.A.~ f~-~. . . . .
33~i~
County of ~r?''~ uC -
~s~.so4
8efore me, the uedetsigned suthority, personelly appeared
~dNAc-~SdN ,~ho, being duly sworn seys that he is
the authorized agent of the Lienor.~vA~7' C~Aiixit,t?~N /Q/~+1~"~it ~AJSi
,
whose address ~s /73S' s, f-s,~jratrf~. ~Iy ~,~t; f'~z , and that •
in pursuance of a contract with_ ~7?tT~l~~t~E ~o~~T~t~+C77Nf,~
~ lienor furnished labor, services or
material cunsisting of l~ ~}z.i ,
on the following described real property in «t
County, Florida: S~4NApoc~,?,Z ~/'~~~~¢S; T,i~o,S~~ ~,,~i~u ~~rw~n .~rc~}
/4 S ~r~ h,Mv R~~ ,b
fDG ~•3 ~ f~v rc i°~4RK~ A!~ r4R ~'+4 s~vylf) w,~ S J+~?0
~~t ~vc~ ~Kf 7'(hH' r Des~. ~°~4 T i°~ 3 e~ ~ ~Cte'~ ove~hru51 s~¢ c~
S~ Tt/ ~ ~ ~N .f P~`R~dZ oF ~~+~,+vA iN S~ . ~ 7~i° 36 .S ~ r
Sr, l~tt~: G°o .~!'~4 rs~r, oF S~ +4/R rvto~2t P?~tnCvaA,2~Y'
~.~2~ 73 ~ /~v N, o,C . ~?~C~4c~7 ~wavditrtY.z ~ ~Q7Sr c~ 23' 300
p~3~Sa .~'~3Sg, C~,~'~2K ~'rRc?c T 4~?ZT s'1''. ~t/cr~ ,~t,, J
own e b y__~'~~t'~ D d_<<~1'fl i~i c.[. ~S N~1~?~w ~q/ /[/•~f /~SS e G, ~itt
foi a total value of $~3 aQl, ~ of which there remains
unpaid $~3~ and furnished the first of the same on
ed£~N~3~ ~ ,19~J~,~ and the last of the same on
,de~~lkgd~, ~'j ,19~,- and that the lienor served his Notice to
Owner on~~'~yNBd1 l~ ,19~~,bY ~.°~'~2i ~i~.Il~ /LI~[~ - ,
and that the lienor served copies of the notice on the
contrac tor on ~e~~~c,-~t., ~d ,19~,~by ~f~~~ /LJ'f~-/L
'~516~4 -~r~,~- C~,~~.nN~
~i9'4Cst:~2 ~dA[S~~pitl , /~3,Corpora t i on
~
,
, '86 MAR AS :28
By ~f
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