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HomeMy WebLinkAbout0948 ~ ~:~~_.~Y~ _ - - - - - _ _ ~ , _ (_1 esss~a . IIAMCO fONM 120K Hw tMe wC~lANIq' . - U!M 1AYr. N 71~.0~ ~ ~ ~ ~ ~ m~ ~ Sfi ~ C.~~~ e BsMn me. tla u~d~n~d Notary Publio. p~rsoe~slh? ~PP~~... ..~~£•'•••'••-SI~..........~.~'.~`~ who w~s duly swom and s~ys that Iw b ltM i1Mar Ie~Nn)1~ W~ N~no~ hKNn1 1DEt.ETE NJ;! ~~.r~:~.~c........... ( s Nsrn~1 _ • r whose addnss is.~ a ~£~l.Z.Q ..............~1~.:.....................................................,............ , (U~nor's Addr~ssl ~ ~ ........,/~~.~~....~~,~i.~~. f~ . and that in accord~rn~ witfi a aontraa~+~vith ............................................................................................................s~...y lienor furnished labo~. servicas or matKiais consistin~ of: (Dsscribe all tabricated matsrials ssperately) ~o ~ . ~„~l ~F~y ~5u~~ c E ,l~~. . . on ths tollowing~described real propsrty in...........~~~....Kw~~l~ ......................................County. Florida: (Dsscribe reaf property sufficientiy for fdenti ~ tio~~~~ tand~ mbs?~ it known) Q~ r ~ r % . U + ~ _ ~ ~.3 , ~S..~y ~ ~~,3 ~ . ~ . O,~ a~r,~,~.. .G'•.~~,a~ : . . . . . . . . . . . . : . . . . . owned by . ~ • • • • • of a total value of . . . dollars (3 .Q.~ of which tlwre remalns unpsid =.......~.1 '•..~.J..~ and fumisfi~d ttN first of th~ iUms on ' Ik .1~...~~.. 1....~~..~'~..... and tif ttN liso . 18 sF..7. and th~ lest of tl~ it~ms on J..... . is claimed by one not in privity with ths owner) thet th~ lisnor ssrved his notice to ownar on ...1 a..'./S;, ~1... 19.~}.~.. by....---... . . . .....~!!I.~ . ~ (Method of Servic~l and, lif requirsd) thet ths It~nor s~vsd copi~s of d~ notic~ on th~ contraator on ~ oZ 7 bY .P.~o.P a,. . (Msthod bf 8~rvice • ' « ..................................19.........., by..........._.............:^...:........._............._............._._.... , on . (Method of Senrice) . . . . . . . . . . . . . ~~'(~!~/1 ~ ~'t ~ . . . . . . . . . . . . . . . . . . . . . Uenor i - ~ , By ..................................~~^t........s,~~~p4l~,if:Ai;: / . ~ f l.~ Sworn to and subscribed before me this.........! .~..........day . _ jE1 ~ ~~~~i'~;.t' ~ ~ ~ ~ ti :h ~ a ! fiv`}••~~~`• ~ ' ~ f This /nstrument prc~pared 6,y: , f ='~f,..t~;; : ~ Address ' NtM1 0~1~~ ?'p~?~ n csntat~' . ~r. . _ `I~-~ ~ t~R ~~v~ r t h 5 ~i~+riW1£ ~1 S «~a ~ ta. , f : 6a~ f~~.l mo~n°~ C a6~~~4 ~q, i...~, ~ 3 ~rf ~3 ,aw a~t ~3 I 0 A ~kc~~taEu R ~^n . ~ AS IX.bN CLERK 800K5 I1~ PACE 9~~ . ~ . t~CIE GQUNTY, ~l~. _ _ • . . . . , . . : . - . ~ . - _ - _ - ~x--,~~ :