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HomeMy WebLinkAbout0992 '~:~fi:~~~?U r.• i~R~ M~~/~~M:i~ hAM~ U f~~i~M ~:U , ~I~ItIn 11~ '~~i~It I ~+iate of ~(turii?b ~ ~ aca~ of i Before me. the unders~pnsd Notary Pubiic, p~rson~lly appsared ' I who was duly sworn and seys that h~ is Ith~ h~nor h~r~in) (th~ a9ent of th~ li~nor here~n) ' (DELETE ONE) 1:,. i;;~.!.'i . .:\I.Itii I',~ n j . i~ ~ ILienor"s Nanie) I ~ who~e address ~s . i t ~ ~ i ~ t.; :1l f1, . r~. i ~i (Lienor"s Address! ~i i ~ and that ~n accordence with e contrect vrith ' ~ ' ' ~ ' ' ' ' ~ ~ ~ ~ ' ~ ' ' ~ ' ' I~ I; ,1 . I; , , ~ . . . . ! ~ . . : . , . :1 ' . . . I . . . , . . 1: ~ < < ~ i; ' ' . ~I I~enur furn~shed labor, servicas or materials consisuny ot lDoscr~be spac~aliy fabricatad mater~ai> >eNdretelYl ~ ~ i ; ...:1:~' 1~ i ~ . . . : . . ! i' ~ i o . . , . ; ~ ,I I ' 1 F ::.~i~~~::, . ~ . . ~ ~ a ~ ~ on the toUowing desCnbad real property in ~ , . Cuunty. Flor~da i ~ ~ (Descr~be real property sulficiently for ideni~hcation. inCluding street and numGer ~f knuwn) ~ ~ ~ ~ : . . . : ~ ~ . . , ~ ~ € ownad by . . . . . . • , . . • . . . ~ . . . . . . , . . .~4 t{ o i~ i _ ~ ~ i of a total vaiud of ~ , . : . . • ' doilars iS ' , . 1 ~ a ~ j~ ~ , - ~ ~ r of which there rema~ns unpa~d S , and furnished the first of the ~isms on ~ ~ ; ti fr . 19 and the last of the rtems on , and i~f the lien ; t ~ - ~ ~ ~ C is claimed ~y une noi ~n pnvity w~th the awner} ihdt ilie I~enor servea h~s ~~ot~ce tu owner on 19 by : ' ' `i . _ i~ iMethod ol Sarvicei i i and i~f requ~redi that the lienor sarvsd cop~as of ths not~ce on the contcnctor on - = ~Y ~ ' ' ' and un the sub~ontractor. _ ~ - tMethod of Serv~ce) r i un i 9 i;y , i~,lethud uf Serv~cel - ` , ~ . . . . . . , • . Lienor , , , r ~y . . , . , , _ . . . Ayent S.v~~rn tU drirl Sul~•,t.r~Le!d :~~h~rE r~~e~ ih+y • ~~~y p~ 1 c~ , ~ ~ . , t. , i , Notary PuLl~c ~ lh~. )Ji,(ruiri; ir! j~~,~,~ri~;( hti N~Lry PuOE< 1~(',tr, , , . . a cn~r,i ~s ~x~ k, ;cr•-_;s~r E~:,•es'.a 1 i`i9: . . f i: „ , , : ''~a~ ~,l,~ N ~~Q R'Y,, y J~-_ 'z, - . •Z - : .,'~5`~0~~~ ~~~1 s•:°~a~-~~` - ' r.' . v~ 8•~~~•n+~`' ~ ~ . ~ ~ . - . •y~,,~. °".~`.s" `