HomeMy WebLinkAbout0989 Hati+co FoN:ve izo`,
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j Before me, the unders~flned Notary Publ~c. p~rwr.ally ~ppsar~d IIJUIS k. 1, ittclt ~
~ who was duly swom end says thet hs is tth~ liinor h~nln)Y~1`.' " ~
~
IDELETE ONE) !
~ l~ui ~ R. Winclt c1tk~ I.oui~'s Air Co?xiitionin~ S~~rvice, I?:c. ~
lLienor's Name) ~
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v~h~u~u addre» is ~1-?`~ 1• S~. E{1b~SCUS ~tC~t't ~t. tA1C1('T f~IOCLCIil j=~~3:~.3
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; (L~enor's Address)
I, and thst m accordence with e contrsct wit~ ~~f tlo `(3i,C0 CAil(~Cx~iilllb'?+ ,~3ll~iz,EC ~OI ,
1
; (~eor,~e C~amt~ras
•
~ I~e~~or fum,shed labor, services or mate~iais cons~st~ng ~f (~escnbe speciaily fabncated mater~als separately)
"Ih~s inclucje~ all materials acx~ labor to install
; 1- 3 ton conc~ensin~ unit ~
~
~
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~
on the following descnbed rea! p~operty ~n ~C. I.UC1E' County. Florida.
~ 1Descr~be reai property sufhuently tor ~dent~ficat~on, inClud~ng st~eet a~d number, if knownl
;
~ rltlantis III f3}~ ~he ~~:a
~ ` l~J2UCs ~~uth ~11:1
~ k
` :lpart~nent 204
i~ ?ensen fieach, E~lorida
~ k owned by t,E'LI,~;E' ~~l:ti"}.~E°r?5
~ ~
~ ~ ot a c~r~,i ;~ai~,e ot ~ isht 4i~i~x~r~~~c+ fortv-ei~ht ar~ no/1~;~1 dollars {3 !
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Recordin~, I• e~ s ~
~ k of which there remains unpe~d ~ ~ ~1~~~ , and furn~shACf the first o! the itsms on €s
t
•~~C'1.~. 7 . 19 x and the last oi the ~tems on ly~~' , and ti} the l'esn
~
' u c!a~rned b~ vne r~ot ~n priwty with the ownerl that the lienor served h~s not~ce to owner on ~r`~}~ ~ l~R'?
, j . 19 e.y ~rtifiecl '•l~il
+ 1hleth~d of Serv~ce)
~ and (~f requ~redt that the lien~r served cop~es of the notace on tha contractor on
hY , snd on th• subCOntroctor. ,v, _
Ihlethod of 5ervice)
~
ori . 19 , bY ~ ~ .
~ lMethod of Serw~a; ~ ' ' , '
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[.~t:i~~5 :1:r Cc~nditionin~ Se ''~rfG.
lienor ~ . ~f, '~i.., ~i•
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8~, ~ . - , . ~esident
Agent ' ~ '
Swom to and s~bscnbed'uefore me this day of -J 7`~s= , ~g
~'%?c~~ ~~Lt'~t.+'%,,'~'7~'i'~,
~
rvote~ Public "
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