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HomeMy WebLinkAbout0965 - - ~ . ~ , _ . . - . - . . ~ ~ ~ 5'~6`73~ ~ ~ . . ~ ~ . RAMCO FORM 120%S „ itA li)1 M(CHANtCf~ ~ ; ,<<~,~~ fs~,=os ~~~t~t ~~Y~'~ ~ o$t~ts af ~loriDx - . , ~ow~#~ ~?f ~ ' Belore me, ths unders~gned authority. Perso~ialty oppeared rniho, being duly sworn, says th~t he is the lienor herein r the agent ot the lienor herei / . ~ g ~ S c , . d ^t~ `~a.. . ~~o,~ ~e J ice . . . . (Lieno 's Name - _ . 35/ 1~~ ~~~....~-,_.~-......5~- ~~e_._, ~ 33~~5`~ wnose aadress is . i~.i nor's Addressl ' ~ ~ Ce-S`iC~~ t - C1 ~-r~t: s. t~C" . . . . . . . . . . ~ and that in pursuance of a cont?act witt~.~ • ' . ~ ...................3..........z-. ~ . . 6 . ~ (~~~~?T-.. `~c~-~.t., - . t~ ~•}Q..- .~'t'... . 3 y~~ , _ ~ {ienor turnished labor: services ot materials consisting of: (De~cribe spec'sa{ly fabricated materials separate y) - ~ ~ : f~~ m~,0~ ~ Q~L..~. ~ . . ~ i ~~D~ ~ . . ~ ~ ' . • _ on the tollowing described real property in........~~ ••••••••••~County, Florida: (Describe real property sufticiently for identificetion, includin@ street and number, if know~) ' . 1 _ ZCS Q~erc~ f~"O ~ SQ..~-~ ~CL~ Z~ l~~ - s'~ t.,_:,.:~..~ ~ ~ S`~ ~.a.~:~ ~ ~l~ = 3 3 ~~Sz. - . ~ - ~..1 - ~ d,~ ~.....1,..~~.~ , owned by--•~-------~»-~~ . . - ~ / O - ` _...1 ~~.t~~-- ~ c4- Si ~ Je-.. . ..X doilars (S b J of a total value of - • i ~ . _ • / O C3 - . . of which there ~emains unpaid ~ L~--~-~-~~-=~-~~-~~-~---~~-~~~~-~---• for which amount fie claims a lien on ti~e above described real proparty. He turther says that lienor furnished the first of saicl labor, services or materials on \ ~ g ^ . 19.o._~and lif the lien ~j ` . 19....Z: ar+d the last nf the seme on...S.`~'~...... • is claimed by one not in privity with the owner) that the lienor served his notice to owner on JE?~a1~C.°~ , - s~.~.-~. . g ..,~$~.bY_......N _ l. . _ ~ - (Method of Service) . ~ ~ and, Iif the lien is claimed by one ot in ~rivity with the co~tractor) that the lienor served a copy of his notice to ~ _ - c ~'~'~S ~Mht-? ~~.L. ~ - owner on - • . ` . ' (Contractorl ~ - p- . . . . ; - -~:r ~~•e-- - . on:... ~ . 19.~Zby--...:......... _ (Method of Servica) - . ~ and additionally, (+f the lien is claimad by one rsot in privity with the subcontraciat) that the fienor served a copy ~i his;~otice 40 ownar un . " (Subcontractorl - ~ . i9.........., by.... - : ~ on - ' - etho~ijof Servicel ~ - ~~;U 1 ~ J' ~J ' - S + , _ iJf1~ . - } ~ . _ ' , - . . . . : s ' ~ . t.K{ F: tienor -~r~ , ~ ~ ~'~6'739 _ - . . - : LUr=~ C(!'\' t Y s~s ~ ,e-- ~ ~~it:Gs r ~•~{:~t , i~s~.~~~..,:~. C' ~ f~1S =LU3T r`~ BY . .............•-•••---••-••---..................~,~,~:1~~ i.. . . . , . .s~ . Agent .,...~L~•~G . _ . . , ~ - . . 7~j(J . te " _ ' _ ........day of . ~ ...,.~ia ~19 ~ . Swom to and subscribed betore me this_._.... j.- • ' ~ y; - ; ~ :l _ = ' ~t~,~...:~~ ; -`~-.:r 'u - r ~ . . Nocarr _ ualic - ~ ' ' • r : ' c, : ~ .t : - lYii• ?~~~~ii~rri•~rr1 ~~~~~/~u?rel h~-: No~aryPublic, 5fa.e of F7orida et Largd _ '-;~1,~;••.... ' - ° Irlrl~~••• My Comintission Expiros /~prii 19, 1985 ~j , ~ ~ ~`c~ ~ t~5 ~ , . . _ _ , - - . _