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HomeMy WebLinkAbout0773 E~?I~rn b: (a~cbw MM-icfdi~ss~d il~Rip~d Mwlop~~ ru? IMO Y(LNAMIC~ AAMCO FORM 120 h rwR» ~ur ~w i~ t~~~ v Uc~UGt~e3 DIXON i O 2 2 4 c 7 Add Fes ~ _ St l,ucie Cc~unt,y F~p+ Dx Tax = Clerk of Ci ~ Int Ta~c i By ~ i l~'~ ~ This Insirurr~~,~ F4pu~d Dy:~N,~ ,~t~li~.~r J Tn ~~-~t~ G S '~~y-~ 5s S' C'~ l~r~ C~S MCN ~ L ~ ,~v:' 9~ C) Prop~rb Ap~pra~s«a PaicN Id~rx~licatbn (Fab) NwnD~res): i?ACE ~~OIIE T!M lrlE F011 F110Cfii1IM MTA f/ACE A~WE TMr UIIE l011 IIi00110M ORTA ~ '90 ,1AN 29 P 3 :2U ! ~l~tri~ ~t~ ~.~t~Yt i o 2 z o s~ ar : FILE~ ~•~~u ('ZL~~i ~ ~ ~ ~~s DOUGi~l~., (11XON~ . ~ou~ of ~ ' Bdors m~, th~ u~rl~~seyn~d Notary Public, pa~rso~all~ ~ppaar«t -STE `E r~/~/~!= who wss dul~r swom and sa~s that M is !tM li~nw Mr~i~l (th~ ~p~nt ot tA~ li~nw Aar~i~? (DEIETE ONE) ~ ~ /~(/f~L / G ~ S' (~-p ~ ,j/~-v[ iV l' ~~i A/~r . . (li~rwr's N~m~) whos~addross+s ~z v~~ d~~~f''~ tL _..31 9~ O . (li~~or's AdAross) and that i~ ~ccordanc~ with ~ contract with ~/K ,lJVi(l / i~ , li~nor furnish~d labor, s~rvicts or m~t~rials cons~stino ol: ~D~sai~~ sp~c~~lly fadricat~a mat~rial• s~par~t~1~1. ~ .r G .~Z ~ %fZE 7)~~V ~ - LAf?i/1 ~ ~00 G. /ff~T~i~ . i ~ --fn~~,.sn, ~Qt c="s,-..a--~~'S (//~i'r ~ /3Ll~C ~o F~s T / ~C ~ or ~ ui 7~ L~~SS E on th~ lollowin~ d~scrib~d ~~~I prop~rty in ~.~0 t~s[~ Sr S% . L!/C~~ Countr. Florid~: N~ ~ (D~scrib• r~al prop~rty suflici~ntly (or id~ntificstion, int{udin~ strNt •nd numb~r, if known) ~ ~ ; ~'.a s' / S~o ~ ~r LoT '73 ~ 7~ ~ ~ . . i ~ _ ~ own~d by / / ~KC-' ~U/lCT~ . . ~ - . . . . . . ~ ' . ~ ' ol s tot~l v~Iw of /~/~/f'. ,/1~<i~~'f'/.~..~!f"!_~f 1~r4`. ~ r~~`Z'... aoilars .7.~3.:.7'. L ~ ~ ~ of which tfi~~ ~smains unpaW i......95 ~-3.:.~.r... z and fwnish~d t!N Hrst of tM it~ms on i ~ . 18 and tM laat ot tM it~ms on ~ S~'.... ~ ~7 T . ~.:l ~ne !H tt» !i«~ ~ ~ ~s claim~d by on~ rwt in privit~ with th~ ow~~r) that th~ li~nor strv~d his ~otic~ to own~? on ,,,St`,l.f%...... F 7 ~ .19 d ~.by ~'.a/L (M~thod of Sarvic~) anJ. (if r~quir~d) thet tM li~nor ssrv~d copi~s of th~ nodc~ on dw contr~to~ an bY _ _ . •nd Off tM WbCOfltraCtOf. _ _ . _ . . . . . f:~.(M~tAod o1 S~rvic~) j w~ C.' .~~,2~ . 19 . by . ~ ` ~ IM~thod of Savic~) ~ ~ - ~ r''~~.'~ ~ ~ f - /~G6~i ~ s C°-fl ~ _ , ; ~w., ` ~ ~ ~ i~nor ~ ~'~:3 i.l~ , / ~ a t~~.' . .Ki ~ ~ _ 8 y /r'k ~ ,i.~ '~lF~ . . ~ ` ~ g ~ uQ'`'` Ag~nt P C~ % ~ ~ Sworn to and subscribeA belor~ me this . dry of ~ g 9Q. ~ _ ~ NUTARY PV~. SpATE Of ~IORIDII ~~~~~.v ~I ~Y ~XPIRES SEPT. 5,1S92 ~ ` „ r~: , ~ - - ~ n - - - - - ~ _ ~~~~`~k`~ . .4;~~~~~~"°~..` ~~~'~r ~