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<br /> ��;.4,ty`'_.�"�_ `�. '� 1. The rea�estate wbjeet�this ti�i� F.QT I �LQCH 5 RE PLAT OF RIVFRSIDE ACRE � -
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<br /> r ��: � 2. The n ainst whose intereFSE in the reai e�tate the lieu is daimed is: -pzg.�Ai-�.^� � � r:
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<br /> .�:� �_ � ._..... 4:..: 3. '�e name an�addnes.4 oF the claimant is ��*�F.i.��M x�,FntntnRn�,��� � �It4���T.
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<br /> + 4. The name aud addiess of the person wit.�whom tke claimant oontta�eted is: NORMAH SCTCK
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<br /> � � ,` "� � ' S. A generajt dea�iPtio�of the claiman�s secvices performed to,to be�r formed or inat�eriaJs furaiehed.or to b� ' ��
<br /> " �►,�,;q�for the improvement and the oontract price i� 8 Fi0II1�S 08 PAINTIHG PLUS PAY:�IT
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<br /> _ �. . TRPE ROLLERS DRQF CLOTH. :
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<br /> . � � . The amount empaid.w�eth�r due or not,ta the claimant for the services or materiala is$ � , .
<br /> . .. � . The unpaid amount is not fixed by the contract,but a good faith c�timate iu the amount of$ _ - , . ' .
<br /> (. �: ' ' �.;:. ; 7. (Complete o�ae of the foliowingl _ `• ': .
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<br /> . _ ,�;�:::. ' . :Che time the last senrices ar materials were farnished�as _ AC a Ql3�R�9�8 . ..
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<br /> .� , . , ( �. The time the Iast se�vioes or materials were furnished has•not yet oocurred but is extimated ta occur .:
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<br /> . �'`'�• ', Si�nature of Ctaimant � .
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<br /> , .•. . . � • i I ; tiubsribed and swom ta befure me thi� `•#� -_ day of —. 19 �. F ,
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