|
.. : ,. .r- _-_..... .
<br /> � �,.-_ _.___. -�•___ . . -- . __ _.
<br /> , -�z� , . . -' .. , n }. . nnde, . .c._-"'__
<br /> . _
<br /> ., . 1 � „ ,
<br /> . n f .� ... .n.__ ' '�1A'Ii•.�. '.� �. ._�Y S
<br /> ' __ __ . . . . .�
<br /> .__. . .__" _
<br /> "__..._ �. _ _- . .�_ ___..__ _ _����.���-�� . .�«�.
<br /> -_ _
<br /> _ �_ _ _ �-.�, -. . ._ _ ' ._�` _.�_ ._ "
<br /> �__� ���.�I�� 3� .�. .. ������ s�Y�VYF.
<br /> . w1i:Gi�-.---�-
<br /> _ " _._ _� - -.-_- _ �..�., �...T.,
<br /> .-_ _-__�__.. _. . __ _ ._- . .. _ �_. -- �� �._�_T� � if
<br />. . ., CONS�'R'Uf."1'�`t>N I.iF�+1 ,. , �
<br /> • I�. `t�e rMt e�bxte wbj�ect tu this lie�i�: '����L t`Ir��y ,� �t�.1t�CIG. tr �' ir ti �o"�`•i� " --
<br /> b'ect ,,,=,_,,,��,1
<br /> �a� � S�»�4Z� s�y� �� ..��' �o. ���i►�: _ __..- �
<br /> 2. The pawon a�ainet whoee f�t�aceet in th�.real eetuLe!he lien tie claimed ia �q��ti" �n�i y�sA
<br /> .� .
<br /> ._._.._ ,., . .. .. .��.�
<br /> 3. �'henamo.undaddreesoftheclaima�ntis: `1 e�pv C���T'•�. -- „ .�
<br /> ,�',_y�' Sc1,.,�r.2 e4 d. t7��.y2�,Q,,,� Nt ' , Gd'�'92. _
<br /> 4. The na�ne and addreee o�the pezean with whom the claimant ooatracted ia L I��T,Q- �o�++r�M
<br /> �13�� �Sfln /`�t��nvE �'�ax L �5��., � �'ii� 6� �► i
<br /> g. A gc�neral doewiptlon of the claim�n�s servtces perfomaed tu,�l�erf� d or mateiials tbmiehad or to be '
<br /> fiirnished for the improvement and the oontract prioe ia: 7�" .
<br /> 1 ?h sTo��Le..�.���/(�i'l'�r� ��T rr n.�- /.�c�'�l ',�.a.�,_
<br /> —�
<br /> ��r- 6. (Complet�e one of the following) �
<br /> 1 The sniount unpaid,whether due or nut„t�the claimatit for the servlaes or materiale is$ ����. _ _
<br /> � i+ ��7� �=er. �! �
<br /> Tlze unpaid amourit ia not fixed by the cantract,but a good faith estimate in the amount of$ . I
<br /> 7. (Complete one of the foIlowing)
<br /> The time tlie laet sesvioes or materials weYe fi�rnished was �Qt��j e1•��� , -
<br /> 1'he time the last eervioes or materials were furnished has not yet oavrred but is ea�nated to oocur
<br /> O►,
<br /> eture Claimant
<br /> Subaribed and sworn to before rae ttue l c�qy Qf � _, 1g q�,
<br /> F.t.l�..._ .�,�. �
<br /> l��M 'w�h Notarsr Public� ��
<br /> I (�14T.See 62�148 for amendmen�b�149 for assignment;52-13?for reoording time;b2-lb4 for discharge or release). -
<br /> i i
<br /> � II �-
<br /> ---��=L -__ �.�----- ----��_._— ---- ------.________�__�_µ..�. __._---.�..... _..___ .....____ � r.'
<br /> s _ _ r - - - - -- — - -
<br /> i( i - - _ ____�_— — _._- - -- __ --
<br /> .n�n�....� - . ,— �:. .. _ .
<br /> - ';:z.._..�. . . �,_ -����-- , �.+..,__ . 1
<br /> `J a,�:Ki° � �..ax�c�:,�M�:`�:. �r.. r: ;�y�; � .� �nc..r L�:,�; .- . . - . . ..
<br /> r`�!, -r.�...s'vr ��- --:t'-.-°�c-.---�"-�r�- - .. - -�r:�f, �_�.�'c� $' r".;: � ..
<br /> .. K,
<br /> - � r . .. . : _ . '�. ,..v
<br /> 1k'i . . .. . � . -� ` - � -�. i�: ,�tS .. . .
<br /> .�} . ,
<br /> ,
<br /> ..._..,:.. n."'�ee-_•.±�i. '.•l .�rn�„. . -_._�. '' ...._eL„�i„�x.� , til�`(u:.',.
<br /> e -.-�.�"^ � � ...�-�� - �+ ----- --�----- ---- ,--—--_.
<br /> F �n - .• tf :.� ,.. ' 1� : �:�� µ�^„�����I-`•�.t , i i . . �
<br /> _ =w�..u,�.c�-+°^.6 sAts-.;wa.. ,}. . . ... , -k�.,t•i. . �'t-� r 1{4F1C��IS ipq��,iiF .+:� � .. ,
<br /> xr.rzt �'.���t�ek r s ' '� .�7�'r.'. � V Cl 4 •}1 "
<br /> ._..__'lS�44A7�F.�I���r�,,�� � �'.f.�-� � `iL f-- .}, tt� �.<tl .
<br /> — _��""�v�'���.��'k.�,�{.'�'�`..'�``+� G �v - � . _ .
<br />. .. .._..-,�s _ :. � .- ._,. . tR�. 111. '� �_ .
<br /> _ — _�.��ru�:;%'��T;•=>1':��ai ,�r,�'.�"x�'' Z�4'�,.Q"c.,
<br /> � y„-1 ...Jy,r ,"Pi:7.,�`}.. . .;iJ1•�,•R��� ,� ..��._ ra.,o o•
<br /> _— —��.;�,.,��,�f���' '��.u�'� n „ .. ,
<br /> -�-�--�.� �;xv "� s� yi.E�y,+.� v ;,�i � n • : �» � '
<br /> F! .r i�.c•.
<br /> � :LAMCSK��.��� !� `���[-�+•?�r�.:�.� ..";ri .r� II ��� ....
<br /> ,i
<br /> . __ .��.�r'1'� ��,�'k"j. y ���h Jh�,�, -� �il�' --� .ry `,�-�;i� . .. .. a
<br /> ._---_,msnaaieugl•�'���:Ar ,`,�Y x L'. r - �+4".''�:`l� �+e .Y�+�;�11T. �J �°'.'R � 'q. :l,• . ' .�
<br /> _=_ �1�c i^
<br /> � . .�
<br /> _£t' , 1 4.� "�� . .
<br /> �=�:�:Sik=.?'_- ...�,Yf� �� n•. �t�`���t.:'!Y�i:.r�.^'U.. j' .� 'f i �,
<br /> -- -"�_ -���-�-__" �: ..�.nCiVl�'i��1;�.:��lt'a '''� '� ' v.�,',;' ' •,
<br /> • �.rs.;r.��v��s.e:�sr.r�a+a;mm.cr�w.�._a�rm�.- �•�n�.:4v7�fM�y�;�i� �'� ... .
<br /> - %'�.'c'`w56'�, - .. .m'Yl►-7�yT.%L'�'�.i'.i°'4��!rR'�"4Cr,��.���-��'.N:F;• :�+� f�• +; .
<br /> ��j 4 U ' . ..�.�••. ..:�,.�` - � .. ` �� . , t . .. r `,t�.`.:,S+J�L��{� -•2+ • :I� • •• � ' •J •• .
<br /> � l . ���( �IS�I .
<br /> � . .._ .�._ .._.,IS��hw�.��d���r�'i8rsS1,L . _, _. _ _�.. ._ .. . i��_ n'�.�:et�.i',��, �Wi��l�.:..u._.. . ..._.. _. .
<br />
|