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Claim of Lien ................ ... ......................................................................................................... ............................... _ %..5-e2 State of S�v4 County of A L—l-- Before me, the undersigned Notary Public, personally appeared M LL AE l who duly sworn says that he is (the lienor herein) (the agent of the lienor herein) whose address is 1,�3 1 C2 thl ebb PO, a2.4u fJ,� ► ? r L �P SlG.4 and that in accordance with a contract with lienor furnished labor, services or materials consisting of: (Describe specially fabricated materials separately) on the following described real property in NA L_ County, State of (Describe real property sufficiently for identification, including street and number: L r C, 4<- SGg--j 171 Qt y r C � I� - - f - .. _ I =A n _dam i� a r 7-(.7-1-=Y7 by !_ . L of a total value of Dollars ($ SSa °p )+ i4T4a T- of which there remains unpaid Dollars ($ O �' __ ) L4re-.&F T' and furnished the first of the items on IJA 4- 200 and the last of the C-3.2,6.&5 items on 2005 and (if the lien is claimed by one not in privity with the owner) that the lienor served his notice to owner on 20 by (Method of Service) And, (if required) that the lienor served copies of the notice on the contract on 20 , by (Method of Service) on 20 , by lender ,on and on the subcontractor and (if known) on the by (Method of Service) -F ra cn C=> N _ (� d i —i rn c G) �ww�ww�w T � my ED ^ O,' O C;� r C_Fl } ,w. CIZ , o cri Claim of Lien ................ ... ......................................................................................................... ............................... _ %..5-e2 State of S�v4 County of A L—l-- Before me, the undersigned Notary Public, personally appeared M LL AE l who duly sworn says that he is (the lienor herein) (the agent of the lienor herein) whose address is 1,�3 1 C2 thl ebb PO, a2.4u fJ,� ► ? r L �P SlG.4 and that in accordance with a contract with lienor furnished labor, services or materials consisting of: (Describe specially fabricated materials separately) on the following described real property in NA L_ County, State of (Describe real property sufficiently for identification, including street and number: L r C, 4<- SGg--j 171 Qt y r C � I� - - f - .. _ I =A n _dam i� a r 7-(.7-1-=Y7 by !_ . L of a total value of Dollars ($ SSa °p )+ i4T4a T- of which there remains unpaid Dollars ($ O �' __ ) L4re-.&F T' and furnished the first of the items on IJA 4- 200 and the last of the C-3.2,6.&5 items on 2005 and (if the lien is claimed by one not in privity with the owner) that the lienor served his notice to owner on 20 by (Method of Service) And, (if required) that the lienor served copies of the notice on the contract on 20 , by (Method of Service) on 20 , by lender ,on and on the subcontractor and (if known) on the by (Method of Service)