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n <br />H <br />S <br />o N <br />200312058 <br />4 <br />CONTRACTING OWNER OR <br />CONSTRUCTION LIEN <br />REAL ESTATE: <br />r.� <br />D <br />rn <br />= <br />�-� <br />e) cn <br />o <br />C <br />n = <br />z <br />=ny <br />CD <br />T <br />rr, <br />5,.1 <br />;.; <br />A H <br />x <br />r` <br />V <br />O` <br />CONSTRUCTION LIEN <br />REAL ESTATE: <br />SUCCESSOR IN INTEREST: <br />s jo ji 'o *2— <br />commoni v known as (pi t in st. address <br />5 OL <br />CLAIMANT: <br />CLAIMANT CONTRACTED WITH: <br />FAVI <br />�T�� a ,Sty 4� r 1. ► :. fl (�:�I� / 1 r <br />SERVICES OR MATERIALS FURNISHED BY CLAIMANT: <br />Building materials. <br />o,Lc �? <br />W I <br />CONTRACT PRICE: $ Mtf MAIL A AMOUNT UNPAID: $ ?, 7-0? <br />TIME LAST SERVICES OR MATERIALS FURNISHE 30 <br />Signature of Claimant <br />SUBSCRIBED AND SWORN to before me this ) D day of S = -(vbL9 20 0.3 <br />L� a <br />Not Public <br />unew aska Z08 <br />r.� <br />�-� <br />e) cn <br />o <br />C> --� <br />= <br />J'rTi <br />CD <br />T <br />rr, <br />5,.1 <br />;.; <br />C> <br />O` <br />O <br />W <br />Sri <br />cn <br />a <br />M1 <br />r A <br />N <br />GJ <br />O <br />CD <br />cn <br />w <br />cn <br />ao <br />Z <br />0 <br />SUCCESSOR IN INTEREST: <br />s jo ji 'o *2— <br />commoni v known as (pi t in st. address <br />5 OL <br />CLAIMANT: <br />CLAIMANT CONTRACTED WITH: <br />FAVI <br />�T�� a ,Sty 4� r 1. ► :. fl (�:�I� / 1 r <br />SERVICES OR MATERIALS FURNISHED BY CLAIMANT: <br />Building materials. <br />o,Lc �? <br />W I <br />CONTRACT PRICE: $ Mtf MAIL A AMOUNT UNPAID: $ ?, 7-0? <br />TIME LAST SERVICES OR MATERIALS FURNISHE 30 <br />Signature of Claimant <br />SUBSCRIBED AND SWORN to before me this ) D day of S = -(vbL9 20 0.3 <br />L� a <br />Not Public <br />unew aska Z08 <br />