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200600951
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Last modified
2/3/2006 12:22:11 PM
Creation date
2/3/2006 12:22:10 PM
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200600951
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<br />N <br />S <br />S <br />(j) <br />S <br />S <br /><0 <br />0'1 <br />-'" <br /> <br />(P _. c.-- <br />~\ ::6 g- <br />aT'::; <br />\-1 . <br />r:.re~ <br />p'~F' <br />6-. ~ ~ <br />(: ,-- <br />Zc ~ ~) <br />(\\ ~. <br />-- \ <br />D VO <br />r;/J <br />6 <br /> <br />- <br /> <br />,., <br />~ <br />c: <br />lnn~ <br />%.....(1) <br />m ~ .. <br />n(/) <br />~:c <br /> <br />nn <br />:J:)o <br />m en <br />n:t <br />~ <br /> <br /> <br /> :--v <br /> C,.;:';'" <br /> <::::> <br /> " 0':> <br /> r~ ...,..., <br />;:r:; ~~ ,...., <br />nl co <br />c.--" <br /> '-~ <br />0" <br />" W <br />Q t1, <br />IT1 ~ ~ ::0 <br />m e ::a <br />Q <br />(j') l--' <br /> ~ 0 <br /> C) <br /> co <br /> <br />O(j) <br />0-; <br />c:::z;.. <br />z-; <br />-;fY1 <br />-<0 <br />o ." <br />>1z <br />I f'11 <br />:>cn <br />r- ::0 <br />r:> <br />(/) <br />;;>0:: <br />l> <br />...........--.... <br /> <br />Above Space Reserved for Recording <br />[If required by your jurisdiction, list above the name & address of: 1) where to return this form; 2) preparer; 3) party requesting recording.] <br /> <br />U> <br />en <br /> <br />J <br /> <br />200600951 <br /> <br />Claim of Lien <br /> <br />............................................................................................................................................................ <br /> <br />Date of this Document: ;::p,J, 3 ...;<,ooG <br />Reference Number of Any Related Documents: {) q (; !J--7C') <br /> <br />Lienholder: <br /> <br />-::r;; h J C<< wn (,.)f% <br />!:it;~ W~7e <.<JO .'c/ <br />_ ~/!iAJd LS(J<I,ud J~ "S~c)1 <br /> <br />f <br /> <br />Name <br />Street Address <br />City/State/Zip <br />Property Owner: <br />Name <br />Street Address <br />City/State/Zip <br /> <br />5. tUJ.ff- AJJt:(_ r(;l,-fl, y LAW 5 <br />'tD7 W. r~c~Lf~ <br />- KJ1.AJ 4" ::CS CWo J t: ~ ~;f' 0 I <br />/ <br /> <br /> f;' <br />ant <br />N [ <br />a ?: <br />0 <br /> - <br />en :::s <br />C) I <br />C) <br />CD <br />en ...... <br />...... :2 <br /> 0 <br /> 0' <br /> ID:> <br /> <br />Abbreviated Legal ,Description (i.e., lot, bl ck,. plat, or,section, to. nshl& ral]l.e, quart~r~quarter or u it, b)..lilding. and \ <br />condo name): Lb . . . - ~OC /1../!..f'<., F-tH...II'L.t-/" S ,1/5 otJ <br /> <br />Assessor's Property Tax Parcel/Account Number(s): <-/ () () 3 7:<' if ..zt <br /> <br />~~~~i;OfU iJ~~f /;;i(~u uu uu UUUU U U U U U UUU UUUUUUUU uu uu uuuu m <br /> <br /> <br />Before me, the undersigned Notary Public, personally appeared '-'-0 h N rnm 1 AJ 5 <br />(Lienor) who duly sw. or~ says that he/sh is the Lienor herein) (th~enJ of the lienCf herein) whose a dress is <br />l) Il ClOt:. woo c ;, ~ '- rJC 'UtV ('/ PJE fib~nd that in <br />accordance with a cont act with .~ j,< . ,vS (Debtor) lienor <br />furnished labor, services or m~terials consisting of (describe specially fabrica,ted ~aterials separately): 5<:! ~p c..... <br />oFF ~l..j) ''iexTUI!.t:., ~el!1-/;<2 .J)~yWII.L(. ~~Jt../AJ&- If 'fJA-i,vT l,u <br />a l/fi...1 t!./::-, <br /> <br />www.socrat@s..om <br /> <br />Page 1 of 2 <br /> <br /><tJ 2005 Swote, Medi.. LtC <br />Lf136-1 . Rev. 02105 <br />
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