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223 CONSTRUCTION LIEN 87— t020 74 Huffman and Felton i Wolf, Walton, No 6ml <br />CONTRACTING OWNER OR SUCCESSOR IN <br />INTEREST: REAL ESTATE: <br />�:...�.L�;.('CV h..c, L , i .�..:.� J , ( c < ( ti ........... <br />(Legal Des taon) <br />CLAIMANT: <br />(NameL <br />(A ::.......... <br />(Phone) <br />CLAIMANT CONTRACTED WITH: <br />.... .. .................... <br />(Name) <br />...................... .............................. ................. .................................. <br />(Address) <br />_ ............................................................ ............................... <br />....................... ............................... ............... <br />(Phone) <br />SERVICES OR MATERIALS FURNISHED BY CLAIMANT r..i_L ,� .lt i C �'.L S -..: L�. - "�.- ......... ........ <br />` (J ��l ? I..E '.?. �. : CfC+ i...' ................ <br />CONTRACT PRICE: $ AMOUNT UNPAID: I Q$...,, L.C.,Q=. ( .................. <br />TIME LAST SERVICES OR/MATERIAIS FURNISHED:..._.._I -.4 .__ 1... -.1 -.( . � ...... ............................... <br />ss. ....... ..... ......... <br />Signature of Claimant <br />Ca rte._ ........ County l <br />On this_....PC ........... .....day of ............. , 19.�. ?... before me a Notary Public in and for <br />said county, personally camel.. r..l� -'. �,� .1 .. _... to me known to be the identical person or <br />persons who executed the foregoing release, and acknowledged the same w be his, her, or their voluntary act and <br />deed. <br />Witness my hand and seal, in said County, the day and year last above written . <br />d <br />tesclN►wt�usr -u'u a s.karia Notary Public. <br />JESSIE C. GILSOW <br />Carom ExP. }2, 1 7 <br />. r _._......_._.._.....day of _ _ ___...._... - ._......._.._...... 19.- ..... -... <br />STATE OF . -.. Ise. Entered on numerical index and filed for record <br />County of _.. _. _... in the Register of Deeds Office of said County the <br />....................day of.... .. .........._..., 19....__.., at ----- ......... .. - -... ... ---- o'clock and........................ minutes .................. M., <br />and recorded in Book._ ...... .... ......... .of...- .. ---- ._....- ___.at page. . ........ <br />.__...__.._.... <br />................................................. Reg. of Deeds <br />4 By .......... . ..._.. ...._................. ......... ........................ Deputy <br />t <br />l <br />i ', <br />