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~~ ~ ~+ C') ~ ~~ C7 -~ r7~ CJ C.A ~ ~~ Q l.~ ~ ` ~+ 1 m ~ ~ ~ ~ Q ~1 CD ~~ ~ to r S~ C ~~ ~1 o _ ~ ~ GON c-~ 1. The real estate subject to this lien is legally dese~+h$d.as:. _ ~ ~ ~ ~ CI OAK s Acid ~-~~ ~~. S ~ I . i '1.=`1~~ Bi.~ I ~ Cyr ~d Zs~ a~,nd , ~l au C~u~y ~1e~r~.SS~ . . 2. The person against whose interest is the real estate the Gen is claimed is: X21 ~d c~n~ ~ ~ r~~n~ a ~eh~s 3. The name and address of a claimant is: e ~r~nG R~o~i~} ark ~o~S'~ru~ioc~ a1o11 Q~~x~ Court C~rar,dlsl ~ 4. The nam and ~d~tess of the n with whom the claim~t ontract~d is• ~ i~e\a~- o~d ~I s rg~n ~n 15 S22 W ~1 ~hST/ ~ rand Zs~and ~2t~ b 1 5. A genera! descnptton of the services performed or to be performed or materials furnished or to be furnished for the improvement and the contract price thereof is: Ro~~ Replaco.~.cZt 6. The amount unpaid, whether or not due, to the claimant for the services and materials 7. The time the last services or materials were furnished was 1 I - I~-~q S. This is an attempt to collect a debt,and any information obtained will be used for that purpose. "this paragraph anly applies if the underlying debt is a Consumer Debt as defused by the Fair Debt Collection Act, in which event a verification of debt notice will be or has been served upon the debtor with the first communication to the debtor, or within five days thereafter, as required by the Fair Debt Collection Act. ~~nns~rucfi i ~t1 claimant, By sident 4ealsynconsaiien