privily with the owner) that the lienor served his notice to owner on
($20,016.00) of which
Dollars
and (if the lien is claimed by one not in
4/9/03/ April 9th 2003
By Certified Mail
(Method of Service)
and, (if required) that the lienor served copies of the notice on the contractor on April 9, 2003
by Certified Mail
(Method of Service)
, and on the subcontractor
2003, by Certified Mail
on
(Method of Service)
Signed this
day of
April, 2003
Agent
}
On
04/09/03
before me,
,
Appeared Gary Mazzonable
Personally known to me (approved to me on the basis of satisfactory evidence) to be the person(s) whose name(s)
is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in
his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person (s), or
the entity upon behalf of which the person(s) acted, executed the instrument.
WITNESS my hand and official seal
S1gnature
Signature of Notary
Affiant
_V_ Knnoowwnn
Produced ID
Type of ID -
- ---
••,•"'""'"·KATHLEEN A. DOMASKA
FILE:2003171725
OR BOOK/PAGE 03609/1178
.\ MY COMMISSION # 00 141452
'!,/_!EXPIRES:October 7, 2000