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RECORDING REQUESTED BY <br />AND WHEN RECORDED MAIL TO <br />Name —D� /rO� y / n <br />Street �il/�'/ O! LCA• e v�t�JCN �7 z7eI JL <br />Address (p <br />city s e4l- ok <br />Zipte 9232 <br />SPACE ABOVE THIS LINE FOR RECORDER'S USE <br />Notice of Completion <br />NOTICE IS HEREBY GIVEN THAT: <br />1. Th-- undersigned is the owner of the interest or estate stated below in the property hereinafter described. <br />2. The full name of the undersi-ned is 917-Y OF COMOAI (NAME). <br />3. The full address of the undersigned is 650 N. ZQ G'ADE.vA L9RIV6 <br />l.OL 7-,0N, GA 923 24 <br />(NUMBER AND STREET. CITY. STATE. ZIP). <br />4. The nature of the title of the undersigned is <br />(E.G.. owner in fee OR vendee under contract of purchase OR lessee OR OTHER APPROPRIATE DESIGNATION). <br />5. The full names and full addresses of all persons, if any, who hold title with the undersigned as joint tenants or as tenants in common are: <br />Names Addresses <br />6. The names of the predecessors in interest of the undersigned, if the property was transferred subsequent to the commencement of the <br />work of improvement herein referred to are (OR IF NO TRANSFER WAS MADE. INSERT THE WORD "none"): <br />Names Addresses <br />7. A work of improvement on the property hereinafter described was completed on !AV&, 'r W, 1998 (DATE). <br />8. The name of the original contractor, if any. for the work of improvement was SEMZMAL��C'E�t/6/1l/ 'lNG CD�57�GNT/ v <br />(NAME OF CONTRACTOR. OR IF NO CONTRACTOR FOR THE WORK OF IMPROVEMENT AS A WHOLE. INSERT THE <br />WORD "none"). [IF NOTICE COVERS COMPLETION OF CONTRACT FOR ONLY PART OF THE WORK OF IMPROVEMENT. <br />ADD: The kind of work done or material furnished was 1-AA1ZX1KAP,1.l16 <br />(GIVE GENERAL STATEMENT, E.G., furnishing of concrete for sidewalks]. <br />9. The property on which the work of improvement was completed is in the City of &ZrON , County j <br />of State of California, and is described as follows: iQDLEY D,e/V25 &ZA2 <br />-,"MI t/GrOA/ 6re66r L"0-%4Pe MSD/AA/S <br />(set forth description of jobsite sufficient for identification, usin legal description if possible). <br />E <br />10. The street address of the said property is CDOLY 1760E .4"10 W,45fhAA! YMW <br />(NUMBER AND STREET. OR. IF THERE IS NO OFFICIAL STREET ADDRESS. INSERT THE WORD "none" <br />Dated: ltl,00 H6550 /2 , 19 <br />(SIGNATURE) <br />r <br />(TYPED NAME) <br />PvP.x�c t�aeKs t�ie�cro�e <br />VERIFICATION <br />I, the undersigned. say: <br />I am the person who signed the foregoing notice. I have read the above notice and know its contents, and the facts stated <br />therein are true of my own knowledge. <br />I declare under penalty of perjury that the foregoing is true and correct. <br />Executed at G/rY Dom' MZr0A1 California i /2 �day of AI�l/ � 19 Z <br />(SIGNATURE) <br />T 420 LEGAL (4.94) <br />