270 Belvedere RERF21-0197 NOCDoc #2021206221, OR BK 19855 Page 2353, Number Pages: 1,
Recorded 08/10/2021 03:54 PM, JODY PHILLIPS CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
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RetttdtNo �� , 11u q S ODU-�
To whoa It my gone
TM WWW*BW Mrft inft is YOU tW bWWMwft W9 be Marie tO certain Seer proms and in
713 of the Mrtds 8&hA . the iFOttOw+i w Wrrrtsfioa is stated ie this mance OF
AddMas of ptcgnrm boing Vnpravft
General dematptbn of � $
OwiYel"Stir�rba$ 6f Sita Of the 1Atpt+ov®e lath
Fes ® dw(ff ww thea Owner)
Addre"
catatrectwOMM B R 01 H W R Mcuac
Address P080X3303.37ATLANnCi?t 32233
Phone NO. eoc aaeieto Na. °�.��8 48Y0
Surety(M enY)_.
Phone Ab.
Fex No.
Name and address of Supt Pwe_Otl maidno a loan :ort w eonatnucraat of the �mvemaats.
Nemo
Address
Phone ldo.
Fax No.
Piaa7a or pettnen u�lrfn bw 8teta of Plwlda. �a:-�an hlrneefs: d
domnert� My be SMved: ' ast9naa d by otvn®r upon wMm not{CeS or other
Nerve DANNYFadAW
Addm, 155 tJli33 B A 1� BEACii Fi 3 233
Phone No.
Fax Ido.
in add&n to hkuself, Ower d q� 1oUot;
Section 713AB (2) (b), Florida tom, MM to at owners racellre a COPY ofthe Lienar a Ptdoce ss WOWded in
Mame
Addram
:�ilOrls Nq,
No.
MMM9 date is speoAedk (tha Watton este is one 11) yoerWM aha trate of
iH(E BPAGtr POpt RE [)e" CI E Uffy I ¢
et 4�0.J7�E.�72q_ 2,l
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at at r LL[n QNB
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