HomeMy WebLinkAbout1185BooK 2 5~4
aoaa- n~nms $T. LUCIE COUNTI. FLlla.wy .ow ^ »ex r...r«~ ..r r« ..b w n. M. a W. 1. a.. c.....,
~w..na, n..w.
'~..
~l~ut~t _ •_h _
;-~=
Florida ° . ' ^~' `~~''~.; N
QLountp Ot-... Saint Lucie----•-- . • ................ ~ ~ •..... •,~ -
„~~~:
----------------~at_'.~..~.i.J d1.1~g..~~roia? ~j a~....~Y._.~~p?~--Hn---P~tt~rsgn._......_..---••-----•-
------ (Name of Lienor)
..3.7.x._-.SOI~.t:~_ FA~:¢~a~.._H~ghwaY_~..Fort-.Pierce,-_-Florida
(Residence or Business Addreu of Lienpr)
being duly sworn says that in pursuance of a contract with ..................................................................
(Name of Lienor's Employer or person with whom he contracted)
~bvr~nd
he { ~~'~ }the following services and (Here desc»be the labor or services performed or
f urnuhed materials
materials furnished. Describe specially fabricated materials separately) ............................................
Furnished materials in connection with improvements to ~~, ~ z .T,
----~ c~ r-=-
_residence-_ on-.the.- real- estate described below. `-'r" c.. _ _ ~
r,~~a! ; D \
n ~-, ... ~ Z Q~
- • - _ ~-- o
~~ ~
rn v
ate..... ~
-------------------•--------..._.......----...._._.............._...------------------................---------------------------.......------~nt~ir -- o
r- A,
o n `_ ~ p
K ~ t~ O
to the value of._._.___~en_.hundred--~i„~ty_--tktirae--at1~..9$~~~------------------=--- '-------------------
. _ (State contract price)
on the following described real property. (Describe real propertysudicientlyforidentification,giv-
ing street and number if known) :___~Z15___-..~~l~~u__~~a~.iv~i~__-___~4?'~~d__ in_.the______________
s~~;f~.oe_..nt<---tku~__slsr~c...i.n..and._.~n~._~ain~_.~itcie..GQunty_;-.Floricla_ as----------------
LQt---~5,._:~laak_.X13.,..iii.Qnr.._Pa.rk..Anit..~2.._._..-------•------------------------------------------------------------
owned by________ ~a1~___Y_a.- Qti~$~l~O~A_~.._~~,~.-&?~ _.Helen _ VanBreeman~._ Jr . _~__ his wife .
(Name of owner against whose interest lien is claimed )
whose interest in such real property is__..__._.Qt!A4~ ...............................................................................
(State owner's interest, as fee simple, life estate, lease-hold, if known )
Eabv~- r
He further says that the last item of services was{ ~~ ~ on the.#~li0A.~3!-$ev~nth
materials t furnished
day of_.S2C~AhelT ........................~-..__..., 19.9.., and, of the contract price stated, there is unpaid
tho amount nf._.__ Three _ hundred fifty thrws sod 4f3/7 ~O
(State am~sunt un p niil )
for which amount he claims a lien on the real pr ~~ rei -cri~i ~ -
(ignature of Lienor)
. f
_ /
Subscribed and sworn to before me this....... °:~ .'_'w_......day o f.._ __ .............. ...., 19.__
1~fy Commission
~.
..
,.
~:
. Yt
~t~`'':~ii~u~~"•~•
~~•~`'
(county)
t~C~~~~