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io~i 14 PACE 560
ST. LUCIE COUNTY, rLA.
, .....~. I.~ . ................... .... ... tile N. . W, L .... c-
........11.., 'lei...
Oaim of titn
FLORIDA
~ate of......... ......... ......... .......... ....................... ....}
BRaiARD ...
tto un tp of..... ...... .............. .......... ..,... ::-....... ...... .....
MEEKlNS-BAMHAN PRECAST CORP., a Florida corporation
.. . . -.. -................ ........... .......... ............. ......... ........... ......................... ......... ........................... .... ......... .................................................................................o.....................- ......... ...........
(Name of Lienor)
...,..... r.... .Q.... .B9.~.. 211.... Ha1.1and.a1e.. .. F.1~.:t1~..... ..............uo................ ........ ................ .... .......
(Residence or Business Address of Lienor)
being duly sworn says that in pursuance of a contract with ...........~.................--...................................
R. Vance Smith
............... ............ ............. ..... .......... .....--... ..........- ...................... ............... ............. ........ ..... ..-.. ........... ..... ..... ................ -....................... ..... .........-.. ...-..... ..--_...... ................... .... ............
(Name of Lienor's Employer or person with whom he contracted)
he {~f . . h d } the following {~} (Here describe the labor or services performed or
urnas e materials
materials furnished, Describe specially fabricated materials separately) .............uo............................
Ten specially fabricated lin tee beams, each beam 48'4"
. ''''''''Totiirwe'rgnt:'''of""'6';'91I''11)"8'~'''eicli "as' 'per"ii'pectfic~tl'otrS "pr~t>arett.....
..' ......J?..Y.J~ .~.__~!.!!.~__~.~~1--.~~t~.~~.~~---~~~..~~&~.~~.~~.--...................................--- "'--"'.""
......-----------....---............---.................--..........--......................-................--....---...................------..........-......---.....-.....---...--..--..............-...........-
.. - .. -.............. -..-.. -_.- ----.. ......- --- ......-.. ....-.....-.. .......'" -- ....-..........--..--................... .............. ...... --............- ....... ---........... ...-.. ........-.. --.. __a. _......_ _____.. __......... ...._............. ........._......
...... --...-.... -"-' -- ---..... ........-..... ---.............. -..--.... ---.. ........--.....--...... ..........-........ ---....- ---.. .... ................. .........................-.................. .......-.. ........... ......-....... ......... -..-........ ...-...... -..- .........--........
$2,302.05
to the value of --....................... -- ..----.............. .--..--.... ............................... --.... .......................--... --.. .............
(State contract price)
on the following described real property, (Describe real property sufficiently for identification, giv-
ing street and number if known) : ....~iM~{f~~A~~:ri~~~~~.~a.!;~r~~~~~e.~~..~or.......--.
., , ........... ........ ......__.__.... .............. ...... ......all.. plIXllos.es................ ........... .--.......... ....... ----........ ..............
.. .................A~..Wy.~...joiiN..sTOCK'i'Oir -and ..HDBDT--MARSa;...&s..!rustee.s..l'or......--
owned by...l'.or.t..s.t......L1.lc1.e..Hedw.diB.t...Cbw:ch.................................--...................................
(Name of owner against whose interest lien is claimed)
whose interest in such real property is.........~.~~...~!~.~~__.........................................___......................
(State owner's interest, as fee simple, life estate, lease-hold, if known)
{--- }
"h 'it "...- 24th
He further says t at the.ast em of ~ was{ fu 'h d } I)n the......______.................
matenals mas e
day of...--..--..........~~~.~...........--.........., 19...~~., and, of the contract price stated, t t'is ~npcli~
$2,302.05 7-
t he amount of... .--.......' ............. ........... .................... -- ....... ............ ............... --...... --......... ...... ~....... ..... ,
(State amount unpaid) .-r~1 'C.
for which amount he claims a lien on the real property herein described, .~~
~ PRECAST .....~
........__..~J..L7.k . .... . ...................
By:' 'enor)
',..'., . e nc
" . <(, ~ ~ to ~ribed and sworn to before me this.......?:~~.!:..........day of................~!::1................, 19...~.~
..~~(.'/I~~ ~ ~~ .- L-, -
'.J I ~ 01 A Fiy \. '\ ..~~.~~~t../........:........
~ : ~ .,.:: (NotartJ PublIC)
.. ~.~ l~ 1 = '.T
~ "~~ ~~ G ~: Not3FY Public: State Of ~\ofida at Lar., Broward County J Florida
_. ~ ~ U B ~ \ i '? ~ M Com~On Expires July &.1..J.~................................._...................................
~ 'l' Mv C~'=., , ,y Surety Co. 01 Nt ~ .
~~. (f".."......~~....~... e.r,.res..,.8ondId.JaY.~........... \ (lounty) (State)
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