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' Si, ~I11;IE COUNTY flA~' ~ ~ - •
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tau ot...fl~at~tlw .......................:..:.:._........_ ~ ; 196! ^EC 12 PM 3: OS -
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•• - ROGER PO ?RAS.IXERK
~ountg ot..si..__1.v~cl~.._..:.....~............~..._..- ST. LdCIE COI~i~FlOR10~
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, - (Name of I.unor)
......----~~. ~t4u~h.~l....~.a..~ .l.s...,~Rl: 4. ~e?j:~~s.. St. _-Luc is CountsY.~e.. Flora da.-_.....
(Residence or Busineu,rlddress of Litiior)
being duly sworn says that in pursuance of a contract witk .GHABLSS-.G...RApE~A-t~Rk~-•t4~d-,----•
_V_IV_iAN...I...R1~DF.~8A3~QrH,...la~i-z. X13.tt...---..__- .............................~......_.. , .._....._._....................... .
(Name of Lieno>'s'Employer or person with whom he contracted)
labor and ~ .
he {performed }the following.- services and (Hare describe the labor or services per~o-med or
f urnuhed materials
materials furnished. Describe specially fabricated materials se ratel Gt~~P~~t~Y..install
..sA~..~Qms~suAt.,~txR..Q..~~..:1c_.~3...>~iw_..~~i~!~A~!!~9...Poo1~ complete._r+i th. appurtenances
as__p~r__contract__betirsen _the__partiss dated.Au$nst-10~ -1961,.. •.~
....
to the value of.-.__-...-__ -.. -..- .----~._ ~ .-..II•QQ~ -.. -__.-_...-..-_. -...----.. ~ ~: r-~..,t1.! '~` ~'
• (State contract price)
on the following described real property. (Describe zeal property sufficiently f or idetttiJuation, giv-
,.,
ing street and number if known) :.B~eg3:n.•at--.~..~..~sra~tt..~d:__fl1RG1~....3p..A~.._~O~l.~~~
SUBDIVISIQN, run E. 150 feet on N. line of said Block NBM, thence run
_g.._?2.~s8t,_.ihencs:_raui..li...-•1~O...Lest_.io._Y....lias_.AL_.saisl_.B1st~Gk~_ NB" s_. ~1}~nce
run N. ?2 fast to the p nt of bsginning~ as per plat of said QOLLIERiS
.SUBDII!_IS.LO~i.-osi»fil.s_..iii.. ~.P.uhlic..Records..nf..St..._T.ucis..~si~~t ...Fi.st~ci da •
Said property being 121, South 33rd 9traet, Fort Pierce, Fior~da•
owned by..~ki~ARl_.1~~..Ct,~..liATrEB~At7.`~tH_.a17td_.V1.~-..i~Ai~._~...._~?~e~1.~i.. hi s. tai f a ~ .............
( .Name of owner against whose interest lien is claimed) -
v
• fee si _ls
whose interest in such real property u ................_.®P,.._.....------------...._._....--------_................:.._._...__......_
(State o,~wner's interest, as f ee simple, li f e estate, lease-hold, i f known )
- labor ~ ~ p~ formed t
He f urthtr says that the last item of services was furnished j °n the.....2~,h--------------
materials -
da o Sspt~mb~ ~'_______________-.._...-_.,19-~.., and, of the contract price stated, there•is unpaid
the amount of.~..-..-- ---.__- _-..-.._-_._-...-...-._..~.La~QU~~..-~. ~..-..-. -..- ..:...- ~ -_.-. ~.
(State amo:;nt unpaid) . •
for which amount he claims a lien on the zeal property herein describ d. 4~
resident ~ Signature o~~Licnor)
Subscribed and sworn to before me this.....~~~3.. .day of.....A~~ ~E~.......~ ._.., 19....3.
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- .. ...._... ............-...(Notary Public)
.~~p1,;;~..R;.r~;'~:~-,,1~~~.- ~S~tr-~~:da•~-.._~ ......................_...F:1lua~di------....
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.' ~M~Corn~l~e_xpires..~~ID.VI~ICY._.~T,._~4~~ (County) (State)
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