HomeMy WebLinkAbout2683~. R ~ 52 ~>is~61~
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DtEW'S fptM M T20% M~nufocNr.d and for wl• br T~• H. l W. {. Dn. Con+o~w
EIptIDA STATUTES to ctco n.lll., Florldo
~~ai~n of lien
Florida---------------------------- ----------------
4~ttlt¢ Of------ ---------- fig.
Q1,Olliltp Of...--Indian River------------ ----- -------------
Air Control Pi-xlucts Inc. --of Vero Beach------- --------- --------- ---------- ----------- - ----- -
--- -
(Kant(' of Ltcnor)
1705 So. Di~c~± Ave., Vero Beach
(Residence or Business Adtlrc°ss of I_ienor)
• F. Vance Smith
being dul}~ sworn sn}•s that m pursuance of a contract wttft .---.-._ .................._---_.----.-.--._......---
(Name o/ I_ienor's Employer or Berson with w{tom he contracted)
labor and
h~ ~ performed t{te following services and (Here describe the labor or services performed or
f tzrnishecl } materials
materials f tzrnished. Describe special!}' fabricated materials se aratel r -------------------
p - }- ------------ -------------
four (4) 2~g Y 6f8 Fir doors with aluminwn inserts including glass, screens
-------------------------------------- - ----------------
and operators --- ----------------- ----- ----- --- -------------------------------
-- ------------------------------------
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one hundre__d__ one dollars an~_ seventy seven_ cents_ ~'v101.77~ -__-----____- _
to the value of----------------- - -
(State contract price)
on the f ollou,tng dcsr-ribed real propert}'. (Describe real property suff iciently f or identi(tcation, giv-
ing street and number if known) :-.1~-_15_.~-??_-the-north 20 feet of lot 16, bloc!: 1 Unit 1 of
Fort Pierce Shores Subdivisions according to Plat thereof recorded in Plat Eook 9_
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- fie- 9,-. of._ th?-. Public --~'~~ox~s- .9~-.St.~-_I.uci.e _ Couut~,.. F~.Qr_~.--~'--------------------------- -- -
at_-Pa - ---
Charles F~ . i awsett and :~bal B. Fawsett --_-------_-------------_-_.._--..-._---...--....---.
owned b}'---- - ------------------------------------- ---- --- ----- - - --------- ----------
(Nnnte of owner against whose interest lien i-s claimed )
Simple - - -- --------- - -
whose interest izl such real property' is--- - - -------------------------------------------- - ------------ ------ -----
(State otuncr's interest, as fee simple, life estate, lease-hold, if known)
labor ~ performed
II(• /urther says that the last item of scniices was on the---.-~*------------------
f urntshed
materials
Se tember __._..-, 19 62-._, ar,d, o the contract price stated, there is unpaid
da)' of------- P-------- ---- ---- ----- ------- f
y ~---- ----- -
one htuidre_ d_ _ ono dollars--and--sevept _s@Ye7a-_cem~_(~~1Q1~77 - -
the amount of._-_....--- -- - - - - - - -
(.Sttlt(' amOil)lt I[tip(!i(l)
d' ~ tt>~mottnt he claims a Lien on the r('al property h~ ereirt describer!.
,. , ,
__....
---- - -
-, ..~ G T,, (Signature of Lienor)
., .•.
:. ~ - `> ~ ii crud and sworn to befor(~ me t{lis -------------- - ------da}' of--- ---=--------------- - -
tS~ ---- ~-~ ,
' 4
7
1 ~ -........~ ... - _...----_~~--- ------- ~ l
'~ •~~,•., .. ~,~.` - (Notar~r Pub ic)
~f .., i~~ . ,-
A1y Commission expires--------='--=---------- -------- --=---- (Counh') ~--- - (.S' ate)