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~ ~,o,r, M f IL ANO RECORO~ ~ .
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~ • 196~ AtfG 10 AM 8: 51
- ~la~m oE ~~en ~
ROGER POITRAS.
ST. lUC1E COUNtY, fIOR A
~rcaa ot.....~..~'i.o~una
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4~GGount~ ot.......~7G. •t; -
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• .......~o.Dar.L : ,
.$«--Hre.A+dt',yt»» ..~,.~..'y ~
~ (Name of Lisnor) ~ .
~
~ ~ $4Z. ~...~1~..~.~~~ F4.~..~'.~.~ ~e~¢.~...~~
5~.~:~.......... :.r.!'s.'
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. (Rtsidt~ce or Bwineu Addseu of Lie~eo~) f ~
• being duly sworn says that in pursuanca of a contract wit/t ......Ii....T..~..~y.d~~ ~
~ ~ ~.~H....H....~H..... (Name o
f Lieno~'s Employea or person with whom hs contracted )...W ~ 1
~ labor and ~ ~
; f~rn~l~d } the following s~rvices and (Hesa dcscribt the labor or aasr~ice,r petformad or 't'
. m~aterials ~
' mattrials furnish~d. Descsibs specially fabricated mattrialsssparattly)......E1.aGtric..a~rLriag~
_....~..~la~~s~.ca.1..~.siui~nL..aad..lahar..Af...in~allatioa_.Bad.aa3.riap............
i ................................M......_._..._.................__.._......_..__......._.....__..............._........_..........._......»................. . =r:
i
; •--........contract price .
i . _..._.n~..~.he...uals~.~o~.$3~0-«OII..o~--~~-oA-
ths.-~~#d»a~a#.•-o~~g~---#$.
~ ts~situ~~kat~._..4n~..b,ua~~.sLs~9hix..t~is4~..~nd.ao~.L4S~..s~Ql.1.~ .
. (State controct prece)
on #he f
oUowing described ~eal psoperty. (Descrihe r~al p~opttty su~icientty f
or identi~catioa, giv-
~ ~ • that ee rtsi e d
s~g street and number :f ~nown) .~_.~B~p.L ..~,.3~.._. esc~ibed
i~ deed reco rded ~
! a, in O rde r book 95 pag~ 5t~.0 publ i c reco rds of St . Luci e Connty, Fl o ri da
~ nn.Angust_.8,..1~~6~j..... . '
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! f.atme.rl.~r..awaed.b3~.-H.~..-~....Ss~rde-~-.srd-.~..:Cs.....S~+odss -as~d.._p.~t~snLLyc•,~~.._.,
; .
m oumed ~Cha_ts~._.H._..Sb~1~.z_~..S I.3t~a...J....Sh~a.~.~..._._....._
, bY-.....-- Y-
(Name o
f ourner against whose iatereat lint u claimed )
~ ~ tahese interest in .ruch seol proptrty u____~____~r i~,
, C ..s3~oapl..s
. ~ (State oume~'s inte~est, ar f
ee simpk, lif
~ ~stat~, leass-hold, if knoum )
: d labo~ 7~
: h u He f
urther says ihat the last item o
f ser:~ices ¢~°~ed on llu..~tlx.31,..,1 qb~}.
; ~ f
urnithed } -
, . :
~ day of...~....:)!il~'~. , , , f
19. ~ and o the conhact pric~ nat~d, tri~s~ is unpaid ~
~ ° ~ the amount of
_......411~4 _.~l~d ~~511.~,Y. ~~l.t".t4_..~411 .~A~tt? ~I~_s.C.At
~ ~ ,
= ` ~ (State amount unpaid) .
. ~ fo~ which amount he claims a lien mt the feal propesty hesti~ described.
. ~
f • '
, {Signature o ~ -
~ Subscribed and sworn to baf
os~ me this ~
i~h th f us t~._..._ 19 : -
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±~1'~C~um~rsuna~~c ru..~Z.Y..28.,...1.~??.•..... (countY) (Srats) .
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~rf'.,~'~w . ? 0 R~ 95 ~cE54'7.
`--•!pna..•~• . • ' . 800K
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