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FLORIDA STARYtlf . W~MI'f f0lM M 120~/~ l~Y. '~1 Man~lacqyl~l~~ ~ il{ e•~~o"Y
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ROGER Pqi~rRAS. C~~RK •
~t~te of_....FlO..'_`~~" S~. ~UC~f COUNTY,
F~oaiaa
~OUI1tp Of_..._ St. Lucie
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BEF'ORE ME, the undersigned authority, pe.rsonally appeared
1.S. Rubin, Jr. who
,
bein~ du13~ sworn, says that he is (6~ed~~ (the [agent]"~[~I~c] of the lienar herein)
P.O. Bos 39~ F`t. Pierce Florida
u~itosc~ address is
R.~i. A~Vriea, Inc., F.O. Box 382,
and that in pursuance of a contract with
Merritt Ialand, Floridz
dic-nor furnished labor, services or materials consistin{ nf ._._.~°?~~_.°~.~'!rell~oint DeWaterin~ ,
Equipment.
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(Describe specially fabricate~d materials separctely)
St. Lucie
on the f ollvwin~j described real p~operty in
C'ount~~, Florida A~'tion tr~ Garden Terrs~ce houaing ~ro~ject~ I{~rn fos~m~?3.1,~r
aa Pro3 ect Floridg 41-1~, locat,~d at and ne~r 30th. Stseat and Rvenue J, Ffi. pi+erce.
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(DF•scrihe propert~~ su f
f iciently f or id~nta f ication and ,~ive street address if availcable)
ownf~d b~~ Houaing ~uthor3.ty of Ft._ Piarca, Inc.: 503. 5..._32na_.s~.,~..gt...Piar~el._Florida
of a total value of $----~'~~•57----------•-•---------, of which there remains unpaic! ~••-••~47•57.....-•-•----
Daceraber lA, rg61t._. anc~ the last of the
~nd furnished the first of the same on
same on ..__,~~ch 18~ , 19.6.~~.... and (if the lien is claimed b1~ one not in privity
with the owner) that the lieno~ serL~ec~ his notice to ownPr ore... ~~~h.~t 19b5.... by
(,h~rF d~s~rtbe method of serUice of notice)...~~~atered M~iI ~ Return Ree~ipt
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Foundation ~fellpo t Co of ri
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A.S. ftu~??in, Jr. V'.P.
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.5'u~orn to and subscri6ed before me this_...1.].------•--...day of...---• ----------------fi;;~~~9~t~
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NOTARY PUBUC 57ATE ot ~l('41DA at IARGE (Notar P,ispc~C}(~''~ _
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.'If~~ C.~ommission cxpi~es.~~-cor~auss:o~;-~xP-~;is-s€.~: is6s . - . ~ ; -
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~pHbED 7MROJ01. ~FE~ n!t"'rrlHO'+°-' . ~ a a! ~1~ti.,
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