HomeMy WebLinkAbout2268 T
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rt~~t't` t~~i:ti~•~•., 1~ r.t,~t~l~.~ . Fl:.~p AND RECORDED
fL0lIDA fiATtlTES DtEW'f FOiM M 120y~ Monufoct~~~d on~rY6t w , Dnvr~~ K
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.~l~e~ '65 ,1!1~J 3 0 P~ I 5
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FLORIDA ROG~.t~ i'U! i i~A;~. cL~Rtc
~tate cf-•-•-----• : ~5~'.~~;UCEE COt~NTY., , , _
,~'i0Ul1tV f. SAINT LUCIE-•--------~-------------•---... _ . -~~.4CjR~0A. ~,1. , J;
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~ Hu$~~'_.SugAx~r.,...~.ri~.. - - - - .
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~ ` (Nume o~..I.ienor) . .w< - . :
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~ -----------------North...25th__Street,_--Fort__Pierc~ _Fiori3a.----........-•-----•--•-- ~ ` ~ . e
(Residence or Business Address v~ Lienor) ~ .
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being dul~~ sworn sag~s that in purauance of a contract zuith ________________~?QX?~~'_~ _~1~dQi7„~...::'.%;~,.~,:~:.:.:
.North Fed~r~.~...~3.9kiW.~y_.~._,~a~~.._Pi~~~~_,...~'1.ozida......----•-------
(Name of Lienor's Employer or person with whom he contracted)
f pcr f ormed labUr and
he 1 furnished } the f ollowing service~ and (Here describe the labor or services per
f ormed or
materials
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. materials f urnished. Des~ribe specially f abricated materials separat~ly)
~ Huber Su 1 In .
----------------------------------------P.P__Y_~...---._~_-_.... s ~pplied._~~~..m~~~x.i.~7.~...n~~~.~sary_,faz-------- ~
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------------•--------the---plumbing---installatiQn --~~d..a~~Q__,~u~.na.shed••-~ahox..s~.n._~a.me...
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to the value of----~ivE_.hund;-ed..forty.__~~540...QQ.1---dallars-=------------------•---•----.....---•-•------•-- I
(Stafe contract price ) ~ ~
4~ on the f o~lowing descrabed r~al praperty. (.t7escribe rcal propcrty su~iciently f or identi
fication, giv-
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in,g street and number if known)
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` Lot 3 Block S J S.._._Keen,_Subdi,y_ision,__S~_,.,_LUci~__Cgt~#~_~~_,..__._
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~ ------------•--------Florida ~
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owned b1'---..?'~.~~..._.~le.anQx__.Collins-----•---- - - - - - - - ~
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~ (1Vame of owner against whose intcrest lien is claimed ) ~
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zuFos~ interest in si~ch rea! property is-----F~e---S~uiF.le----------------------------------------------------------------------- ;
+ (State owner's interest, as f ee simple, li
f e esta~e, lease-hold, i
f knozvr ) '
i
labar rp~rf ormec~
He ficrther says that the last ite.m of scrvices wasj furnished ~°n the._..___.4:~h_____________
materials t
Jurie
~ tlay= af______________________________________________________, 19..~Z5.., and, of the cdntyact price stated, there is tinpAid
the amount of-----..~540..00-------------------•----•-----
~ (S'tatc amount unpaid)
~ f or which amount he ~lairru a iien on the real prvpe~ty herezn describec~.
~ Hub~r Supply, Inc.,by its Attoxney
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~ C. R. McDona d, J~~'=gnature of Lie~tor j
a Attorn~y at Law
~ Subscribc~d and sworn to before me this..._,_._34_~t~__..,_._day of____... _.,7'uu.e 19...fi5.
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~ ~ i (Notary Public)
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~0~1'~t ~11~IC, ~Lk a¢ F~01Bdi at ~.if _ t.__,L_ , f,`, '~;_c~~~'~~ ~''~.i7Yl.dc'~"_"""-'
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A1 Commission ex ares~~ ~~~,~6~ (Cnunty.+~ ,y ~ (State)
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