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RECORD VERIFI~
~~im oE ~ien ~s~ ~ 8 ~ ~g : o
1533~3
itOGER i•OITRAS
$tQt~ 0~....~RIDA CLERK CIRCUIT COURT
~'.ounip oE... PALM aEACH..._ ~
BEFORE ME, the undersegned authority, pessonally appeased
..IDWARD SIL~BEFtMAN who,
being duly sworn, fays that he is (tiiD~fr~Q~FFI~}~ (the a ent [~IQp~ of the lienor hereire)
whose address u 2~?~ Hillsboro Road~_ _West _.Palm_ Beach~_ Florida_._~~~st..~oast )
and Route ~4, Box ~169,.Fort Pierce, Florida Jenkins
and that in pursuance o
f a conhact with TRIO _ CONSTRUCTION C0. OF FORT PIERCEi
INC_~~_.individual~y and as agent for EDGEWATER APARTMEPITS OF FORT
PIERCE, ?NC.
lienor /urnuhed labor, services or materials can~tin~ of roofing. materials includin~
~ ~Y`
insulation and installation of same
_
-
~ (Describe specially f
abricated materials separately)
~ -
• ~ • • • t. ucie Count Florida
on the follounng descnbed ~eal ~roperty:n _..$--.----~-----------------------3r~-------------._.._..__...-----------._._.._._._
County, Florida Block__ "A" o~ WESTWIND U1~iIT ONE~._ accordin to the __plat
- - -
- u lic recor~s
thereof recorded in Pla~ Book No. l~, a~ page 3b, p
; o~ St. Lucie County, Florida
;
~
=
P (Descri6e propesty su
f
f
iciently f
or identi
f
ication and ~ive street add~ess i
f available)
~
owned by ----.._.EII~~B~,S~..QF_.LS~$T__~~'~C_F,}_.~I~-~---------------------------------------•-
fi
s
< 950 52 y
f f; 1~! 1~.00~.______._____ o
f which the~e ~emains unpaid ~
: o a total value o------~ _ ,
and furnished the fi~st of the same on______M_.aY_5s'________________________________, 1966_ and the last of the
a
~ same on ~cember 16 1g66 and (if the lien is claimed by one not in privity
~
with the ourner) that the lienor serr~ed his notice to oumer on.or .
before J~e: X$ jg_66__
ALL LIENORS CONTRACTING ~
(he~e describe method of service of ~n~~o~t~ice
DIRECTLY OR INDIRECTLY WITH UN~ PAID IN FULI' IN
: -
° CONNECTION WITIi TI~ ABOVE WORK.
---------------------------------_.._-----------..___._.Jerik of oas~ SuPP~-Y
By; Corp.
- ----------Lienor -
; ~
~
; Su~orn to and subscribed befo~e me t/eis ._.~~'~_day of__:~-~~~__ ._.__~_t.,: ~'1~9:__~?7,3.
j Y j• ~if~
~ " ---._~.(i~~~~:.1__~:.1.! . . ~ ~ f~i
:
-
' My Commission expi~es_...
nnTnqry~sucaf~.,f.~ - ' ~ o- ; '
O~IIIA at lAR6E " Y '
MY COMYISSION EXPIRES A wy ~ ~Z. . ;j- `
~ 60ND[D TMROYON iNEJ M. OlEyTfi•LMRfT l~ I~~O :'.`':~~.."f~ G~J ••t•~~'j` ~ .
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