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CLAIM OF ISBN
STATB OF F`IARIDA ~ _
COUNTY OF ST. LUCIB
Hefore me~ the undersigned authority, peraonally appeared
ROB$RT TBRRY, JR., who, beinq duly sworn, says that he is the
Lienor. whose address is Room 224, Raulerson Buildinq, Fort
Pierce, Florida, and that in pursuance of contract with JAC~U$L-
INS 8. CARLTON Rffi~IlrigRSWALL, j oined by her husband, ART R.BMMSRS-
WALL, Lienor furnished architectural aervices consistinq of plans
and architectusal supervision on the following-described real
property in St. Lucie County, Florida=
~ The NS~ of the NW'~ of N8~ of NW;1 of Section 33,
~ Township 35 south, Range 39 $ast
~ .
c owned by JAiCQtTgLINS H. CARLTON ~WALL, of a total value of
~
0
` Six Thousand Four Hundrsd Dollars ~$6,400.00), of which there re- ~
4 : -
r
S mains unpaid One Thousand Six Hundred Dollars ($1,600.00). and
~ furnished the same on Septembes 8, 1966, and the last of the
; ~ same on May 24~ 1967.
~ :
~ ~ L~ J,•,,,-< < ~ -
` ` R ffitT TSRRY~ JR. ~
~ ~ ~ ~
~ SW~ORN to and subscribed ~
~
before me this 2
day of y, 1967. t
~ ~
- ~
J ~ '
Ot 1fC -
Stat Florida at Large
1Ky com~nission expires:
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