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FLA. IY67 1.AWS j 11AMG0 FORM i=OM
Fs 71J.09
~l~ttm ~f ~t~~t
~ a~~ssi
~anad~ of PALM BEACH #
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B~for~ na, th~ und~r~d authoritY, P~rsonally appeared. SHE`I~N ARTIS
the agen~ t
who, b~in~ duly sworn, says that h~ is th~ lienor herein or ~ altorney i oF the lienor he~ein,
. _ ...................................................................5.~~1...A~t,TIS _
(lienor's Name)
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wtws~ addross is.4~..0....~T......tiL....f~th.A~.enue, Boynton Beach, Florida 33435 ,
(lierwr s Address) ~
and that in pursuana of a oont~ad with EUGENE .YI.CKERY
~ li~nor fumishsd labor, ssrvioss or mat~rials aonsisting of: (Describe specially fab~icated materials s~parately)
E F~~EO ~NO s
! Labor, equipment, supervi,sion and operation expensas cT'ROC
R P~~c~~a ~
I u~tr ~
I~ RECORD YFq Fi~pt r L
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1 ~ 19 9 ~ ~ Tl
! x°s~s~
I~
dotlars (S 9 ~ 000, 00 . )
oF a total value oF._ .1~IINE THOUSAND.
U.UO 00 F r whi n h i li n th F I wi
I of whicfi there remams w~pa~d s 9~ . , o ch amou t e da ms a e on e ol o ng
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!I deunbed roal u~ _ S.t._ I,~uGLe County Cou~~y, Flonda:
. P~~~Y .
~ (Desaibe real prop~ty wfFicieMly for idenfifitation, indudin9 sire~i and number if known) i
~ 1
I ~,ot 79, and, the Nz of Lot 82, Garden
City Farans in Sec. S, Twp 35 south,
Range 40 east and recorded Plat Book
#2, Page 5, Saint Lucie County, Florida,
~ less ~he East and West 25 feet for road
~ R/~nT.
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~ pwnsd by B.Q.Q~.e~' ..Ga~.der~s....Incorporated. ~
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~ FI~ furfher says that li~nor furnished the first of said labor, services or matenals on Novembex' S~ 197
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; 19........., and the last of the same on December 17 , 1970 , and (if ~he lien `
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~ is dairt~sd by one nd in privify with the owner) that the lienor served h~s not~ce to owner on
~ March 15 71 mail
~ _ 19......., by
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_ ~Method oF Service} - ; _ _ _
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~ lie~or :
' B
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_ A9sn1 or Attorney . . , ~ ~
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Swom to a~d wbsa~d b~for~ rrn this...........12th _....day of March .:jy'71.
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~ Notary Public - ' - •
• -.~i.'r.
~ %liu /r,s~n~„r~~,n prfp~mt !ry: ~ % ;..tP „i :t ta~,.. . • • s~_
A~ COi~IfL~;iaJ~ ~ .Z
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' . ~c/r/n_csTh~s Inst~ P~ t Was Pyre~z~ra.d.~,3~ w,.ae .R,. , ,
~urrdn~a
nu6 CunMn9ham ~
6~0 k.seaaary Avcnuc !1 R ~,V~ ~n~
We~t Falm 8;ach, ilv•~Qa 3.''1~~ ~,i'_~
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