HomeMy WebLinkAbout1318 Ti-1{S IWSTRUM~NT W'~S PREPAF:~D 6Y
RICHARD W. k1CRRi$O~I 2_1.12`! 1
CJ~EMAN~ LEONARJ. MOi2RISOV 6 RID~~~-
P. O. BOX 11166
FT, LAUDERDALE~ FLA. 3330~.
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~IaK Ot..... FLORIDA RF CC~~ YE~~f~ED.~.~
~*,oun ot....sT.,_ Lvci~,~ .1~ 15 10 06 AM'~I
~ - 2112~11
Gerald R. A. Fishe, P. E.
(Nume o/ Lieno~)
254 S. W. 21st Terrace, Fort Lauderdale. Florida
.
(Resedence or Business Au'dseu of Lienor)
bcing duly sworn says that ia pu~suance of a cont~act urith .._Teddy Lenart :
- ~
:
(Name of Liereor's Employer os person urith whorn he cont~acted)
pcr/ormed labor and
i~e ~ ~ the following sesvices and (Nere describs the labor o~ services perfosmed ar
f urnuhed ~,~~eri~.
materials f urnuhed. Describe specially f
abricuted materials separately)
Professional Engineering Services and Prints
;
;
~
- - - - - -
- - - -
to the value of._~o Thousand Two Hundred Ninety-Four & 30 100 Do Iars 3. t
(State conhact- Qnce)
on the f
ollowing described ~eal propcity. (Describe ~eal p~o¢erty su~iciently f
o~ identi
fication, gia-
i
' S 1/2 of the N lf2 of the NE 1/4 of the NW 1/4 ~
i in~ sireet and number i
f known ~
less the Right-of-Way of Section 10, T36S, R40E, Saint Lucie County,
- - -
Florida aJkja 57a~ South U. S. Fort Pierce, Floric~a.
.
TEDDY LEN~IRT and IRENE LENART, his wife i
owned b)'--------------------------------------------------------------------------------•-----._...---------------------•----------------------------------- +
(Name of owner a~gainst whose interest lien u claimed )
whose inte~est in such ~eal ro ~t u____.____fee__simple_____________ _
p P~ y
(State owner's interest, ~ts fee simple, life estate, lease-hold, if known)
labo~
He /urthes says that '~te last item of se~vices was{ perforneed 1 on the.___.__
mate: ials ~u~nuhed J
da3' of-----1~~.°_~~1_~-----------------------------, 19_~~and, of fhe contsact ¢rice stated, these is unpaid
the amount o~_..FQUr Hundred Fort~-Four and 30%100 Dollars ($444.30) ;
:
(State amount unpaid)
for which amount hc claims a li~n on the rea! Qrope~ty he~eia
~
(Signature of Lieno~j
Subscribed and swo~n to be ja~e me this__.~ e~___.__.day of June ~ 19 71
- : - ~y- . ~ : _
_F ; .
. - ~ ~ (Notary Public)
.
. ~ > : ' ~
~ ~..~~R~.=-~'__--------------------------FLORIDA-------------...---
At~} Commission ex~i~es__.-----------------...:.r._..,~._.;.:. " . ~~@uaty} (Stnte~
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