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~ ~ ~ i11E01?NOItECOROE~ ~
O~ St..luClC COUNTY flA.
ROCER P01taAS
CIERK C~~CUIT COUAT
RECORO YERIFIEO..r•~
~tat6 OE... FLORIDA AH ~i I
~CT ~ 9 35 2
~ountp oE..._sT.:._LUC~ 1.6388
____Florid~..Aw_n_.34ng._a~~..~ui~:d~rs.Supply..Corr~any__of Fort Pieree, Florida
(Name o/ Lienor)
1914 Orange Avenue,_ Fort Piercet..Florida
(Residence or Business Address of Lienor)
being duly sworn sa}~s t/tat in pursuance of a contract with
J3m Melvin,.:Architect
(Name of Lienos's Employer or person with whom he cont~acted)
he {'u~~ } the f ollowing (Here describe the lubo~ o~ se~vices perfosmed or
materials
materials f
urnuhed. Describe specially f
abricated materials separately) ~$__pieees__ ter~ered
----glass------34~t- X--108"__x. ~"~~~.~}.Pi~~~s--p~~~~..~~s--~~tt--~..90" X
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1 piece tempered gla~s _34* _x _]:08" x~", 1 piece plate ~lass 20" x 66" x~"
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and 2 pieces plate ~l.ass - 44" x 7~'~. x~~'.
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to the value of_____~3~073123_~h~e~__~'hou,s~}d_sgv~nty_-three_.and__23/100__Dolla~s_.._______
(State cont~act price)
on the following described ~eal property. (Describe real property sufJiciently for identification, giv-
=ng ber i
f known • That part of the North 445 feet of Lot 1, CARI',SON' S
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~~~'~~~~lying be en U5 ~Highway ~i, and the O~d D~xie~ ~3gXiway an~
' being in _Section_ 21,__ Townshi~ 34 _SouthT _Rai~e _ 4 0 East, i
n S t. L
ucie Co~
t y,
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~loric~a, as per plat tfiereo~ reeorc~ect in Plat Book 3, ~~page of
t~ie
public reeords_ of__St.__ Lucie__County_;__Florida.
owned by_ Harry_--~d~l~,s__ ~tS~__Ga~~~~C~tl~._I~4~1~-$-,-- his._ wif~ ,.._~?a N,.__H:._ Midelis,---- ~
(Name of owner against whose interest lien is claimed ) a s;n~e adult
whose intPrest in such seal prope~ty u---------..fee _si~le------------------------------------------------------------------- ~
(State owner's intesest, os f ee sim ple, li
f
e cstate, lease-hold, i
f known )
r .
He f urther says that the last :tem o
f ~ was{ } on the___._.. 8th_______________
materials ~
day of--------------J~Y------------------------------•, 19-- ~l-, and, of the contrc~ct price stated, there is unpaid
the amount o~$3~07~.23__~e_.~hQ~satul__~~v~ty--th7~'~~_.~31.4~_.~~~QQ..I?0~.7,~7C~---------------
(State amount unpaid)
f o~ which amount hc clnims a lien on the real p~ope rein de cri .
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•'tl,...~f _ ,
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• ; (Signatute o/ Lienor) ;
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~ Sub:tcribed and swo~n to before me this.____ 3~__. _._._..day of.__ September lg. 71_ ~
, " ..._1~~~rZ~...--~=--
. ~ (Nt. Pub )
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~•.~Mj~.~C,~ommission expi~es-•------- -`-'.~~.~--~y-•------------ (County) State
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