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Fl0lIOA STAiUiE~ DtfiA'f FORM M fI05ti ~aw„loch~r~d eW Jw w~~ ?y Tl~ N. a W. pn~ Cosoee
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FLORIDA R[COItO t~ ~t0..........
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~ountp of..---.sT.-- LUCIE-----
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John's ualit Paintin T 2184Sg
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(~'a~nt~ o( Lienor}
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(Rcsidence or Business Adctress of Lie•nor)
b~•in~ duly su,orn sa~~s that in pursuance of a contract urith
Jim Melvin, Architect
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(1~'ame of Lienor's Em plo~~er or pc>rson with whom he contracted )
pe•rf ormed labor and
he ~ furnished } the f ollowing seraicc~s and (Hese describe the labor or services pPrf arn:ed or
~ materials
: ntaterials furnishcd. Descri6e spt~ciall~~ fabricated materialsse'paratcly)
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- ---------Interior_,Paint.ing__-__ labor_..--------~2_1936_._00
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~ Cost of paint and materials $519.70
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'$3 455 70 Three Thousand Four Hundred Fift _five and 70/100
to thc z~aluc o ,------_-------'--------------------------------------------------------------------------~--y----~-~-------------------------------
(Statc: contract price)
on the followin~ d~~s~rib~d ~eal propeit~~. (Describe real propf~rt~~sufficientl~~ foridentiftcation, giv-
~3 That part of the Nort 445 feet of Lot l, CARISON'S
:n st~ect and numbcr i{ known ):_~ITBA~IS.~QTl,_Zy.,i~ng _be~e~__l~__~.?~?W~y_ _#~1.__~nd. the Old
Di~cie Highway and ~eing in Section 21, Township 34 South, Range 40 ~ast, in St.
Lucie County, Florida,_as per plat thereof recorded in Plat Book 3 e 24 of
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~3 the public reeords of St. Lucie County, Florida.
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ou~ncd b~•_..H~`ry_.I:'iidelis._and_ Catherine_ Midel~3__his__wife,_.and__N..H,.__Midelis.,__
~ (:~'a»:~ of owner a~ainst whosc intc~rest li~•n is claimcd ) a single adtil.t
:t hos~' inle're st in suc-h rcal propert~• is_._._.fee__ sim.ple,__...____.
f State own~~'s interFSt, as f f~e sim plc~, li
f e cstate, l~ase-hold, i/ known )
~ labos r
~~i H~- ~urthe~T sa~•s that the- last ttem of sert~ic~s u~asj perfor~ncd ~ on the_.____~nd
matf•rials t f urn:shcd
November 71__
~ta~~ o/
19_.___. , and, of thc~ contract pric~e statcd, thcrF is unpaid
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, rh~ a,,,ount of ?.,.955..?.0. ~t,~o .~ousand._z+I~n~__k~uns~ced_~~~ty_-~~.ve__~n.d._74/.~.00---__--
!Statc° amount unpaidl
- (os whick oi?,ount h~, ~laims a li< n on thc ~fa1 p.op~- t~~ h~f~~irr d ibed~
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: • _ - ~ ~ ~ (Signatu e o1 I ie no~~
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~ . - r November,---- - - 19__~1..
- - Su&scti~ed and strorn to h~,for~- ir1F this- .da~~ o/.__...
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' ' ` / / ~t, _Lucie_ ..Florida_
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3 .'1Tt~ Commission ~~x~irrs_ .Y
~?~~.:~i~ - - - ;Count~'~ (Statr~'±
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