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CLAIM OF LIEN 42 ~~'~f
STATE OF FLORIDA
COUNTY OF MARTIN
BEFORE ME, the unders~.c~ned authority, personally appe3red
E. E. ROGERS ,
who, being duly sworn, says that he is (the lie:~or 2ze~cin) (the
agent/attorney of the lienor herein) whose address is 508
Colorado Avenue, Stuart, Florida, 33494 ~
and that in pursuance of a contract with Mrs. I~rothy P. Welch ~
1414 E. Los Olas Boulevard, Ft. Lauderdale, Florida, 33303
, lienor furnished Iabor, services or
materials consisting of Surveying
(Describe specially fabricated materials separately)
on the following described real property in St. Lucie ~
; County, Florida Lots 9,10 and 11, Block 2, of ST. LUCIE f
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? GARDE~7S, as recor~ed in Plat Book 1, Page 35, Public Records
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; of St. Lucie County, Florida.
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~ Describe property sufficiently for identification and give
s street address if available)
~ owned by_ Dorothy P. Welch
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~ of a total value of $ 721.21 , of which there remains unpaid
~ $ 721.21 anf furnished the first of the same on June 21,
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; 19 71 and the last of the same on September 9 , 19 71
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and (if the lien is cZaimed by ane not in privity with the owner)
y that the lienor served his notice to owner on ~a-y.~~-~~~ .
;
~ 19 71 y(here describe method of service of notice)
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; E. E. ROGERS, Lienor
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` Sworn to nd subscribed before me this da
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. Notary Public °
My Commiss~or~ Expires: ~
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- 19? ~
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