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owned b: Dale D. Ernsberger, Jr. and Lola Marie Ernst~era~, h~ ~ or; fp _ iq~ _
y . N.~ ~~+a.ad.~ of ~~*North Federal Highway,Ft.Pierce,Fla.
Fee SimDle
Ownen' interest in the site of the improvement Name ~nd add~ess of fee simple titte hofder, if other tMn owne?
The person(s) or firm(s) who wil! make said improvements under direct contract(s) is/are:
Dale D. Brnsberqer~ Jr., 1911 North Federal Hiahwav~ Fort Pierce, F7a_ ~~45p ~
- Name and add?ess of contracfor -
Name and addreu of contr~ctw
The name and address of ihe surety .on fhe payment of bonds (+f any) as provided under Section 84.231 Florida
Statutes is: NONE ~ -
_ and the amount of such bond is E •
The name and address of the owner's authorized agenf within this State (if any) Sn wham may be served notices or i
other documents conceming said improvement is:
Copy of Notice to Owner as provided in Section 84.061 (2) (b) Florida St3tutes is also to be sent to FIRST FEDERAL
SAVlNGS AND LOAN ASSOCIATION OF FORT PIERCE, Fort Pier , Florida.
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s~~a co,N~,~. «~~~.~a e D. Ernsb~=ger,
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Sworn to a st~b ibe~~ befare me this'~3 day of
. 19 72
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My Coir~m{~tlOn elcpif~s.' ~•..1- ~S ~
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" ~ ` - _ ~ ~ F~ FA~1~ $t~ i~/ R,ONI ~
n~~,~r a,~ia br Thomas A. Dt i sco 21 ~
First Fedetil~Siivin~ ~b loan Assn. ~ Fn?f P~!?Ct.. fla,
~ .of ~tt~.P'ierce, Fort Pierce
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