HomeMy WebLinkAbout0139 ~ ~
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FlOt10A S1A?YIEf plEW'S FOt1A M li0y~ Monu(ochrr~d oed fa wN !y TM N. i W. Orrs CNpaw~
lOCLsoavilN. FNride
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~~1~11 Of ~alefi F
~~1E0 ANQ AECOR ~
- FLOR IDA iE cO~NTY ;
~t~te of ~cR Patw,?~ ~ ~
CIERK GIRCUIt COYIIT ~
ST• LUCIE NFCpR~ V~RIFIEO..~~~..~
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APPI,ESEE ELECTRIC, INC. ~0 9 ze AN ~~Z
(Name of Lienor)
909 ~gl e Road, Fort Pi erce, F1 ori da (33450 ) 232921
(Residence or Business flddress of Lfenor)
being duly sworn says that in pu~suance of a contract urith Kenneth J. Schi 1 t ~
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(Name o f Lienor's Em ployer or person with whotn he contracted )
f performed labor and
he 1 furn~shed } fhe f ollowing services and (Here describe the labor or services pe~formed or
materials
materials f urnished. Describe specially f
abricated materials separately)
Installed refrigeration equipment end coolers and made repairs on refrigeration
equipment. (Dorothy Vernon Restaura~t)
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to the value of_Three.Thousand_ Se_v_en_ Hundred_ Ni nety__ Two_ and__t_~~100__($~~]92.19~___________
(State contract price)
on the f
o~lowin~ described real property. (Describe real property su
ff
iciently f
or identi
fication, giv-
in st eet d n~mber i~known~ :___T_~?e_ North_ 410 _ feet of the South 731. i feet af tha t par t
o~ t~ie t~ o the S 4 of S ction iS, Township 3S ~outh, Range ~+0 Eest,~ lying ~est of
the Eas t ri ght of way af U. S. Hi ~hway__No. _ 1.__ _(1812 Sauth U. S. #1)
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owned b3~_.. ~oseph J. Lach and Marion C. lach, hi s wi fe
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(Name of owner against whose interest lien is claimcd )
whose interest in such real prope~ty is____.__ fee simple
(State owncr's interest, as fee simple, liJe estate, lease-hold, if known)
labor ;
He /u~ther sa~~s that the last item of services wns{ performed 1 on the_...._ ~6th
materials f urn:shed f
~ay of ~y 19- and, of the cont~act price stated, the~e is un paid
thc amount of----. S3s792.19------------------ :
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~ (Statc amount unpaid)
~or which a»:ount hc claims a licn on the real property herein desc~ibed. APPi ebee E1 ectri c, Inc.
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BY --~~.-,~'~c,.~
( t ture o/ ' s) ~ '
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Subscribed and swo~n to b~fore n:e this_ th __da ~ ~ 1
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(Notary blic)
1 St. Lucie F1or da
.
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M~t ~o~tmis~io~ expires.---:~ ---------,~---~J~ (County) (State)
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