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FIA. 1Yd7 LAWi ~i 1fAMC0 F011M I~OD
Ft 71~.OA
C~l~tim ~a~ ~t~n ~so~s3
~~~q ~ St . Lucie
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B~Fore mi, th~ und~rsi9ned aulhoritY. P~rsonally appeared........CHARLB3...L.. SIDES.... ~
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who, b~in9 cluly sworn, ssys thaf he is the lienor herein or ~~y ~ of ths lienor herein,- ;
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~~AR~~~...~ SjPB$...............~................. . ~
(lienor s Nama) ~
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whose add~eu i~.......612....~~.....6.._.~t.~...F~.• - Pierc~~ . Fla.. _
(lienor s I?ddrou)
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and that in pwwanos of a oontrad with... SDWARI?. LASYcB.idI~Kl...a~d...JfJHANNA...L~AST~~ITIGKI.., .
hia Mife, 477 Aebury Lane, Pt. St. Lucie, Fla.
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lie~or fixnishsd labor, servioss or materiak oonsistin9 of: (Describe specially fabricated materials s~psrat~ly)
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LABOR FILE~ Ali~ RECORpE ~
ST. lUCIE CQUkTY F~~ ;
ROGE~ r01TAAS ~
CLERK Ct~CdIT CDUHt
RECOR~ YEFIiIED.~..~,..
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~ - A~c i I 38 PH'73 ~
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of a tota! value of.~~._TNOUSAND FIFT7 ~ NO/100----- __~lars (s 2050.0~0. :
oF wliKh there remains uepaid S 10.$O.OQ. _ (or which amount he daims a lien on 1he folbwing
desuibed real PropsriY in . St .....Lttcie . . _ . . _ County, Florida: ;
(Describe real prope~iy wffitiently for identificatio~, indudin9 street and number if known) F
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477 Asbury Lane, Pt. ~t. Lucie-, Fla.
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~ p„~ br_ _.:_EDWARD_..LASZEWICKI f~ JOHANN~ LASZEWICKI_,~ .his.., wife__ , 3
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~ Hs further says that (ienor fumished tha first o1 said labor, services or materials on M,~~`.~b....l, . ~
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~ ................_................._..............w, 19.73, and the last of the same on ....A.p~r.~.l...ll.., 19 .7.3., and (if the lien ,
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E is daimsd by one nol in privity with the owner) that t lienor served his notice to owner on '
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~ 19"7--3, by. . _ . . . . ~
~ ( i?od of Service ~
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; ~ ' ~~l ~ I - B Agent or Atforney ~
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, . ~ Auguet 73 4
~ ~ ' $wern lo sqd ' A .bsfore ms tf~is ...................................................day of . . . ..1y.
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Notary Public
~ My comeiasion expirea: May 2, 19~~
%%ii.~ li~~lr~aiir~nl ~+r~f?,~r~~/ /~y: Ch8=`les L. SideB
' .~l,l~h~:~s 612 S. 6 St . Ft . Pierce, Fla
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