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iLA. 186, lAW• ~ 11AMC0 F011M 120 r
FS 64.001
(~l~ttri~ ~~t~Yt
of ~t~a~ 26S' ~ ~
~jount~ of ST. LUCIE -tJ-
Before me, the unde~siy~ed authority, pe~sonally appearsd--_1~~ -T. .Brennan _
who, bein9 duly sworn, says that he is the lieno~ herein or of the lienor herein, .
the attorney
TOM LILLY _ _ .
. . _
(lienor's Name)
Route 4 Box_51 Hawle Road Fort Pierce, Florida ,
whose address is- i Y r.
• (lienor"s Address)
_ . ,
and that in pursuance of a contract with Geotge A....Saleeby,._ Jr, _
1802 Okeechobee Road,_ Fort Pierce, Florida ,
_ . . .
lienor furnished labor, services or materials consisting of: (Describe specially Fabricated materials separately)
Labor and material necessary to construct a
building with two (2) offices and one (1)
bath.
Twenty-eight &00/100ths
of a tota! ~alue of E~,ghteen Thousand One Hundred dollars (S 18 ,128.00 ~
~ oF which there remains unpaid S3r 553.92 , for whkh amount he daims a lien on the Following
~ desaibed real ~o ?t in $t. LuCie CouNy, Florida:
t P Pe Y
~ (Desuibe real prope~ty sufficiently for identification, induding st~eet and number if known)
~ .
~ Lot 3Q, Block 4, TUCKER TERRACE SUBDZVISION
~ according to plat thereof, recorded in Plat
~ Book 4 at page 54 of the public records of ~
~ St. Lucie County, Florida. F~IED AnD rcECOR~EO ~~'y
ST_ I,OC~E GOWITY FIA.
~ ROCE~ P~ITRAS ~
CLEP.K L't=CUl1 COURT `
~c~n~~ vE~1=1E0
~Ct 5 8 32 ~ '13
tiFis~.i,1
= Owned by George A. Saleeby, Jr.
~ He Further says thaf lienor (urnished the (irst o1 said labor, services or materials on
~
~ Novemb.er _.11 ~9..~3., and the last oF the same on .July 6 ~ 7
. 19 , and (if the lien
~
~ is daimed by one not in privity with the owner) that the (ienor served his notice to owner on
; O~.~o~e~'....4. 19 7.3, by registered mail, return receipt requested.
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(Method of Service)
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• '~J ~ylii~~lf Attorney for Lienor
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Swoui to and su~jb6d before me this.._._ t~? . ay oF ~t , er i9 -
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~ ' . ~ ~ 1 Notary Public
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r;~ ~ • - M Commission Expires
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