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FLA. IY67 IAWS ~6~'15~ ~ RAMC4/011M t~Oli
Fs 71~.08
(~I~tti~t ~t~n
~ PALM BEACH ~
Befor~ ms, th~ w~dersi9~ed aufhorit~r. P~rsonally appeared.......MAN.Uk:L....I.EON ~
ti~a a9ent ~ t
wFw. beinQ duly sworn, says that h~ is the lienor hersin or ~ of the lienor he~ein, _
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GE~'lAIRE DiSTRIBUTORS, INC. `
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(Lienor s Name)
M,~ 125.. N~~ .'20th_., St_.__.. _Boca Raton, Florida -
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(Lienor s Addrsu~
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and that in purwanoe of a oonhact wah _S.~ricklands....A,iz....~Qndit.ion.inq ;
P.~.Q HQx....11.7..7..,....Eor.t. .Pierce.,. Flo.rida _ . _ . _ _ _ , :
lierwr fumishsd labor, servioes or matarials oonsistin9 of: (Describe specially fabriwted materials sepa~at~ly)
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r rr~~r..»m 7~xTn T!~!'L'~`C~DyG'C
A1tC l.V1Vll1`lllJiv.iivv LuVJ.ri•iLtiii n::u ~,i.;..~,
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of a total valus oE~SIX....HUNDBED..TL~IENTY .SIX._AI~1D....l~i0./.10Q....dollan (S 62.6..00-.-------:-~- z
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of which thero remains unpaid s 62.6...00-.--.---.---., For whid~ amount he claims a lien on the fol(owing a
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desa~ibed real PropertY ~n. _..St.. Lucie _ County, Florida: ~
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(Desaibe real property wfficiently fw idsntification, induding street and number if known)
Lot 26, Block 5, LAKE WOOD PARK SUBD., UNIT 8B, Sec. 2, Twp. 34S
Range 39E, of the Public Records of St. Lucie County, Florida. -
a/k/a Coquina & Doris
Fort Pierce, Fla.
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Owned by-..A~erican._Ho~te ..&...idtg ._..Inc. . _ . . , . ~ ~ -
He Further says that (ienor fumished the first of said labor, services or matcrials on : `
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i Ju.~Y... 9._c 19-.~ 3, ar?d the last of the same on .Ju lY... .2 9.,. . 19.7.3 , aRr~ (iF th~' lien
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~ is daimed by one not in privity with the owner) that the lienor served his notice to owner on _ ~
~ Se~t.. 12, ~~9 73~ by Certified Mail Receint No. 767211
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(Method of Ser.vice) _ . ;
: FtIE~ a~rti R=C.ROED / }
ST lUCcl ~JuN~Y FIA. ~ GEI~lAIRE D T IBUTORS, Ii~C.i
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l Qci ~y Ii +~o AM ~3 ey. . , .
26~1~,7 _ ~ ' A~ent or Attorney . ~ . . -
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' Swom ro and wbsaibsd before ms this.......... .....day of _..19 `
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!%u I~~arr~r»~-,ri p.~p~~rcJl~y: Judith C. Bratta~n
.~1 ~/~/n_ss tiemeir~ piqritwtws, lnc. ~~O 1~~
126 N.W. 20th Sv.st BCO!f oAGE
8oc.s Rabn, ~lorida 33432