HomeMy WebLinkAbout1103 269~~98 y
FLA. 1967 LAWS ~ 11AMC0 FORM 120•
F3 711.08
~l~ttlzt ~f ~t~n
~ . .
~
Before m~, th~ unds~si~nsd aut~writy, personall~ appeared.......-_ Carol Wood _
who, b~in9 duly sworn, says thal h~ is tht lienor haroin or ~ t the~9«~ ~ of the lienor herein, -
...................AI..'..5....~qu.~.Rme~.t...R~;;~al,s......:.......... _ . `
(ua,or: Nsme)
_ _ ,
whase addreu is....?..~2.~...Q~'~~~q~....AY~_...., _ P,.O. Box 996,_Ft.- Pierce, FL 33~50 ;
(lienor s Address) .
and rhat in pursuance of a oontract with ..General .p.~Y~I.Q.Ftm~.n.k Ca.1CpO.K'd~~...o..n _ , '
P.O. &ox...489, ...Shenandoah . .S.tatio.n, Miami , F'L ? ~ ~ 4 5
lienor fumished labor, ssrvioss or malerials oonsisting oF: (Describe specially fabricated materials separa~ely)
Rental of White 2-63 Backhoe, offset grinder, and Cobra
Gas Breaker .
one thousand,
of a total value of.-f.ive- ~iundred twenty-one and 8.9/100dollars (S 1521.89 ~
of which there remains unpaid s 147.5.0-9 for which amount he daims a lien on the (ollowing
desuibed real property in._ ._..St.. ..~UCie... County, Fbrida:
(Desaibe rea) property wfiicie~tly for identiFication, induding street and ~umber iF known)
; Hilton Restaurant, St. Lucie Hilton Country Club
k Morningside Ave. ~~~~98
Port St. Lucie, St. Lucie County, Florida FItfO,tNp RF~~q~ED
~ sr. ~ucre couNrr fl~.
i RGC£R r01TR~g
~ ~{F ~K ~~1tIT COURY~
~ ~'f4ti!En~~`~ ~
~ Zy 3 33 PH 'T3
~ -
~ -
~ GenPral Development Corporat.ion .
oM?ned by.....---._...:....._.. . _ _ .
He further says that lienor fumishsd the first of said (abor, services or materials on
~ ..SPptembe r_. ,12._.,_~ 19-. ~ 3. and the last oF the same on Novembe r_ 26 19 ~ 3. and (if the lien
is daimsd by one nd in privity with the ownerj that the lienor served his notice to owner on
~ -
~
. t9. by. _ . . .
~ _
~ (Method of Service)
.
~ .~'f . ~~,L,~.cf..~ ~ .y~-t: J~y~~
~ tienor
-
.
. _
_
.
_ , .
- ~ jT,
. ~ ;
-
~ , - _
~ • ,
l - - ~ L : : g C~ -t
rz - . . . . y. . . : . . . _
_ , b.~ - ~
- , -
4k ~ J~ G ` Agenf er,AMe~wo~-
,
. . . ~ ~ ~
; . . L1 ~ ~
~~.4 . . ? •
_ - • ~ ~
. ~
~
~c ,~f ~ ,
~ ' ~
~ Soworn t4 ~cd'; b e fore ms t his.-. d~ ef ~ q -
~ :
, ~ y',': ~ s ~
~ .
, ~
"
. . ,_~c.,~. ~
. _
_ _ . .
Notary Public
N~tary PubGc, State ot Fbrida st ls?Qe.
~ t,Ay Comrtlission Expires Oct. 23~ 1975.
~ %lris Irr.~~nua~ ~rl f~r~ f?,ue-~l 1~~~:
~
. l ~~i~rr-cc ~ `~f ~~b:
v~ 6U~.
. - ;
. V._
~ ~
~ :