HomeMy WebLinkAbout1010 iLA. IYN LAW~ ~ 11AMC0 FORM ttOr
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B~ion me, th~ unc~rsi~n~d suthoritY. P~rsonaily~ appeared .............A.... JACOBS
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who, ~in~ duly swor~,, ssYs that ht is tIN lienor herein or ~ of ths lienor heran, `
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A. JACOBS d/b/a JACOBS AIR CONDITIONING i
........................._............................................................................tLienor s Name) '
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3311 Oleander.. Avenue, . Fort Pierce.,_...Florida ;
wlws~ eddress is . . . .
(lienor s Addreu)
EUGENE & MARY HERNDON, cVb/a ~
and that in punuanos of s contrad with............_.... . =
H & H CONSTRUCTION CONSTRUCTION . _ _ _ . . . _ , ~
li~nor himishsd labor, servioes or materials consistin9 of: (Describe specially fabricated malerials s~Psrat~ly) i
. Furnish and instal the following: ~
2 ton cooling and 7.8 KW electric heat systems and ~
ductwork ~
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3 ton cooling and 9.6 KW electric heat system and ~
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ductwork ~ ;
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of a tota! value of.-....Fifty_._three._ hundred ._and _no/100_ _ ...~Ilars (S 5,.300.00 . ~
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of whith there remains unpaid s. 4, 550. 00 , For which amount 1?r, daims a lien on ihe fdbwing ;
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St. Lucie . ..~ounty, Florida: 3
desuibed real propsrty i~-......._ _ . . _ _ _ _ _ _ . ~
(Desaibe real propsrty wHidently for identification, induding street and number if kno.m) ~
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~ Lots 7 and 8, Block 15, Fort Pierce Beach Sub-
~ division, Fort Pierce, St. Lucie County, Flcrida ;
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EUGENE & MAR.Y HERI~IDON
owned by . . . - . .
He hxther says that lienor fumished the First of said labor, services or marorials on -J!~e__.1,.... ~
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19.7 3~~, and the last oF the same on January. .l6 19.7 4~ and (if the (ien ~
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is daimed by one not in privity with the owner) that the lienor served his notice b owner on -
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~F ~uG 11 L l~ : ma (Meth of Service
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` '~~~~i~.Y~lt~Yq~eei~d wbsaibsd before ms this~ ...............26th........ M ~h . .
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Notsry ic
~~r.~J ~ i~i_ NOTARY ,U3UC. S1AT OF FLORIDA AT `
~ ~ MY 'OMM~.~~ur. ~(PIRES APR. 15. 197.4 3
dG~:K eoM~c rHROUCa FREO w. DIE9TELHORST
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