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HomeMy WebLinkAbout0063 ~ ~r~~~~`~ ~ 1IAMG0 FORM 120• FLA. 1967 LAWS F8 '719.09 (~l~tti~t ~t~n ~ ~ ~ of INDIAN RIVER ~ ~ _ i BsFore ms, the undersi9~ed authority, personall~ appeared~ ..-..Charles'_A. Sullivan . ` ~e~g.n? t ~ who, bsin9 duly sworn, says that he is the lierwr herein or ~ attorney i°f the lienor heroin, . Pan American Engineering Company _ . _ (Lieno~ s Name) Box 877, Vero Beach,Florida 32960 w6ose address is . _ _ (lienor"s Addross) a~d that in purwance oE a coMrad wiih B.. . $ F~~d~Y.dt~.I:l~..... p.. ...9.. ~0?~... ~..~.6.~.R . . . _ ....~a.r.~....~~~rc.e.... ..k'.~.a.ra:da . ~3450._.. _ . . _ _ ' _ _ , lienw furnished labor, servioes or materials consisting oF: (Describe specially Fabricated materials separately) FIIED AND kEG0A0E0 Rental of excavatin e ui ment S7. LUCiE ;,~u:vnr Fi.~. 9 q P aoct ~:?RAS CLEiiK G'~;,UlT COURT P.ECAR~ VE~~FiEt~ ' ArR 10 3 a~ PM'1~1 ~ 2:'~~+~8 and no/100 of a taal ~alus of-...One Thousand Five Hundred Twelve dollars (s 1, 512 . 00 ~ ~ oi which there remains unpaid S-1 r 512 ..OQ , for which amount he claims a lien on the following 3 ~ desaibed ~eal PropertY ~n _....St.. . LuCle... . . . . . _ _ Counry, Florida: ~ (Desaibe real property sufficiently for identi~icafion, induding street and number if known~ ~ ~ ~ ~ ~ 4 2801 South Federal Highway, Fort Pierce, Florida p High Point of Fort Pierce Apartments . ~ ~ ~ ~ ; ~ ~ Bob Herbick ~ owned by._ . _ _ . . _ ~ He Furiher says that lienor fumished the fint of said labor, services or materials on Ja.n...,_... 2,. .1974 N ~ _ ~ 19........., and the lasl of the same on .....~7,d~x117ldtY....11.... 19. .7~ and (if the lisn . ~ ~ is daimed by one not in privity with the owner) that the lienor served his notice to owner on ~ Feb. 14 74 Notice to Owner . _ _ . _ _ 19 y. _ ' t f rvi ) ;'3 ~ . . . . . .."7 - ti~ox Attorney for ; ~ Pan American Engineering Compan . . . ~ Lienor ~ . ~lve~c~~x r'i ' ~ • Swom to and subscribed before me this ...............lOth.. .......day of Apr~l .1~4 _ ~ ? _ , ~ . . , . : . ; ~ ~ . y ~ ~3 ,C~.... ~ . ~ ~w_;. ~j ~ ~('l~...1..i/ ~ J } Notary Public . , : - = • . - . Charles A. Sullivan Es . h~iA~,r QL`'~~c ~F ~p~~?~tfE - _ 7%t~ l~islmi~ri irl ~?re`u~rc~~l l~?~. ~ q ~+v , SS ~N EXP FtS DECf5~8~.13. "19U+1 - < P.O.Box 3, Vero Beach,Fla. 32960 sc..~~a u:~u ~,ar;~r,D B~,~t~ta;.,~~~hcY~" YJj , = .~I J,lrr~cr I ) • • ° ,i}'~ F4-'i,