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F~A. 116,! lAW• ~V35~6 ~ RAMCO FORM 1tOM
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~oiattq of ST. LUCIE .
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BeFors ms, the unda~siyned authorify, pe~sonali~ appeared........ISOM...CAAUNCEY
who, bein9 duly swom, says lhat hs is the lienor herein SKx~~~~~~~x~c~c~~i~i~ herein,
1 attorney
ISOM CHAUNCEY d/b/a TREASURE COAST GLASS COMPANY .
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(lienor s Name)
~ 3941 South U. S. 1, Fort Pierce, Florida 33450
wlwss addieu is . . .
(lienor's Addrass)
and that in purwanoe of a contrad with ~ERNS & SONS
711 Flagler Drive, West Palm Beach, Florida
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; ~ie~ fu~nished Iabor, servioss or nwterials consis~ing oF: (Describe specially fabricated materials separstely)
3 panels clear tempered glass
~ 138-ft. snap in sash 1 3/4 x 1
. 81-sq. ft. clear plate qlass
; 1 tempered door glass
1 3' x 7' store front door complete surfact mounted closure
all metal anodized
Nine Hundred Thirty-Eight & 08/100ths 938.08
of a tolal value oF . _ _ . _ _ _ _ . dollars (S _
of which the~e remains unpaid S 938' 08 - Fo~ which amount he daims a lien on ihe following
St. LuC3e . _ . - Coun FI
described real property in _ _ . _ _ . _ . . _ _ _ _ _ . tY, orida:
(Deuribe real property wffiaeMly for identiFication, induding slreet and number iF known)
' Beqinning at~the SE corner of Lot 34, thence North 150', thence
E West 120', thence South 150', thence East-120' to the POB, LESS
; the South 20' for road right-of-way, said parcel lying and being
~ situate in Section 28. Towriship 35 South, Ra~nge 40 East, St.
€ Lucie County, Florida in INDUSTRIAL SUBDZVISION, as per Plat
thereof as recorded ~n Plat Book 9, Page 5 of the Public Records
of -St. Lucie County, Florida.
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Victor and Mary L. Mastrionni ~i ~~~~1
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H~ Fu~ther says that lienor fumished the first of said labor, services or materials on. -
. J~AtT~i~y.....12.,._ 19....T..~, and the (asl of the same on Ma!Y .16 t......_.. 19~.4_ , and (if the fien
is daimed by one not in privity with the owner) that the lienor served his notice to owner oR -
_ ~ certi.fied mail. return .receipt.
. t9.7..4.., by_.__ _ _ _ _ _ .
(Method of Service) , ~
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~ Lienor
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.~~uittuhf~;~~70K l~fiy
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. . Swom to and subsaibed before ms this........~9 ~ " ` ....~q~ 4 . .
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