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FLA. fo67 LAWS I`~~ r ~ AAMCO F011M 1sOM
FS 71,.06
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Before ms, the undersiyned autlwrity, personally appeared.......EDWARD K. LOUEY
swom, says Ihat he is the lienor herein or the agent ~ of Ihe lienor herein,_.
who, beit~g dulY ~ ~~i~dFrYe1~?
GLENN' S TRUCRING CO. , INC .
(Lienor s Name)
whase address is............Nort~....U........5.......~..: .].'..._..Q..... ~ox ~.OQ3._..S.t.ua,rt... F~arida . . .
(Lianor's Address)
and that in pursuanan of a contrad with . .~~?Ch ..~.1.Ub....DeSt.~lOpD~elZt---Cox'p....... . . _ . . . a
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~i~no~ fumished labor, services or materials consisting of: (Describe speaally fabricated materials separately)
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Labor, services and materials f
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of a total value of.._.. $ 5.: 3 0 2.., 0.0 ' . . _ _ . _ . ddlars (S _ 1
of whKh the~e remains unpaid S~~ 3 p~• Q 0_.. , for which amount he daims a lien on the followiny =
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m_._.......St,.. ...LuCie . . . . _ . _ . County. florida: ~
described ~eal property
(pestribe real property sufficiently For identifica~ion, induding st~eet and number if known)
~ (See Exhibit "A" attached)
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Beach Club Development..Corp. -
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He further says that lienor (urnished the first of said labor, services or materials on- _J3nuary
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........................._18..............._...., 19..7..!~., and the last oF the same on ....A~z.~'~.1...3 19....7.~}~i~~liXi~X =
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- (Method of Service)
~ GLENN.' S TRUCKING CO. INC,
lienor
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Agent ~r~~i~~ Edwar K. Lo ey
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~r~ V~ce. residen .
` Swom to and subsaibed before ms thiz ....................................................day of June_,..:. i.,.;.s. ....19 74..
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Nofary PuSP+e, ~tqla of florida ol_ tor~i. '
Tlris liuln~rnr•~r~ ~m`~~~r~rl b~~: ~ALLORY L. JOHNSON MY Committiw~ Expires Moy 1~„ 19~
ATTOR~lFY AT Lt~:% ~nd.d by Arne~p~dn Fire 6 Cosa~~ly Ca.
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. Llilriss 30e ~1. FL,~. Er`.''-. ~ ~p
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STUART. Ft~C;i::~:`.
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