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Be1on n», tiw und.rsi~n~d suthoriRy, personally appear~d...---•-..--~~eth Peterson
~~9 ~Y swom, says that h~ is th~ lienor hsrein or ~ of tho {ienor hsran,
Fort Pierce Sand and Materials, Inc. -
. _ . ~uenor
s Name?
w~ ~~;~.,...9.06.._Ohio._.Avenue.,._Fort Pierce, Florida
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(ua~or's I?ddress) .
and that in ~wrsuanae of s oontracf with Ear l. L_ief f er... Trucking _ Co .
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li~?or fiunishsd labor, servioss or materisls oonsisting of: (Describs specially fabricatsd mater~als s~parat~ly) ~
F~~EG as:: ~:tcc?ROED ~b"
5T_ ~UCtc v0U!IT11 FLA. 4
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Sand and Fill Material ~«F~ ~i:u~T GJURT
RfCC~D VE~~c;r~
.b~ 6 4 io PN'1~1
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of a tdal value of... Forty. . Six .Thousand . Eight Hundred ~s46, 834 . 80 ~
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Thirty-Four and 80/100
of wliKh there ~emains unpaid s42.~83.4---80- fo? whid~ amourn he daims a lien on the Foibwiny
St. Lucie
describsd roal property in..- . . _ _ . . ~ou~?• fiorida: ~
(Describe real property sufficienlly for identification, induding street and number if known)
A str~ip of land 300 feet in width contiguous to the
West right of way line of State Road Al~i in Sectiori 16,
~ Township 36 South, Range 41 East. '
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by..__... Flor.ida.._Power....&.__Light Company _ _ . _
Hs further says tEwt lienor fumished the first of said (abor, services or materiak on _
Sept~mber_...~5..._, 19....~..3and the last of the same on i97-4-. ~d (if the Cieri
is daimsd by one nd in privity with the owner) that the lienor strved his noticr to owner on - -
_..,7~~~.._.~..._ 1974-., by._... -~---Certified..Mail,........ . .
(Method of Service) _
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h ..For.t... P.ie.~c~...S~nd...arXd---~laterials, - -Zn .
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~ Swom to and subsaibsd before ms ~his ..............._..6~ - . . -..-_day oF Junt~.;.':.-'- ~ -
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~~~~~`n-u TH!• INSTRUNENT MREPA~Ea ~Y
CHARLES R. P_ BROWN ~ ~ ~
r.0. SOX ltti - 301 S. 6n~ ST. ~
FORT /IEilGE. FL~a.pa 33450
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