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HomeMy WebLinkAbout0156 - ~~ss u?w~ ~ ~tAMCO tORM 1~0• N. _ is MO~1 1i/ J ~1~tri~ ~t~xt i ~ p{ ST. LUCIE. ~ ' ~o~ ' ~ Bsioh ms tho ur~d~n~d authorilY. P~rsona~M aPPea~~d-......H4W~~...~!'~1S~E#2$...---aL.Y?/..a... ~ HOWARD M~STERS CcxvCR~:TE , ' who. b.;n~ duly sM?om~, say: tltiat h. is tl,. lie~ here+n onc ; i t . ~ . . t~) ~ Route 3, Box Sa5, Fort Pierce, Floxida 33450, ` whose address is......._ (lieoor's Address) ~ and that io purwanos of a tontract with... COI!ICRE~'E...MQDUI.~~.R...SYS.1'F.MS~......I.LIC...,...._ . . _ . . . . . Menor funwshsd labor, servioss or materials oonsisting oE: (Describe speaally fabricated materials s~psrat ) Grading slabs, glacing and finishing concrete, forming driveways and parking areas, and furnishing and supervising labor, FORTY-SIX THOUS~IND FOUR HUNDRED _ cf a tdal valu~ oF...SIXTY AIdD NO/100----------------.-.-.:.dollars (=.4.6~.4.60. 00_-----.) of which there remains urtpaid S 22 ~ 307. 00. for which amount he daims a lien on the fdbwirg ~ ~ ~n St. Lucie _ _ ...Cou~ty, Florida: dsscribed real properh? ' . . ~ (pestribs rea! prcperty sufficier~tly for ider~cifiwtion, indudin4 street and number if knownj ~f See description attached hereto and made a part hereof_ ! I ~ 3 _ ~ ~ ~ CONCRETE MODULAR SYSTEMS , INC . - . . . . c)wned by _ . _ _ . _ . He fixfher says that lienor Fumished ti~e first of said labor, services or materials on- . , 19..-... , and the last o( the same on ......August. ..19 . 19~ 4..., and (if the lien March_~ 1._....-----_.._....... 7 4 is da"uned by one nd in privity with the owner) fhat the lienor served his nofice to owner on~.in privity) ~ _ . _ . _ . . ~9~-------, by.. _ _ _ . . (M hod of Service) ~-it/l ~ienor , ' ~ r•;::': = ' y . . _ B A9ent or Attomey :.j . . ~ t: , ' ~ _ . , , . , - • . ~ ' ' ' ' 21St Swom to and ' Fore mi- day cf~ Au~us 19 . ~ • . , r ~ . _ ~ . - - . ~ . ~ -r~ -f ~ ~ ' - • -:c~ . , . ~ : .o= - _ . . L_ !i . . . . . - --r.-_ o,.r~..~.~....Q...--~ 4-c.k.~..,?.a.,a~... ~ 2 `z ' "1 `.4%~' • ' Notary Pu61ir ~ • • ' ~ • ~ ~ • r+oe~n ro5s:, r.,;~~ - ~~~4 h:y Com:,Esi;vn E,,;,e,'i,b. id, 777 ~ •~,,~~UI~Ut V R { , . r~. . 3~i:.3eu b~ hcncr- 'r ~ .:a ` . dOQK 231 ~'Abr JV - - . _ . > >