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HomeMy WebLinkAbout1216 RAMCO FORM ItOr I F~~. ~9s~ ~~ws 2~~~~~ % ~ Fs~ ~ ~ a.oe (~i~tix~ ~i~~t ~ ~ ~~St. l.ucie County ~ t ~ 9 : Bsforo m~, tM undsfsi9ned authori?r. Ps~sonally appearsd........ _...Jean. ~1... SteYens.... - ; ~ ~h°~ # ~f Ihe lienor herein, . . . . ~ who. b~in9 dulY swo~, seYs that h~ is ~hs lieno~ herein or ~ • . ~ ........................_..._..l:l.~k.._.G.Qr.RS~~'~~i.o~...Qf....F1.4r.. . a . _ . ~ _ (Lienoi s Nan~) _ ~ Flor~da 500 Farmers Market Road Fort Pi erce, _ . . . • . . whose addrsss is-....--....-..---~- ~ - - - (lierwr s Address) A~l anti c. Con..d..~i ni..u..~.~_.. I?!~.t . . _ _ _ , and that in purwanos of a oontrad with _ For.t Pierce, Flor.tda . ~ • _ ......_.....20-51.-4l.eander.-Avenue..... . - - asoor (umishsd labor, se~vioes or materials aonsistin9 of: (Describe speaally fabricaled materials s~ParatelYy Roofing, Materials, Equipment and labor to install oF a raal vak,e of.-Twenty-one_-thousand-s i x-hundred no/ 100 ~an ~s 21 ~ 600.00 ~ . 8,000.00 Fa which amount he daims a lien on the fdbwing of whid~ there remains unpaid s-~-~-- _ _ County, fbrida: _ - -S.t_.....Lu~i e . . . . . . . _ dssuibsd real Prop~~Y - ~ - - (pesuibe ~eal props~tY for ideNif'icatwn, induding street and ~umber iF known) i See Attached Exhibit "A" i Atl~.n~i.~...C~nd~xni.niums.- Inc.,..20.51..Ol.eander. Avenue,...Ft_... P.i~r.c~e, _Flor.i.da ~ owned br---- - - - ~ - ; ~ . _ ~ Hs furthe~ says that lienor fumished the first of said labor, services w~naterials on_ ! . t"~56l1~ 19.. , and (if the lien ! , , _ . - Apr~ 1._3._---...~.., 19-..------. and the last oF t same on - with the owner) that ~he lienor served his noiice to ormer on ~ I is daimed bY o~s no1 in pnri?Y - . _ . . . . _ . _ . f , : 19...----•-. Y~- . . Mei o Service ; .HAMMUC.K_.~ORPORATIQN .OE...F.LORIDA.. _ uenor . - ~ ~ ~ . . ~ , ~ y. gy. a.w-... - . . . . . • , . ~I ~ ~ ~d : _ . . . _ . of AuguS~ td0;:.~ ~ . - • y • ~ . - ms tlm . _ . Swom to and wbsa~ed before ~~~h---- -------------~-~---da _ . ~ _ -'t~i,.~~• ; t n'- ~ . ~ . ; . ~ ~ - • . - ~~G ~ . . . ~ . .............'....._....I~~',', - `C • • . . _ Notary Publ'ic N'a~" F.~ sr~r. ef ~h? ~ ~ n. ~9n ~end~d bp AewGwn i~r. a Caswlhr Ca %%is /~~Nmu~~n~ ~~rr fu~n~~ 1~~~: Larry Johns~to.: I P C 3ox 6~32 ,~IJJnss West Palm Beach, Flo~?ida 3~40 d40K ~1 PAi;E ~ • ~ --a - _ _ _ _ ~ . _ ' r' ~ _ ~ ' _ _ .