HomeMy WebLinkAbout0499 FLA. 1~87 l.AW9 ~ ~r RAMCO fORM 1sOM
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4j~tt~ of Brevard -
BeFore ms, the undersi~ned authorilY. Perso~ally appeared ................~ll.....B. ..1Kulker .
y fhe a9ent t
• who. bein9 duly sworn, says that he is the lienor herain or 1~~ of the lienor henin,
. Tr-iangle...Pacific.,...Building...Er.aduats.. .G~raup,....Cacoa...~?3.xi~t~.on .
' (Lienor s Name)
wh~ addreu ~...........p.a..Boz..366.,...8nckl.~dge,_.Fla..,...3295-5 . .
(lierwr s Address)
and that in pu~wance of a contrad with ..._.S~rstem..Hon,s3ng..C:ar.~............_ . . . . . . .
_ . . _ . _ . _ . _ _ . _ _ ,
lienor fumished (abor, services or materials oonsistir~g of: (Describs specially fabricaled materials separotely)
Roof Trussea
I,uimber
Doors
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of a total value oF .F./.17~C~~!..f~v...~/?rf'CD _'y~!~'y- f!vE ~~'O.~G`t~ -..dollaa (S ~595•04. ) !
of which there remains unpaid S 223T-•~9. for wltid~ amount he daims a lien on ihe following
desuibed ~sal Props~tY ie.._....._ . ...~t..~...I~uC~B.... . . _ CounFy, Fbrida:
(Desaibe ~eal property wHiciently for identification, induding street and number if known) "
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Lot 9 Block 3123~ Port St. Lucie Sub. f~p~,qU~t~ ~-~p e
3~~ AOGE~~p~ i'R~s~A. `
: ELER~ ~~f.GUtT ~011RT
f RfC8R0 VE,IF'«8
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pwned by .......Gener.a~....~~ve~Qpwe~t...Coz~p~ . . . _ _
He further says that lienor Fumished the first of said labor, services or materials on . -
June...27.~ 19-.~4, and the (ast oF the same on .....Julyr .23 19.74 , and (if the lien .
is daimed by one nol in privity with the owner) that the lienor served his notice to owner on
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S~Bt,.....3 , , y. . Certified lail _ _ _ _
t9. ~..4. b _ _
~ (Method of Service)
~ .Triangle....Pa~.~.~~~ _ _ _ . .
~ uenor
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~ A9ent Attomey _
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~ Sworn to and wbxribed bsfore ms this ~~.......'...:......day of . . . _ . . _ .197~:.
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Notary Publit ~ c. • ~ • - .
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~l. B. 4Yalker i•: f• ~`-''~31~ ~XP!?~.~ AEii:. ~'?T, 3+9XS.,s I^:
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