HomeMy WebLinkAbout0501 FLA. 1Y67 LAWS ~ RAMGO fORM Is0•
F S 713.09
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t1~l~tim ~t~xt
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~ouict~ of Brevard
6efor~ ma, tl» und~rsi9ned authoMy. P~rsonally appear~d :.........1~.....A.....',Nalkar_
who, being duly swwn, says that he is ths Ilenor heroin or # of the lienor herein, .
................Trian~7.e...P.as~if.~o.....Ruils~ng...Pr.a.ducta.. Gra~,....Caaa.a...D.~.Q~,aio~,....
(Lienor s Nsme)
whose add~eu is.........P..Q..Hoz...36.6.~...Rnakledga~ Fla. ~ .3295~ . -
- (lienof s Addreu)
and that in pursuance of a contred with ..Syatem..E~o~usiug...Corp. . . . . _ : .
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lienor fumished labor, servioes or materials oonsistiny of: (Describe specially fsbricated materials s~p~a~at~ly)
Roof Trusses
Lumber
Doors
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of a total value oF.S.~X.
T~y //~1iYO~Y~~ /~/~lj. f!~!C /1.!Vl~~i::~ _...dollars (S ~ 645.•9 G.. 1
of which thero remains unpaid =~~a~.•.01... for wlad~ amount he daims a lien on the Folbwing
desaibed real property in... ....._.St......Luoie. . . _.County, Fbrida:
(Describe real property wFficiently for identificalion, induding streef and number if known)
I,ot 21 Block 139 ~ Port St. Lucie Sub. F~~ s~t+ pEt~~tifE~ ~
tT.iU~1~ ~~i1MT1f fLJ.
A04E R Fa17itA5
' CLfR~ L~,~LIi~T COifRT
~ RfGOt;a Y~r~F~EO
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~ SFr 13 4 ~ PM'7~
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~ ~2~?2
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Owned by . General...Development. Corp_ . . .
~ He further says that lienor Furnished the first oF said (abor, services or materials on--
Jux1~...2.T 19...7a, and the last of the same on ......,~u~.y....2.3.~_..............---..-.. 1SiT~.. and (iF the lien
is daimed by one not in priviiy with the owner~ rhat the lienor served his notice to owner on -
Sapt~-...3~ 1974.., by..... .Cer.tified Ma.il. _ _ . . . . _ . _ _ _
, (Method of Senrice)
Tr.ian~le...Pac.ific . . . .
~ Lienor
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x,
~ 8,,. .l_-~'~~~c. . . _ . .
~ ,tD
Sworn to and wbsaibed beFore ms this ..................................................day of ..----1~ •
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~ Nas?y Public ; ~ • - ' _
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r.;nT•:nY PI IRt t(; STATE OF El(iRl T L•AR~~>
~^.`,i`St~:'':~N EX~i~~S AiJ : 1975 ~
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%%il.~ /ii~lniairu/ ~~rr~~drri/ yP. B. WBIICAT ~ ' jic ~ ;
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~ TP,IA!:GLE - QAC1f1C ~ ~ ~
P. O. C~~ X 366 60QK PAGE ~i -
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PpC~'~~C~GE, FICRIDA 32955
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