HomeMy WebLinkAbout2970 DONALD F. KALTENH,ACH, Attorney at Law
executive I~ne 718 West Main Street ~
FORM 1S7 Claim ~J' Li~» New Port Richey, Florida 33552
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BEFORE ME. the undersigned authority, persona!!y appeared DONALD F. KALTffiJBAGH ,
_ for West Bay Development Co. , a Florida corporation who
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bcing duly sworn, says that he is (t~K~t~x [attorney) of the lienor herein)
whose address is 718 West I~1a11~ StY'eet, New Port Richex., Florida 33552 '
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and th4t iri pursunnce of a contract with ..,Southeastern Fabricators ~ InC
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lienor furnished labor, services or materials consistin o clearing of lot, fill for
bl~i~:a~?~9...~~'~~.. Q~~.y.~...4."....~QA~.~~~~..~~,~.,...xs~ugh-xu..p~l.um2~i.ng..~onl~r.,...an~d...........
erection of steel buildinc~._only........._..._.
(Describe specially fa6ricated materials separately) ~
on the following described real property in ..St.., Lucie......
~ County, Florida 3001 Industrial Avenue Three_~__ Fort . Pierce.~.. Florida,,,
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, (Describe property suff~ceently for identification ond.g.~,e s~reet address if available)
owned by ......Southeastern Fabricators,..Inc.
17,000.00 6,588.72
of u total unlue of 5 of which there remains unpaid
and furnished the first of the same ~n Max. 15~,,,.,,,,_.,,.,,,.,.,, jg 74.,,, and the last of the
~ same on .,August 16, , Ig„74,,, and (if the lien is claimed by one not in privity
with the owner) ihat the lienor seroed his notice to owner on October__15 jg.., 74, 6y
~ (here describe method of service of notice) Certif ied Mail Return Receipt
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Requested
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for
Sworn to aii~~'1~~~~. ~fne this....l5th......day of........October 19.. 74....
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;~~r -•~~iit ~1 Horid~ ~t . . .(Notary PuGlic)
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My Commission expites. ~~T
` M.~DSTATE I.EGAL SUPPLY COMPANY e00~~z ~~~7
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