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B~Fon n», fh~ u~d~~siqn~d author+ly. P~ttonaliy appear~d........RI~~D...B ~....HELI,STROM .
wFw. b~ie~q dul~? sworn, ssY: thst h~ is ~h~ lienor herein o~ ~h°~~~X~ of th~ li~nor hK~in,
~iELLSTROM AND ASSOCIATES
............................._...w..............._...._..........~.. ..............~4enor
s Name)
Suite 202, 117 South Second Street, Fort Pierce, Fla.
wlws~ sddr~ss is-........
(Lienor s Address) ~
snd that in purwano. of a aont~act withh... Max W. Schwoacher .
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_ . . . s~P~.h~1
ti.rwr fumished 11~G s~~ or mar.risls ao~isrin9 of: (Desc~bs sPeaa~ly fabrica?ed ma~
professional -
PREPARATION of construction drawinqs and specificat~ons for
parkinq and drainage improvementst for sewage and water
uti~lities, and ~or other engineerinq work and consulting
services.
Four Thousand Four Hundred Ninety-nine and 19/100 4,494.19
of a tdal value of _ . . .._..dollan (s . . _
oF which thero remains unpaid S 3...386.,.4.~.. for whid~ amount he daims a lien on the Edlowwiryg
dssaib4d mal Props~Y ~ ...............St.._._I,ucie....... - . _._...County, Flo~ida=
(Desaibe real propsrtY w(fiaently for identification, induding streel and number if known)
SEE LEGAL-DESCRIPTION ATTACHED HERETO ~
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Ownsd by-~--...M~x.-,W ..--.Schwnacher -
Hs huther says lhat lienor Fumished ihe first of said labor, services or materials on..._...... MaY.. 7.~
74 October 30 ~gf~...._.. and (if the lien
19-........, and the last oF the same on ,
is daimsd by one not in privity with the owner) that the I+enor served his notice to owner on
.
19--......., by . _ _
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(Method of Service)
. HELLSTROM AND ASSOCIATES
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BY . . . .
~ Ayent or Attomey
...No.vem~ex...,....: : ; ..~....19- .7.4...
Swom to and wbsaibsd bsfore nw this ..............fith............................day of . •
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:1~fJn_cs Ben L. Bryan, Jr. ~ ~3 -7 ~~'r• ~F FtORti~p
P. O. Box 32 30 ~7 ~ 3'•-, _~~i~~~~ ari~ :2 `
~ Fort Pierce, Fla 33450 ,
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