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- W/1LTER 11ti MEGINNISS ~
~ ARY~ I3UCHA;~Ah 8 MEGINNISs
CMrte~ed Attaneys '
~Ol First National Bank Bidg.
Cj,~j~ L~N S~U/1•~T, t1.URtDA 33~Qq
STAT$ O~' FLORIDA )
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COUNTY OF MARTIN ) • .
Before me, the undersigned authority, peraoaally appeared GAY .
GR,OSE, who, being duly ewora, saye that ehe is the Secretary-TreaeuY'or' of STUAR,T,
pyII~iT i 3LJP'PLY, INC the Lienor herein, whose addresa is Post OfHce Box 67,
Stuart, Florida 33484, and that in pureuance of a contract with Concrete Modular
Sy~~B, ~c Lienor furnished iabor, servicea or materials consiating of trussea,
windows and other building materials fo~' improvement of the following described
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real property in St. Lucie County, Florida, to-wit: :
SEE SCHEDULE "A~~ ATTACHSD HERETC) AND MADE A PART
HEREOF. y -
Said property being owned at the time of contract by CONCBETE MODULAB SYSTEMS,
INC . and said property has since been c:onveyed tv iI4AHD PEEK and QUEN'rIN C40PER
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as evidenced by Warranty Deed dated May 10, 1974 and recorded in Offiaial Becorda -
; Book 227, Page 1199 on Niay 10, 1974, and that there remains unpaid for said labor. -
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~ aervices, or materiala, the aum of Nine Thoueand Three Iiundred Eight (=9, 308 .59) :
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Dollars and Fifty-Nine Cents, and that the Lienor furnished the first of the said ~
labor, aervices or materiala on April 14, 19?4 and the last of same on August 21, 1974.
The Lienor being in privity witli the owner, has not served a notice to owner, '
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but furnished one to St. Lucie County Bank on April 23, 1974, .
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SWORN b~ and subscribed before me thia L_day of November, ~8~~~21t~~n,;~+'
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