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~tatt Of........ Florida
St Lucie .
atountp of ~
BEFORE ME, !he undersigned ~ authority, personally_ appeared
.._......._..$,?..H~C~~~..B~.~~@IOgX' who,
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being duly sworn, says that he u(the lieno~ he~ein) (the [age~etl [attorney] of the lienor f~erein) ~
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_i.uhose address is B~Y.. In~.~1~.~4~i4n..I~~_• , ~
. F.
303 canct~ce Ave. Jensen Heacht_..Florida..~~!~~?.._,
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and that in pursuance of ~ a cont~act with E•: G, Cridland Construction
lienor furnished labo~, services o~ materials consistiag of
.--=--.Fiber_glaas-.I,nsul.a~ion---------------
jLED At1G REC ROfD
' i ~UCIE C
p~-~d~~Y.FL1.. t
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CL€RK ~tF~CUit COURT ~
RFCOR~ vEr?Frfn _
(Describe specially fabricated materials separately) r0 2 32 PM ~j~ . .
on the following described real property in St.._I~uCie
County, Florida
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2~1 N. E. Faring--Avel---------------••------.._..---....__..--------.._...-•--------=-
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~(Descri6e property suffzaently ~or ideritification and ~iae st~eet address if availa6le
owned bp GenersL.D~eYelo~n~--C4~~.-------------•----.....--------•-------._......__..___...-----........----------
1~~,~QO..--------- o which there remains unpaid $----.1$0. Q~
oJ a~total value of , f
and fu~nished the ~isst of #he same on..___.___fl~~s~h~T.__ll.,_.-.-•-.-•-------, 19-~~-• and the ~ust of the
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same on ..._...OCtobes'--1-1 19-7r4-- and (i
f the lien u claimed by one not :n privity
with the owne~) that the lienor served hu notice to owner on.._.._~IOVembP.~'..l_4_,.___., 19..7_4. by ~
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(here describe method of serv:ce of not:ce) CEr_tif.fEd._Ma1,1--------•--------------------~---------------------- '
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y Lieno~
be ore me this__...... ~~._....da _~.~~~~~~'~Y'`^::'--... 19.1.~.
Swo~n to and subscnbed f
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My Commisrion expires---------------------------•-- . ~ ~
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NOIARY PUBLIC. STAIE M FLORIU.". at UIRGE _:~~~~~T/q,~ifi-? ;t~
M11 COMMISSlON EXPiRE& APR. 7. 1976 ~ ~ ~ •
~1{DED TH&U GEiEtiJ11 INSURVSCE JNDEKtIKlltm-- f N4j •:e +s,.~~•J
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