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~ia? suautes ot~w•s fo~w N~:o~ ~ev. •a w,.~«ti..+.•a ua n«~:. aw c..w•r
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~tate ot.........~'1or.i.s~
QLountg ot....---~St .~u~~.a
BEFORE ME, the undersigned authority, pessonally appeared
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being duly sworn, says that he is (the lienor herein) (the [agent] [attorneyJ of the lienos herein)
whose address u ~8?~d3f..~l~sYt).8?~~Ori..~~~..
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~ ~0~ Candice Ave. - Jensen Heach_;__ Florida 3~k~7
. . .
and that in pursuance of a contract with ._._.T..._Qr~.._CY'idlaritt..COYi~.trl7tC~i.ori
lienor fu~nished labor, se~uices or materials consisting of
._.~'i.be~~87.ass.. ~r~~ua.ati.~x~
_ . f LEO Ak~ ilECORp~
~ .lUC1E CO
.........................E._~C~'~ fiMTYF-L~1.
b R~S
- CIERx-C~3CUI~ COURT
_ ' PEr,pR~} YER1i1ED .
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(Describe specially fabricated materials separately) ~O 2~2 PM ~1~
~ on the follotuing described real prope~ty in St Lucie--------------------•---....------.....---..._.----•-----------
; Count Flonda
v, _ -.~?9~?,~.
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~i~s?~4. B~.Y_a~
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(Describe p~operty su
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f
iciently f
or identi
f
ication and ~ive street addsess i
f available)
owned bp -----~~ne.~al_.IIe4elapmemt__~Qr.g.----------------------------------------------------------------------------------
of a total ualue of 32Q•Q~------------------~ ~f which the~e remairu unpaid $....._~~Q.4Q----.._....
and furnuhed the first of the same on._.___..._O~tDh~r_.$,__1~~~___._., 19.__...__ and the~last o~ the
.
same on Oetober_:9, 19~4:_._ and (if the lien u claimed by one not in pnrnty
with the owner) that the lienor served his notice to oumer on.._..~QQ~ODb~IC..~~ta-..---, 19--74~ by
(here descri6e method of se~viee of notice}_.__..._.C~ertif.led..Msi1-•--------•------------=--•-----•-------------•
- _~~indy ~~risii~a~lo ~ 7iic;'_......--- ! .
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Lieno~
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Sworn to and s~6seribed bef
ore me this.._...._./.~...---da o aU'..~~c~~n:t~l.~~---------••, 19.Z,`~ ?
...__.._...L~~`_,~
.c.ss.~_~ .A r
~G U , ~-~'flblic) ~
M ~ Commissio~+c,e~?~3~*~-sta~r.-~r?.. R- , ,r'`~`~y~,~~"11~t~,~fi,.~;'~;,~ ~;~=r i
) ^t^L. al' JSnGE' ~ . , ,
MY COi
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