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FLA. 19ti7 LAWi
FS 713A8
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Charles B. Hall
6s(ore ms, the unde~si9ned authoritY, Personally appear ed . _ _ _ . . . . . _ . . _ . . _ . .
II who, bein9 duly sworn, says Ihat hs is 1he lienor herein or ~~~a~~ of the iienor here~n,
..................Tx~a~d.~x. Z~b~~....C.o., zn~,............
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(lienor s Name)
3103 Oleander Avenue.,,, Fort Pierce, F1..33450
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whose a eu ~t .
(lienor's Address)
United American Construction '
and that in pursuance of a coN~ad wiih . _ . _ . . . .
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lienor fumished labor, services or materials oonsisting of: (Desm'~be specially fabricated materials separately)
Zumber 8c building materials as needed for residential
constructio... etc.. . . f~s`~ ~ti_ :~;~;,;~_~o
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- , REC-?,- -
. 2~c~438 ~ ~ ~ .
3 3 is PH'T5 }
5
t
762.50 #
of a total value of. Seven hundsed sixty-two...50~100 dollars (S - ~
I, oF whith there ~emains ur?paid s 762• 50 _ , for which amount he daims a lien on the Fdlowing
I Sa i nt I,uc i e Counry, Florida:
desaribed real property in -
(Desuibe real prope~ty wffiaently for identification, induding sireet and number iF known~
I,ot 10
i ~ Blk. 3232 a~
~ ~ 322 N.E. Brasher ~k
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~ Owned by General. Developmeut . Corporat~..oz~ . . -
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He further says that lienor Furnished the first oF said labor, services or materials on ~
~ ~ 7... 19..74, and the last of the same on.........dCtober. ..4,19 and (ii the lien
,
~ October
~ ;s 1~;,.;s~ by onz n~ in r,rivity with the ow~er) that the lienor served his notice to owner on
~ ~ ~g 74 Roger Charles/ for Tylander Lumber Co., Inc. ~
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~ (Method of Service)
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_ _ . Tylander.. Lumb.er...Co... I~c.
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Asent o: /~4~, `
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75
3rd ~ J'anna~y.:._...... .
~ Sworn to and subscribsd bsfore ms this . _.._................_.......day of. . . .19 `
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