HomeMy WebLinkAbout0403 ~ FLA. 1967 LAWf ~ 11AMG0 FORM 1tOr
FS 71J•09
t~l~tti~t ~a~ ~~t~ert
,
~dtuts af ~lusiDx ~
~ountq of _
Charles B. Hall ~
Bsfore ms, the unden~~ned au~lw~r. Personally aPPeared . _ .
- the agent ~
who, be;n9 duly sworn, says that he is the lienor herein or # of the (ietwr herein, ;
i
. .......................~y~.andex....~um~.~x...~o.., ~u~. _ . . _ .
(lienor's Name) ~
Fort Pierce F1.33450 t
5103 Oleander A~~enue...... ,
. .
.
whose ess is
(lienoi s Address)
- United American Construction
and thaf in pursuance of a contrad with - . .
_ _ ,
_ _
_ _ . . . . .
lienor fumished labor, servioes or materiats tonsisting of: (Describe specially fabritated materials ssparst ~
I I,umber & building ma-~~rials as needed for residential
i construc~ion. . . . ete. . . f~c~~ <4_
sT.~,; _ -.;~n+ri ~Fa
~~r. _ : .;_'`S L~t.
CtE~?~ ~ L
A:r~:.n .ri.~L~T ~
~~8 .
~43 .~u+ 3 3 20 p,~ '1~ .
~ ~
i' ~ -
~ One thousand two hundred thirty se~~~s~s 1237.02 ~
~ of a tolal value oF & 02~100
~ 1237.02
I of which there remains unpaid s - ~ , for which amount he daims a lie~ on the followin9
I St . I~LiC 1 e..... CouMy, Florida:
described real property in . _ _
i ~ (pesuibe roa) property suHiaently For identification, induding slreet and number if known)
~ Lot 7 Blk. 3232 ,
` 382 N.E. Brasher
7 ~ ~ /.r 7 / ~
~ ' ~ / _ _ ' l c7•`+~ ~ r S ~
~ c i~ i C " C C.
. ~
~ / ~ ~ . . 31
I
!
? -
~
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. . Genex~~, _~eveloptaent Gorpor.ation _ . _ _ _
pvvned by
'i
He fu~ther says that lienor fumished the fint oF said labor, services or materials on J1]rie.
I,~ 74 October 4 ~y ?4, a~ (if the lien
~ 19-........, and the (ast oF the same on
.
I October
~ is daimed by one not in privity with the owner) that the lieno~served his notice ~o owner on -
~
~{g 74 Roger Charles/ for T~lander Zumber Co., Inc.
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_
. . . . . _ ,
(Method of Service)
~ Tylander I,umber Co., Inc.
~
_ _ . . Lienor
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. -
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- gy • ~ . _
.
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~ Aqent or ~ -
~
y., January • , . . . .
3rd, i9
_ _ _ . .
~ Sworn to and subsaibed befors me this .................day of ~
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L • , ~ i' - ~ ~ ~
•
~ : ~ ~ ^-r . . .
~ ~ -
1~ . ~ . _
~ ~ t
~y .P " ~
'~P ge~~~r..~v ?lotary Public. Stote of Flor:da o~ Lor~. - .
I t. 4 1977 ' . 3
/~II~ Cetnorssio~ Expins Sep . 0 l'-
_4 .f~~ i
bnded by Amencon F~re 6 Cowoltp CA ' :,.r.~..• i
lrc~ /1c~~rri~ur~~~ f~rr f~~rr~-~! 1~~: y~,,4`: _
I~I J Burke ~ ~'''~~,,~~<<;.a~~~`~:
1~/~/rr:~~ • • -
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