HomeMy WebLinkAbout0407 FLA. 1~67 LAWS ~ 11AMC0 ~ORM t!O•
FS 713.09
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Before ms, the undersi9ned aWhorih. Psrsonally appearsd... ..C.~1~.~.~.5... B.. Hell
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sworn, says that he is the lienor herein or ~°~a9~~ ~ of the lieno~ hersin, '
who. bsin9 duly
.......................T~rland,~r....Lwnb.s~....Co..., ..Inc.. . °
(lierwr s Name) }
3103 Oleander Avanue.......Fort Pierce, F1.33450 :
whose addreu is.........._ . . . .
. . . .
(lienor s Address) .
United American Construction/ subcontracto
and fhat in pu~wance of a tontrad with . . _ .
for Gou1d Construction '
_ . _ _ . . .
. . . _ . .
. . .
lienor furri~shed labor, services or materiais consisting oE: (Describe specially fabricated materials s~paraf
I,umber Sc building materials as needed for residential
construction etc....
f1~L0:.~i ?EC:+kC•EO
ST.lUC1C ~~U11T1' FlA_
R~;C: '%,AS C
~ ^ q ~y C~E~K C •:~i:i ~~URT '
~ ~~~'#~.t~! `~',an ;
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; Six hund~ed fifteen....93/100
615.93 ~
,
of a tolal value of ~~X~s~ dollars (S ~ ) ~
of which thero remains unpaid s 615. 93 for which amount he daims a lien on the following
. St. I,uCie County, Florida:
' descnbed real PropertY ~n _ _
~ (Desaibe rea) property sufficiently for identiFication, induding streef and number if known) ;
!
I,ot 13 S~ F ~
~ I 3256 i~Ionte Vista B~e -
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~ ~
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~ General Development Corporation
. _
Owned by . . . _ . _ .
He fu~ther says that lienor Furnished the first of said labor, services or materials on . S~Pt~~~~r
~ October 4 74
I 1974 and the last of the same on 19 , and (if the lien
I . ,
October
1 is daimed by one no1 in privity with the owner) that the lienor served his noiice to owner on -
= Ro er Charles/ for T lander Zumber Co., Inc.
18....,19_74 bY _ _ .g _ . y.. _ _
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~ (Method of Service)
~ Tylander Zumber Co., Inc.
_ . _ _ . . _ _ _ . . .
Lienor
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~ By........ .
A ent or ]lltat~ t
~ 9 • _
. i
< '
~
3rd...... ,
~ Swom to and subscribed before ms this .......day of _ JanuarY... _ ~......:...19. .~75 ~
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I Notory Vuol:c. Sb• -t `..~.4, al lo~ r+t:~'•
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~ - M~? Ca~istioa bp:res te~e- 1, 197f
.1,lJrr ~i j.i. J. BuTke sa~d~d by /1a»ricon Fi.. i c,owdrr G~ .
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