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6eFore me, tM undsrsi9nsd authoritY. Personally appeared...._._ ._G~3~l~1~$. B. xe.~l
the agen~
who, bein9 duly sworn, says ihat he is the lieno~ heroin or ~ of the lienor herain,
.............Ty.lander.....I~umber. ..Ca. , ~nc.._ . _ _ :
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(lienor s Name)
3103 ~leander Avenue, Fort Pierce, F1. 33450 , ' 3
whose address is . . . _ _ . . . ~
(lier~ s Addrou)
and that in pursuance of a contrad with 1111ited AmeriCall...C.oIIStruC.tioZt.. _ ~
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~ienor furnished labor, services or malerials consisting oF: (Describe speciaQy fabricated materials s~Parat~lY)
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I,umber & building materials as needed for residential
construction.....~te... ffLED~~; :EC~R~ED
ST.IUCt'_ ; ;y?t FU. :
RaGi~ , :,.~45 i
p~ C R,~ Yc=;r~L~ LCURT ~
~8~~
i0 3 '
. 3 Zo P~t '?S
of a rotal ~alue of Qne Thousand twenty eight... 46~10Ael~ars (S i028.46 )
1028.4b , Fo~ which amount he daims a lien on the fdbwiny
of which there ~emains unpaid s
described real property in Sa lIIt T,uC 1 e . . . . . . . . . . . . ~ounty, Floric~a:
~
y (Desaibe rea) property wFfiaently for identiFication, induding stree~ and number if known)
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I I,ot 30 Blk 139
l ~ 364 N.W. Airoso
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~ General Develapnent Corporation
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Owned by _
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He fu?ther says thai lienor furnished the first of said labor, services or materials on -~u~s~
~ ( 16 74 October 4 74
19.- and the last of the same on . . . , 19 and (if the lien
,
is daimed by one not in privity with the owner) Ihat the lienor served his notice to owner on _OCtOb~T.
~ ~g 74 Roger Charles/ for Tylander Lumber Co., Znc
~ . 19 by
~ , (Method of Service)
~ Tylander I.umber Co., I$c.
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Sworn to and wbscribed beFore ms this.-..... _..........3~d......day of Jal~r~i .19
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