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~Ali ~ ~0 ~N'75
~txte of ~losida
~o~tp of sROwARn '~'8'~''74
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Before ms, the undersi9ned suthoriy, personally appeared-•~~~.~.~NALD...BERGESON,.__.._. ;
who, bsi~ du{y sworn, ssys that hs is the lienor herein ]iK S 01 the lienor herein, :
1 du~xtrotr+~yx~
RONA~D BERGESON ~
. . . . .
(lienor s Name)
whose addreu is.••-.1871...Northwest_..59th Terracet..._Sunrise, Florida ~
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(Lienof s Add~ess)
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and that in purwance of a contrad with....-...-.._..Edward G. Cridland.
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lienot Eumished labor, servicss or materials consisting oF: (Describe specially Fabricated materials separately)
Paint
' Labor
. Materials
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oF a total value oF...~ive.. Hunclred and . nc~/100-.--.---------dollan (S -500. 00 ~
of which there remains unpaid S 500.. R.O . for which amount he daims a lien on the Followin9
desaibed rsal P?opertr in . S.t._....Lu~ie C~unty. . _ . . .~Y~l'~ Florida: '
(peuribs real property suffiaen~ly for identification, induding street and number iF known)
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Lot 20, Block 139, RIVF.R PARR UNIT NUMBER 8, .
, according to the Plat thereof, recorded in
` Plat Book 14, page 37, Public Records of St.
~ Lucie County, Florida. .
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E Also knawn as 272 Airoso Boulevard, Port St. Lucie,
~ Florida.
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~ Owned by-......~en~.za~...._Ue.ve~.Qpment . ~oxpo.ration_ . .
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8 He fwiher says tha? lienor furnished the firsl of said labor, services or materials on ..Novetnbe r 2 0.~_.
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~ 19•-74, and the last of the same on ~cember 5.... 19 and (if the lien
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~ is daimed by one not in privity with the owner) ihat the lienor served his notice to owner on JaI~llary_ . ?
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~ 2 ..,19--75~ by...certi fied, mail
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Y: , thod oF Service)
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~3 Agent or Attorney
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~u 2 d Januar S
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r~ Sworn to and subsaibed before ms this day of _ Y. ' 9''.
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~ This instrum~nf t=r~s ~ - ~
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inq, Z55 E. ~~~:a ~ca::h B~ulevar i•: Notary PubRe '
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~ Floridu s's~C~. ~j~1.Q~~
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~ %liis ~n_Uninu'~t/ ~rr~~drir~ Notary PubGc, Sccac cf ~~w~, p;
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~ FF'^JF?N TO~ ~Y CO:TI,T.IiLJR Enp::rs ~ur:'~,~ i'sT, ' °
!~t'i~f[:~S ~ 1 `~jndPd 6y Anzrc.cr. F;ro L Co.vais
- WALDEi\ AN7 Dl P^ Y Ca:'~••
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.i: BOOK~~ P~ 8~ 1TTOPY[t~ lAh
pANIA~ F1.ORtDA 33004
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