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ilA. ifs7 LAW3 ' ~ 11AMC0 FOI~M IlOM
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alou~j of sROwARD .
BeFor~ me, the undersi9nsd aufhoritY. PersonallY-'aPPeared.......~..~-~
who, b~iry d~y sworn, says that he is the lienor herein 2G ~r~« ~ oF the lienor herein,
RONALD BERGESON 3
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...................._.........._w.~........__......._----..._....................~.........`lienor s Name) . . . .
whose addreu is-......-.~$.7..~...NQr~hwes.~....59th...~errace,~...Sunriser.....Florida
(lienor s Address)
and that in purtuanoe oF a conlrad with... Edward G. Cridland ~
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lietwr fumished labor, services or ma~erials consistin9 of: (Oesc~ibe specially fabricated materials separately)
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FIlEO ~N7 RECORQE~
- ST. LUCIE COItMTY FL . ~
~ Paint R4CE~ ~ ~3iTRAS ~
CLERx C' :~:u1T COURT \ ~
Labor AECCp~ ~~~+Fi~o
Materials ~ 8 ~Q 54 ~ ~75
298'7'75
oE a total value of.. Five. Hundred and . no/100--.-.-----.--.--dollars (S 500 . 00 ~ ~
of whid? Il~ero remains unpaid S 500.. 00 fo~ which amount he claims a lien on Ihe followin9 ~
desaibed real property in . . $t._ _I,uCi~........ . . . County, florida: :
(Desuibe real propetty suFFiaendy for identification, indudi~g street and number if known) °
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; Lot 17, Block 3225, FLOR~STA PINES NUMBER 2, `
' according to the Plat thereof , recorded in ~
Plat Book 16, page 37, Public Records of St. ~
,
~ Lucie County, Florida. i
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~ ~ Also known as N. E. Armory Circle, Port St. Lucie,
~ Florida.
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~ General_..Develo ment _Co oration
~ Owned by P._ Y'P... . . . .
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~ Hs further says lhat lienor Fumished the first of said labor, services or male~ials on._. ..~'-Cember__3_~__
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19-...7..4, and Ihe last of the same on--~Ce.~.7~....31.........._., 1974..., and (iF the lien
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~ is daimed by one not in privity with the ow~er) that the lienor served his notice to owner on .Jai7uary
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_ . . . .
~ i9...75 by.. certif ied mail . . . .
~ ( ethod of Sen?ice)
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°r± RO ~ BERGES Ve .
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_ • Agenl or Attorney
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JanuarY. .,::,-:,~~19..:..75
Swom to and subsaibed beFore me this..-.......2.I1~ ................................day of . .
, J~ ~
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~his instrur.~snt Vl[7S r~;:?'~n:~,~ ~y I ' •'•~~~''.-v~~~j~
Y+ .ober?, E, D,~~ow, c o tii' ~ S''~
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Attorn~ - c. - • . ~ , ~
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ir.4• I~-r::i.~ i~~~ciz F;o::;~ t~:..•a. ~ ~ Notary Pu~liC' a '1 ~ : t
Floric'a . _ u. ~ , _ a
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~ ~ ~ r No!ary Publit; St~4e ~S~oF~B~"a~ 'i '
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; • - ',~J; fl!r comz~ss,cn Eirjr~~/tl~R.~j~)'~~
~ .'~i~i~it:f~ . n r . ^ _ _ . Bond.o by Arieriw~ ~itg 8f Ca~4sf~rQ ~V~~ ~
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