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Befare ms, ths undeni9ned authority, Personally- appeared........RONALD...BERGESON
who~ bsin9 duly sworn, says that he is ths lieno~ he~ein ~ of the lienor herein,
..............................__..........................~30H~+I?...&~~~.FS~N......._
(lienor s Name)
whose addreu is---.....---.18Z.~....~1Q?~thwest...59th Terrace.~ ..Sunrise,,. Florida
(lienor s Add~ess)
and that in purwance of a contrad wi~h_-..---Edward G. Cridland
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lienor furnished labor, services or materials oonsisling oF: (Describe specially fabricated malerials ssparately) ~
Paint
Labo r FItEi3 ~ ;
Materials ~ ~uu~r~DE~
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~ cif=:x r. ,.a~re,~s .
ac~0a~; y~~. ~;f.'~ C~?1IRT ~
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~~,s ~ ~o SS ~y ~r5
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oi a to~al value of......Six..Hundred and no/100--.-.-----.---dollar: (t . 600..OQ ~
;
of which thero remains unpaid S~~-60.0. 00.... (a w}uch amount he daims a lien on the Following F
desuibed real p?operty in _ . S.t. LuCle . . ..County, Florida:
(~exribe real property suffitienlly for identification, induding s~reet and number if known)
Lot~28, Block 139, RIVER PARK UNIT NUMBER 8, ~
according to the Plat thereof, recoicded in :
- Plat Book 14, page 37, Public Records of St. ~
Lucie County, Florida.
Also known as Airoso Boulevard, Port St. Lucie,~
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Fiorida
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~ General Development Corporation °
Owned by ,
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~ Hs further says that (ienor Furnished the First of said labor, services or materials on. NovembeY' 26 =
,
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~ i9--74, and the last of ~he same onDe.cember..5.............._..., 1974-..., and (if the lien '
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~ is daimed by one not in privity with the owner) that the lienor served his notice to owner on January.
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~ .....2...._ 19?.5~---, by-......c~rtified maa.~.. . . _ .
~ (Method of Service)
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_ . xU L is~Fci~~Si3iiY`ienor / .
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By . :
' Agent or Attorney ~
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Sworn lo and subsaibed before me this-.........2nd ...............................day of . _..JanuaYy . . . ........y.;~q .75 i
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This insitttr..e .t v: as t1*e*3n_-rd by ~ •(h.~i~` t
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Bordsd by Ai.,c:icon~fi~ ~
:~clrlrr'~c WALD~=_N P.~ 4 l. P N 4.• ~w,1i~•Co;
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