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rs s~a.os IL~U AN~' ~!f~, ?t Ep
i ~GG~iF~~QUN~A; `A.
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of ~~a~ J~ 8!0 s5 AN'75 ~
of BROwARD ~ 2~
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6sFor~ ms, ths undersi9nsd authority, pe~sonally appeared.•......RONALD BERGESON
who, bsiny duly sworn, says that hs is 1he (ienor herein gx A~~ ~ oF the lienor hemin,
ItpNALD BERGESON
(lierwr s Name) .
1871 Northwest 59.th Te.rrace, ._Sunrise.,.._ Florida_
whose addreu is
(lie~oi s Addreu)
and that in purwance oF a oontrad with ~~ard . G. Cridland . ~
. . . . . - .
~enor fumished labor, services or materials consisting oF: (Describe specially fabricated materials separately) _
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Paint
- Labo r
Materials ~
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of a roral vak,s oF..F~..v~.. ~~~xe.d and.. no%100-..-.-.--.------ddlus (i 500.. 00. t
of which there remains unpaid s. 500.00 For which amount he daims a lien on Ihe (ollowing '
St. LuCie_ Count
desuibed real property in _ . . . . y, Florida:
(Desuibe real property sufficien?ly for identification, induding street and number if known)
; Lot 4, Block 3228, FLORESTA PINES NUMBER 2,
~ according to the Plat thereof, recorded in ~
j Plat Book 16, page 37_, Public Records of - ~
; St. Lucie County, Florida.
~
3
E Also known as 231 Northeast Faring Avenue, Port St.
~ Lucie, Florida
~
~ General.Develo ment..Corporation '
~ Owned by . . P . .
He Futiher says that lieno? furnished 1he first of said labor, services or materials on _~cetnber _ 3__. •
~ . , and 1he last oF the same on . cembe r 1,,. ~q..7 4, and (if the lien
19.-7~
~ is daimed by one not in privity with the owner) that the lienor served his notice to owner on J~uary
~ -
..,19...?.5, by.....__. certif ied ..ma~.l
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~ ethod of Se ice)
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Fcve~jpi,u BEicv~~vi{ienqr'j
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~ Agent or Attorney
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~ Sworn to and subsaibed before me this ................2nd.........................day oF ...Januarx- ..._..._..19-- ..75
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Mr Comm:s;'~on bz~irys Ja~. 1q~...+'
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BOOK PACE .~a~~E.s . ~w
DANtA. FLORSUn 33004
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