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FLA. fY07 LAWa ~i AAMQO RORM 1>0•
F• 71J.00
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~ St. Lucie
B~ior~ m~, the w~d~n~ autFwri+r, p.~ll~ a~a~.d.....N~xma?n...Ga.l.~~n,..:Gu1..f.~t~e~m...T~l.e....~o.
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who. b~itg dulY swom, says that h~ is th~ li~nor herein or ~~i~y_ ~ af-the ii~ne+r herein,
N~!~n!~!~._Gol,der~,~...Gu1 fs,~ream,. Ti 1 e.. Co..
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- (lienor s Nsme) .
whos~ addrsss is........:3...7...~~.~....1S.:.E~....~~x.ie.i...~.~ud!'.'.#~...F.~.~
(lie~'s /lddress)
a~d that in purwanos of a oontrad with..........U111 ~~d...~R~1".~.~dlt._.~Q~1S~~X'LtC~~QD
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li~nor Furnished labor, ssrvioes or materials oonsistin9 of: (Describe specially fabricated materials separately)
Ti 1 e and iriarbl e
Labor a~d Materials
af a raal ~atue of..._Three__. hundred.. ni.nety_.fi.ye__ and._.OOL_~O.Q--.-_..dol~an ~s 3~5..00 .
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of wh~h *here r~a~ns u+~a~d S 395..IIQ......._ _ For whid~ amouM he daims a lien on the fdlowin9
dssaibed mal property in ..................................$~......~.U~1.~......._........_......................---... County, Florida:
(Describe real propsrty wffiaently for idsntificatan, indudin9 street and number if known)
~ Lot 4 Blk. 3234 FP 2
' 4~4 N.E. Electra
; Pt. St. Lucie, F1. ~E~¢~~~t~
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~ RECQRfl YERlf1l~..~,~~ ~
' ~II ~ ~Q 4i ~!'75
~9~833
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~ Ownsd by----...~eneral....Devel.opment_.Corp.
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Fls hx~her says that lienor fumahed the first of said labor, services or materials on....
....O~t. 2 ----..,1974..., and the last of the same on 0ct•....9... ..,19.74 ~ and (iF ths lien
is daimed by one ral in privity with the owner) that the lienor sen?ed his notioe to owner on - .
.........v..`........ . .
' ......_....N..Qx~.....4 t9....7.4, by...................._ ~i _ _ _
Merhod of Service
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~ Ayem or An ``;1:'.1 b~',,
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Swom to and subscribed bsfore ms this day of. _.~.1. .15~.,
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n~ 1u-' c. S~a•~ e~ tle•ed0''~I~lM~1Z~~~~ A
: T7ru I,wiu~nc,~~ ~rcpn.cd hy: Norman Golden E.P..., o.~. zb; ~9~T
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~ :1dd~rxs 3750 S.E. Dixie, Stuart, F1. 33494
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~ 8~0~: 235 ~i65
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