HomeMy WebLinkAbout2235 FLA- tY67 LAW ~ AAMCO IORM I~Or
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BeForo ms, fhs undersi~oed authorihr. Personally appeared.....G~.Y...F., .5ur,ce.....
who, b~it~ dulY swom, says lhat he is tb~ lienor hsrein or ~-~I+~- aat~o~ney S of the lienor herein,..--
. BURKE TILE INC.
(lienor s Name)
whos~ addreu is..........p.~....~.-.....Box....2~6.~....Port.-- Sa.lerno,....Fla..,. 33~!°.?
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(lienur s Address)
and that in punuanas of a contrad with..-.-. B. : J. E.. I nc~ u s t r i e s,,...
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~ li~nor fumished labor, services or materials oonsisting of: (Describe spetially fabricated materials .separately)
~~1E0 AN RECpR ~D•
hiarble Sills ~ _ ?11~C~E TY 4~-• ~
~osf~~+~M?~ .
Ce~ amic Ti le Q~ERK C14t~y~ ~flURT;; 6~
Vinyl Asbestos Ti le ~ REC4R0 vE~~~~~v
~ J~ t1 4 ig PM'T5
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oF a total valus of..Thi.rteen_. Hundred. Twenty-one___and_ 2~~~~s 1, 322.29 ~
of which there remains unpaid S...i.~ 3.21-.29 for whech amount he daims a lien on the fdlowing
described roal propsrty in....-~t-'----Lucie .....County, Florida:
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, (Desuibe real property wHiaentty for identilication, indudin9 street and number if known)
LOT/BLOCK - ALL EEIiJG It~~ F'LORESTr~1 PIiJES SU~DIJISIOid
28;~3G - ~iroso Blvd., Sect~on ~8 674.i~
~7/3225 - i~:E Arrrory Circle, Floresta Pines Ur.i~ ~ 4'_'S.52
~i 4/3228 - 23'~ r:E rarinc~ Av~=., Floresta Pi.r.es, llnit 2 90,~~
'~2/3226 - 474 t~{E Donita Court, Flores*a P~nes ~~2 2C~^
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; Gener~l Developmertt i.orooration
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~ OMmed bY-~ _ . .
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~ He further says that lienor fumished the first of said labor, services or materials on
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~ Auaust....23a...._.----....., 19..74 and the last of the same on..._.D~cerr~er-. 14.---...., 1974_-., and (if the lien
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} is daimed by one nd in privity with the owner) that the lien~r served his notice to owner on
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~ ~ro.~~~r~~1~.r....~~ ...............,19~~..., by...r.ecPiate~ per.s.an~1, .d.~.~.~.v.ery.... _
~ (AAethod of Service) .
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~ Sworn to and wbsui'bed befoce ms this....-~-- --'f ~ --~--...~y of . . . ..._':1~'.-~ . .
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~ !'/iu lus~nu»rn~ pn f?nrc~/ !y • ~,1Rh~ '£ILE I ~~C _ _ _ ~i '
+ nd~lnxs P. O. Box 20E , Port Sa lerno., r^? a. ~~~2= t .
a~ . ~ ~ ''L'~r_:~ `_~,Q-77 .
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