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. Fl_A -Iflt37 lAWS NAMCO FOltM 120M
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Beforo me, fhe undersi~nod aWhority, personally appea~ecJ JOE; I.~azzola
who, being duly sworn, says that he is the lienor herein o~ # the agent ~ of the lienor heroi~,
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Faymond nuildin~ Szapply Cor•p. , div. - Florida Door Compariy
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(lienor's Name) i~?ailt F.O. F~oX
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whose addrass ~s 131~i n~ .Tai~izmi. Tr~ ~ t~. I't, i"y~rs, F~a.. 33903 ,
(Lienor's Add~ess)
' - ~?.J. ~c E. Industri2s (Edward G.
and that in pursuance of a contract with - -
Cridland) -
I~enor furnished ~:[~iC~~'ot materials consistiny of: (Descnbe special{y (abricated materials soparatoly)
Doors, trim and hardware
of a to~ai value of T~ee Hutldred Thil'ty Four & 11~100dollars (S 334~11 )
of which ihere remains unpaid S 3~•11 , ior which amount he daims a lien on the following
dosc;ibed real property in st. LuCi6 County, Flonda. i
(Destribe real properiy suFFicienlly for identiFication, including street and number iF known) ( }
fILED ~tCUftDEC
'j LOt 5 B10Ck 199 ST.lUC1E COUI~TY FLA.
RO~: R '~~~+RAS
' Port St. Lucie sub-divisian CLE~'1 L:..~JtT COURT
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; st. Lucie cow,ty, Florida ~ ~ l~ ~ k2 P!!'15 ~
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Uwn~d by ~"et~er~l Develormer.t Corp. , I111 S. ~ayshcr_~. D~, , I~.~.a.r,~i, Fla.
33? 31 ~ ~
Fte iuriher says that lienor furnished ~he first of saidi~3L~;~ss3~5~~C~r malerials on ~
DeC. lfi ~ 19~4._~ an~ Ihe last af Ihe same on -...D90.. ZE).._ , 19 't4, and (if Ihe (ien ;
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~ is d~imed by one noi in pri~ity wdh the owner~ that the henor served h~s notice to owner on "
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~ J.~z~~.tar~~_..2.~,.._........, t9 75, by Certified mail - return receipt
~ (Meshca of Service
_ ~-i' Ra fMOnd Buil~? ng Suppl y Corp.
-=e•.,' div.. '
. ~ - F3or~,da ro4r Companf.
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~ t~~ ~ . Lienor
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.c(~'t~suib~d bt~fore mo this. 2-??~~. --.day of January 19'r~ .
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MY CAMMISSION EXPIRES lUNE 2,197J I ~
~ /l;~~ l~~~fir~!»~rr1 ~vr~~r~rr~~ l•1~: .'~anne T 8_3'2{" ~
~ C?. ''ox 3.3,<-.~
~ .I~i,l~~_~, r;, ~~t, !'yers, Fla. 33903 ~€~~D~
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