HomeMy WebLinkAbout2870 _~--a.~~~ ~tf_~as~- . . • .
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~ qANCO FORM {20M
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Beforo mo, tha u~dersiyned authoriiy, pe~sonaily appeared J Oe i~'azZOla
~t~ who, bein9 duly sworn, says Ihat ha is the (ienor here~n or #~he agen? ~ o( the (ienor herein, .
~ _ tt,~[~eKBtct~y .
Raymond Euildin~ Supply Corp.. div. , Florida Uoor Compa.ny
(Lienar's Name) i+?Sil ~ P, 0. BOX
' t . . . 3368
' Whose add~ess ~s 131.c_ n,_.Ta»iami Tr. , 1~. Ft. ~'yers, F1a~ 33903
~ ' (Lienor's Address) ~
~ • B J & E Industri.es (isdward G.
i and that in pursuance oF a contrad wdh • • . . . . _ _ - .
Cridland)
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~ lienor (umished ~Wit~cpi materials consistir~y of: (Describe specially fabricated materiais soparatoly)
Doors, trim and hardware
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of a to~al ~alue of Two Hutldred ThiY'ty Ot1e dc 00~100 dollars (S 231.00 ~
of which there remains unpaid S~31•00 ,(or which amount he claims a lien on the (oAoviing t
doscr~bad real property in St. LLiC16 County, Fb~ida.
(Describe real property suF~icienlly (or identiFication, induding streel and number if known)
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L0~7 19 BZOCk 199 f11.fU AMn Ar
57. til~~L ;,flUlliY f~A,
~ Port St. Lucie sub-division
RCG=,? a0l7RAS ~
Zucie COWI~/, Florida C~Efit °"t~'J~i C~URT ~
~ S~'i• PF.^..~',.^,- ~i %'.~~r~.
~ Jiur ~ 43 PM'75
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~ O.yned by ~'E'-neral DeveloPrneni:. ~orp. , 1111 S. ~aysh~re Dr. ~ I':iam33131a..
~ He further says that lienor furnished the first of said ~3~;cz6t~~~~pr ma~erials on
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~ ~ ~ DeC. 16 ~ ~q? , and (if the lien ,
DeC . lfi_ ~9.-~4 and the last oF the sams on . . 4
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~ is daimcd by one not in privity vnth fhe owner) that the lienor served h~s notice to owner on '
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~;.t.az'~!-..2.~a.... 19 7.5, by Ccrtifieci mail - return receipt
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~ (Method of Sernce)
_ Ra~~rnond ~3uilding 5uonly Corp.
~ d iv. - Flo~~da Door Co:~par,f I
z ,t Lienor
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~ i, d Agent (fi6~f~}t ~
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> fl' SY+~A,~d,~ ~ei~'xribed before me this_ _ . _ ~.~~-n . . . ._..day oF ~ aI1U~T'~f 19 75 . ~
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F ~ i. y. '`'S ii~' .
~ f ~ • ty• ~ Nota Public
' ~ ••.~1~~i. ~~YVr
` MY CQMMISS:ON EXPtRES JUNE 2,1977 i
~ 77r~~ Ir«/r:nri~ ~N f~r~~~~trrrl 1~1• eanne I'~t~f- j
, I; , 0 . "c:t 3 ~
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~ r:, Ft. ers, Fla. 33903 B~D~~ PJI~
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