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FLA. 1%7 LAWS ' ~ RAMQO ~011M t'Or ~
if 71~.Oa
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of ST. LUCIE ~
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BeFore me, the undsrsi~d authority. P~rsons~l~ sppsa ~d - -
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w1w, be;n9 d~Jy sworn, say: th~1 fi~ is th~ lienor herein or # of the li~nor herein. ~
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- JEB ENTSRPRISES, INC. 3
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(li~nor's Nams) ~
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762 Lindo Lane, Port St. Lucie, Florida 33452 ~
wFws~ address is
(liawr's Address)
and that in pursuanoe of a ooMrsd with..........H....&... ~,i.. ~.UN,S~TBI~CT~QN....~Q...,.....Ok:....QHI.U...._.INC...---...._..,
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li~nor fumished labor, servioss or materials oonsi~in9 of: (Osscribs spec~alh fabrica:ed materia~ separat~lyl
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Pumping, placing and finishing concrete.
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of a total value of.Eight Thousand Four Hundred Thirty~~sn (s g, 433. 59 ~
Three.. .and... S9/100--=.._ _ . . . _ _ _
of which there remains unpaid s. ..8 . 4 3 3..5 9 For whid~ amount he daims a lien on the fdbwi~g
desaibed real property in . . ...:.............................S.t... .I.ucie.--~~-----~--........................... ..County, Florida:
(Desaibe real property wFfidently for ideMification, indud'iny street and number if known)
AS PER SCHEDULE "A" WAICH IS ATTACH~D HERETO AND
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~ BY REFERENCE MADE A PART HEREOF.
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E MEL SEMBLER & ASSOCIATES ~
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~ He Further says that (ienor Fumished the First of said labor, services or materials on~---
~ August...28 1974••, and ths last of the same on....~loveml~er..._1.............., 19.74~~, a~d (if the lien
~ is daimed by one not in privity with the owner) that the lierwr served his notice to owner on ._....n/a ~ i
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~ .......,19.----...., by. . . .
~ (Method of Service)
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= JEB ENTERPRISES,~.._.INC...._...
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on,.y = y ,jti~i • : ;
~ Robert M.~~c~ : - p , _
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da oF. ~anuary ~ • • y~~
Swom to and wbsoribsd beFor~ rrN Ilas........2~.t~ y ---.....:..r:. ---14~-~y-y:
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.........•-~G~~.. . . . . ur~TfTfi1'[~~ ~
~01~y ruo1K C'~
~ My Commission Expires: - - r
~ !lrrs h~~ln~mr~~r~ p~ir~~ ent rras prepanpd b~ .
Ro~bert M. llo~~d of
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NElll Gf;IFFi', 1~r, f,IES & LLOYD ~
~ 114•A No. 2nd Street p Q~~ ~
~ Fort Pierce~ Floride ~
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