HomeMy WebLinkAbout0156 ~
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iLA. 1967 LAWS ~ 11AMG0 fORM /20M
iS 71 J.09
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Before me, the undersi~ned authority. PersonallY aPPeared... ..+3~...~....~ir~t~ad, . J.r..
the agent
who, bein9 duly sworn, says Ihat hs is the lienor herein or # of the lieno~ herein,
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(Lienor's Name)
whose address is......20.~Q...H~r..v.,3.t^~...Stre:<t.~ .S~r',~ao+..~~_ F~... 3,~577 _
(lienor s Address)
and that in purwance of a contrad with I~...E. I3e11..Snc~.
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_ _ . . . . G. . Boa . 71 Falm. City
~ Flori~da .3349~ _ . . ,
lienor fumished labor, services or materials consisting of: (Describe specially fabricated materials separately)
Cabinet:ror?c - ~ St
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of a total value of... ~?8n. .~iw~dz~ed Tt~~Y Si~ _..7~-~ . .dollars (s _ 726.}ll+ _ _ )
o( which Ihere remains unpaid s 7~'?!~ , for which amouM he claims a lien on the following ;
described real prope?ty in.._..St... Iucie. _ . _ . . _ . . _County, Florida: .
(Oesuibe real property sufFiaently for identification, induding street and number if known)
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~ I,ot 7 Of Block 199 Iklit 15 Southport St. Lucie I'1.at book 16 pg; 1~2
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G~neral Develo~x~cn+, rorp. •
owned by.........."....--~ . _ . . _ _ _ . . _ . .
s He Further says that lienor furnished the first oF said labor, services or materials on
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19........-, and the last of the same on -.Deceatber....b......---..-........ 1971; and (if the lien
is daimed by one not in priviiy with the owner) that fhe lienor served his notice to owner on -
~ ....J..~1~3~... 23 1 ~5....., by.. ~ iarbd Carried _ _ . _ _
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(Method of Service)
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Cus _ C ..~et . . ~ . , In.
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Lienor
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Agent or ABorney J. .i~~nst,e2d~ .
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~ Sworn to and subsaibed before me this............._~h ...........................da oF Janua
~ y ry...:.,:..
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~ %lii.r Inr/rrimr-~N ~rr ar<</ l~ J. T. ~~instead Jr. ~
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2030 I.ar~?-a~ S~reet ~ s~ 1'
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Sara~ota~I~7.a. 335?? d°`' ''~.,~~Sik~~,~,,~~'
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