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PLA. 1967 LAW• h~T 11AMC0 rORM i>OM
Fi 71J.06
~1~ttriT ~t~e~t
305~96
~a~udq of Broward
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Before me, fh~ unds~si nsd aut ' JAMES...J.. .BELC.I~~R,....
~ ~Y. P~rsawlly appeared _ .
who, bein~ duly sworn, ssys that h~ is ths lienor herein or ~ oF the lienor herein,
ths attaney
. . JAMES... A!I MONTGOMERY.l..... CONSULTING... ENGINEERS.~ ....INC........ . . . :
(lisrwr s Nams) ~ s
3201 Griffin Road, Fort Lauderdale, Florida °
whose addreu is _ _ _ .
(Lienor s Addrou)
and that in pu~wance of a contrad with._...... W~~N McFADDEN, through his ac~ent,
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MGE, INC. ~ _
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(ienor fumished labor, ssrvioes or materials consistiny of: (Describe specially Fabricaled materials separately) ~
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Engineering materials, supplies and services ~
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a5/~'-~~~-oo~o -oo% ,
~~/.~'~/-D/Do - 000~3 ~
~ 5~ 9- ii 3-o o~o - 000~9 ;
i9 - ia3 - ooiv -oo% -
TWENTY THOUSAND,
oI a total value oF......SIX HUNDRED FIFTY SEVEN AND .1.S110~lars (S ~0, 6.57.,15. )
of which there remains unpaid s.1.4 ~ 2 6 8. 9 5_. for which amount he daims a lien on the Fdbwing
described real PropertY in St.- ...L .u..cie._ _ _ _ _ . County, Florida: `
(Desuibe real property sufficiently for identification, indudin9 street and number if known) £
fILED ~h: ~ECORDEO South 620' of Government Lot 5, and all
st.~uc;~ ~JUMTY FLA. ~of Government Lots 6, 7, 8& 9 in Section
QQG; ~ 3~FAS y 18, Township 35 South, Range 41 East,
~ c~~nn J 7 ~OURT lus all of Government Lots 1, 2, 3, 4, 5,
~r~~r~ v: _ P
& 6 in Section 19, Township 35 South, Range
'i R~ ll Zs PM ~75 41 East, less a 100' right of way for State
! Road AlA. This property being and lying
~ in St. Lucie County, Florida on Hutchinson
g a~arl. Island.
s .
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~ Owned by .....WARREN...McFADUEN . . . _ . .
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~ He further says that lienor furnished the first oF said labor, services or materials on ~'!is~.Y...l........._.
~ 19.74~~ and the last of the same on Februd]C3t....~..$............., 19.7.5, and (if the (ien
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~ is daimed by one not in privity with the owner) that the lienor served his notice to owner on
~ April 2, ~ 19 75 ~ bY U. S. Certified .Mail~. _ Return.. Receipt . Re.ques.ted ~
~ (Method of Service) ~
~ JAMES M. MONTGOMERY CONSULTING ~
ENGINEE~S,~ _INCORPO. . _ .
TED
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° JAMES . BE C R '
~ Sworn to and subsaibsd bsfore ms this j.........day of. AP.. 1_............ -..~9.7 ~.~i. :J -
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~ Notsry Public .
~ Thls instrument prepared by p~LIC 3TATE OF FIOR4C1~ AT LARG~
%7~ic hrr~nii~u-~rl prr f~nrf,! !y: JAMES J. BELCHER MY COh1MISS10N EXPIRES SEi. z~. t~
KELLEY, TOMPKINS, FRAZIER & KECLEY TMRU GENER/?L INSUfUNCf U?J~Ef~~~G'Tt
fl ~/rlrE_c~ Suite 1200 International Building U R~Q
2455 E. Sunrise Boutevard SOOK ~..t1C7 P~CE ~a5
R.~,,.~ ~ Fort Lauderdaie, Flonda 33304
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