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FLA. 1067 LAWS ~ IIAMCO FONM t=OM
FS 713.08
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a$tate of ~usiDa ,
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BeFore me, the undersi9ned aulhority. personally appeared..... JAC.K...D. . MATHIS._. ;
the agent '
who, btin~ duly sworn, says that he is the lienar herein or ~ of Ihe (ienor herein, _ S
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........_....G......H......W.IND4.W.S:,.....I~!IG.. _ . . . a
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(Lienor's Name) ~ ;
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whose addrsss is~. p.~....0.._..Bo.x .1682~ Stuart, Florida 33494 ;
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(lienor's Addreu)
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and that in pursuanoe of a contrad with_._. R. . E. B.F,.I~~,.s. ...INC.,........ `
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lienor Eumished labor, services or materials consisting of: (Describa specially Fabricated materials separately)
shower enclosures and mirrors F~t~:~ A':'= `~c'~~-~eo `
3~lai- 03-005~ ~y sT ~•-UMTY ~i,A
`Do F(~4: . "F'A5 ~
~ya / ra.3-oos~-oov~/ ~ C.,, ~•~~c~r
ya 1- xa 3 -oo88-a~% ~~a~ - 703- O~os9 -ooq~~' r F r ~ - ~
yai-y03-0o7: -vo% ~ya~ -~o3-A~?.33-Do%
3.~~~ - 703- oo~~-ocb/9 A~R 1 ~ I 23 ~n'75
~a~- ~v3-o2 y/-Aa% ~~~o- y~~- oi~~-oco/s
703- O~s9-~9 a3Q$2~
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One Thousand Three Hundred Thirty Five ~
and 10/100------------------- 1 335.10 ~
oF a total value oF./...... _ _ _ . _ . dollars (S ~ ) - i
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of which there remains unpaid s 1~335 ..10 _ for which amount he daims a lien on the fdlowing ~
desvibed real PropertY in _ . _ St Lticie _ _ . . _ _ County, Fbrida: ~
(Desaibe real propsrty suffiaently for identification, induding street and number if known)
The following lots and blocks ia subdivision kn~oWn as
Floresta Pines:
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; Lot 4, Block 3224 Lot 3, Block 3224
Lot 10, Block 3226 Lot 1, Block 3225 _ '
~ - Lot 14, Block 3225 Lot 37, Block 3231 ;
Lot 6, Block 3233 Lot 2, Block 3223 -
Lot 28, Block 3228 Lot Block 3128 #
; Lot Block 199 ~
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' p~,,,~ by. ....GENERAL._.DEVELOPbiENT CORPORATION. _ _ .
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~ He further says that (ienor furnished ihe first oF said labor, services or materials on- -
.~.~p~emb~~...24.......--. 19-~.`•}-, and the last of the same on ....~cember... 20. , 1974 , and (if the lien t
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is daimed by one not in privity with the owner) that the lienor served his notice to owner on ~arch ~
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~ 19.7.~. b c~rtified maa.~,... .
~ 27.t h . y.. . .
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~ (Method of Servite)
s, G. H. WINDOWS INC. '
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Lienor ;
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R- ~ ~QX/~<r"....... _
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A9ent m~
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~ Swom to and subsaibsd before ms this .........................27 t h... .......day of Marc h __.19 ~
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- . - ~ BOOK PAGE ~
1lrrs I~ulmnu•rtl f~rr f~~irr~~! l~ ~ f,,.
JOHN E. FP.E~.~;TT~ E~Q. ? ~ ~ troT~vr ~::P,,- - - -~~.~~a Ar cARGE
• • ~ . ~ ~ MY CUMMr- v . ~ : _ • ; t ?977 ~
•',l!('~t~ P. 0. Dp~ E~ ~`~J ' ~ONOtO THRU GENi<A: I~~:tinv.'.~t Ut.DEkWRITER6
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SrU,4RT, rLGRIDA 33494 .
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