HomeMy WebLinkAbout1071 iLA. 1067 LAWf ~ RAMCO FORM ttOr ~
FS 71~.OA
~l~tt~i ~af ~t~n
~tats of ~luridu :
~ou~ of St. Lucie `
~ t
• George.._ W. _Canpton ;
Before ms, the undsrsi~ned aulhontY. Perso~ally appeared
who, bein9 duly sworn, says Ihat ha is the lianor herein or 3~~ f of the lienor hersin, '
. . ;
__.~.~~~~....~~.~41~~q..,P;Qduct~...of....Ft.....Pierce.R....Inc.- f
(lie~ s Name) ~
whose address is...........40..`~..~...S......U....~.....~......_P..O.. Box_ 1988.. ...Ft.....Pierce.._...~la. . .
(lienor s Addreu)
• Harold Fl.._.Biclce.lhaupt, Jr.__.
and that in pursuancs oF a contrad w~th . . . . . . . .
_ 5.~~~... p.~.n~ Tree. _Drive. . Ft. . Pierce, Fla.. . . _ _ _ . _ . _ _ . . . ,
lienor furnished (abor, services or materials consisting oF: (Describe specially fabricated materials s~aratsly)
49.33 Square Yards of Fantasy Carpet
49.33 Square Yards~of 9/16 Rebound Pad
Installation of 49.33 Square Yarda of Fantasy Carpet and
49.33 Square Yards of. 9/16 Rebound Pad
~
of a toial value of.Five Hundred Thirteen & 03/100 _ ~~an (s 513.03 ~ _
s
of whbch there ~emains unpaid s 513.03. . for which amount he daims a lien on the following ~
described real property in _.._St.....Ta.U.C~.~... _ : _ _ . County, Florida:
(Describe real prope+ty suffiaenlly for identification, induding street and number if known)
White City S/D 03 36 40 FroRn SW Corner Lot 12 Run N 0 Deg
~ Min 03 Sec W 190.85 Ft Th Cont N 0 Deg 02 Min 03 Sec W 150
Ft th S 89 Deg 42 Min 03 Sec E 174 Ft T'h S 0 Deg 02 Min
03 Sec 150 F't 3A Th N 89 Deg 45 Min 44 Sec W 174 Ft To E ~
~ R/W U S 1 Th N ~ Deg 02 Sec W 150 Ft To P O B .60Ac.
i 5512 Pine Tree Lane
~ 3~o3-so~-oo30-~0%
~ Owned by _ : ...I!!~.5.....Harold...F.._ BickelhauptR.. .
~
He further says that lienor fumished the first of said labor, services or materials on
i
.........~c.....~.~ 19.... ~.4and the last of the same on Dec....27.. 19.75 ~ and (iF the lien
~ is daimed by one no1 in privity with the owner) that the lienor served his notice to owner on - ~
~
~ '
~ ~
_ . . _ _
;
1~~v..., by.
~ f 1LE~ r.L NTY f tA. Q!~' (Method oF Service) ~
N
Y SS.~,~L~_F-~v;taas ~ • !
(
~ `~FF. ~ . couat ~ Ke1le~..Building. Products of ~'t.
c, f~o~-~r` , ~e~ Pierce, Inc.
o~~;::.. QK,.~S _ ~ ~
~i ~ ,
.
u
`
3? B t~~ ru.~- . . 2`~ . . . i
-t Ae~ l0 r..._.._ . . . . _ ~
~ ' Ayent or Attomo '
~ Sworn to and wbsaibed beFore rrw this.:.:._,...:~ ...............da of. . . . _ . ...19.7.~
~ ~ , ` r•-
~
~ . . .
- • ~=:\^~~r~i~~.~?i=- .
~ ~ ~ - : - . . . . . . _
- • . ~
~ - .
, .
. . r - - s Publ~c
~ , "K~ t~-~~ :.~~•r~'~i_ ltOtA~{y~ ry ;
ji r'
t~:s , /AY CCib~~~
S9UL, cjn'IC OF ftCR!^.~ nT r ~
7'l~i.~ /u_rlni~n~•~tl r ~ ~~~r~~ ?
4051~SysU~~
l~~c`r1~C@, Fla. ~ONDED 2HhOUG:iZ~,e'uqoBK'irl.kuCx~£s~qu~ ~
.'~t~ll/tX~ ~
, rtay,
. 60aK~JS PACE1~7o ~
~ = ~ : _ . _ .
~ i
- `~r":~' z n"'
g~~ `t~,~,r,`~ +.r-tss' ~
,~r~~'4 ~
_ ~ _ . . ~x~.~s__.__ . , - -