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'lLORIOA iiAfYTEf OtiYIPf iOW M 11pyti tEV. 'G] M~~~I~iW~~ IM a~l~ Yy TM N. i W. Or~r G~N¦y
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4;ttlte Of....FLORIDA
~Olilltp Of.....~RTII~i
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BF.FORF. ME, the undersi~ned authority, personally appeared
-•------WILLSAM A. TURNER
whn,
b~~in~ duly sworn, sa~~s that he is (the lienor he~ein) (the [age»t] [attorneyJ o/ the liena~ he~ein)
whos~° ad~lrc~ss is ..__..~,?~~._.~S2X..?~?_~}}_.S.~uart.,._.F1~r.ida
and that in pursuance of a contsact with _.Melvin..Sembler.ntZ__be~alf_.of.__hims~elf.__arid
Fred A. Beshara, Albert L. Dangler and Nicholas '~anos
li~nor furnished labor, se~aices o~ materials consistin~ of labor and materials neeessary to
_
3nsta1l a 20-year-t,ype asphalt and gravel roof, including gutters, down-
---s}~o=~~ss---gra~el--s~c~p;--~~at~s~bn...~o~n~--•base---flas~f~rrg; --piastE-r--st~t'p~ "gravity ;
v~nts, installing bumper plates, sg~s~ blocks and cutting back gutters
(Dcscribe specially fab~icated matesials separately) .
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on the following described seal ¢rope~ty in _._St ~_.Lucie-----------------------------------------------------------------
Cou»t3•, Florida ...._See attached Exhibit A
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!Describe property suf
ficiently fo~ identification and .~iae st~eet add~ess if available)
' ou~n~~d b~~ .~:iel_v__in_ S em~ler,__ Fred__ A_, _.Bes~a~a,_.q~b~x_~__L.._~s.r.gl.er.__and_?Yicholas
~ ?danos
j o/ a total value o/ $_51,636.00 , of which there remains unpaid $__.1~s7~'6s00_______ `
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j --'AtiguSt 3~--------------------~ 1973--- and the last o the
~ an~t furn:shed tite fi~st of the same on----------------•-----...----- - f
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~ san:e on __.Apri?---1~~---------------------------- ~g75-- a .
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~ ' . . ~a~ic~ut~t ~cx~gx
~ ,
~ • ~ ~ __._.The_.undersigned_.~.y_~x~_.#,k~&t._~11__lienors
. ~
~ contracting directly or indirectly with him in connection with the above-
`
~ L describeQ''wts~'k"'fiAve"been "paid"""iri-~f~all-:;~ ~ ?o ,
,
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j _ or •
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; Szuorn to and subscsibed before me thts------22--...-----daY of-------. A~?r~l.~:..~:_:_..: 19,.7~_.
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$ ! _ . . r . .
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~U~~{~' i~~~L/Y.~lwI~V~.J~• , .
~ ?~io~rr; Public, Stote of Florido ot lui§ ~ "
~ My Coramiszion Expires Juae d, 1:77 . ~ o~ary blic) 5
~ :~t)' ~~0)I11I1lSSlOlI EX~l1TQS----{~~~r-l.r~w«cor~F:rs-i-Gowalry Go. ~ ~ . . ~ •
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- ~ ..~.:o..,....,,._. BooK 239 P~~~ - 331
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