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HomeMy WebLinkAbout2729 . , ~i ~ ~~w. ~~ss u?w~ ~ IIAYCO ~ORM Is0 ~s s~.o~~ u1 a`~~:7C7V ~l.~i~tn ~ ~'t~en ~Io~tal~ of ST. LUCIE ~ B~fon n» th~ aut a~~d ...............HAROLD F. t,'HAPPBLL . ~ ~Y. RKSO~I~Y aPPe : who, b~in9 cluly swom,, says fhaf h~ is tl~ lie~or 1~ein ~X # ~~~id~sflilti i ....................................._HAROLD . F ~_.CHAPPELL............................................_.............................................._........................................ ~ (U~tar s Nams) - N,~ ~u ~s.:.4QO1,.Palm Avenue,...Fort._Pierce, Florida 3~L~0 (Li~nor's Addrsss) afld t~ ri~ei~anr~ t+~ ~ r,nn!~?e~ 1A~~! _.'lbl1Y .1~Y'CO.--~!_!2~~...~S2I1.X...~x:Gl~...~~,1~1~.~.IIQ...~O. ................................................................................................................................................................f..............""..............................._............................~ . (itnor furnished labor, servioes or materials oonsistiny of: (Describ~ specially fabritated mstwiak s~pHat~l~?) Plumbing services as folloWS: Harold F. ~ap~u 66 bo,~s e s~o . oo ~60 . oo ~ Ronald Holder 66 haurs ~~10.00 660.00 j Charles Shortt 66 hours e~-b.00 264.00 ; Staaton Baldiga 66 hours @~ 6.00 396.00 F ~ ` of a total value of...-~e._.thousand nine hundred eighty & no/1Q~ i Z~$p Op ars 3......: ~ 01 which there remains unpaid s...1.~.Q80.00 for w~wd~ amouM he daims a lien on the fdbwin9 ~ dastribsd roal propsrty in . .St. Iucie -CouMy, florida: _ _ (Desaibe real propsrty wFfidently for identificai'wn, indudiny street and number if known) ~ E ; See description attached to reverse side. ` S F 7 Ovmed by~---~---------.~CZ:sQIa...&...~I~.YI:~es..Re4a.tYs._It~~_e ~ He hi~ther says that (ienor fumished the first oF said labor, services or ma/erials on...°r...about........ . : .Februar~..___.__..._.....__.., 19....75 and the last of the same on ...March..l~-.------ 19-~I5.., and (if the lien is daimsd by one nd in privity with ths owner) that the lienor served his notioe to owner on .....k~Y....~3.._-~--•--• 19.?5...., b certi_fied _ mail....... . y . . ~ (Method of Service) " ~ ~ //J . _ ~ ~~c~2~ ~ ~ ........................~1...~.s~.~..._............. Harold F. Chapp~~~~~~~~ 4° - . ~ ~ ~a~ . . _ . . r swom to and wbaa~d b~fon nM • tt y o............ .......~9............ f.. 1u~. .sdL~. ~i - ~ (J~ ~ ' . ' E') " Q . . . - _ ' - : .r . . G t- _ • ~ , • : - ~ • t ~ . - . „ ~ ' . . ~ R - r , t ( : .Y; ~ ~ ~ ~~qM~ PU~~ry P11~~C. $W! 0~ ~0~~ H ~.Af~ 2~39 ~724 . ~ ~ ~ • ~ ~ ~b ~ ~ - g '1 d001( PAGE ° i ~ ~ ~ ~ • S~S 4 ? ~ Q • I : ~ . . ~t~,,~, . . . - _ - ; - - -~----~s-~' - ~ - - - - ' ' " _ ~ ~~,&,g~~ s ~:,v. ~ _ ~ ~ ~<r .~.S,,r . ~e__ :?r~r. ...._...z s...~.... ~s_. . _ ~ ..u_4 ~?~-,s~..