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F6A. 1907 L~.WS 313318 , ~ RAMCO rORM itOr
FS 71J.OA
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~~tq of ST. LUCIE
eeFon m., th. und.niQnsd aurhori~?. ~»rsorwlly a~ea~ed......1.ohn...A,....r~~siemQr.e. . ~
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who, b~in~ duly swom, says that h~ is tM lienof herein or the ayent of the lienor herein, ~
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...Ground...:~I~t~.x'....~Y~t.~?i~~....o~...~~..o~'i.da........_ ~
(Lienor s Name)
whose addreu is-...SD~...k.'.~.~A~xS....Nk.~.~....Rd_....... Ft. _Yi~~r.ce.~... F.~o~iaa......33459 .
(lienor s Addrsss)
and that in purwanoe of a contrad wilh ....Ft.. _ Pa~.erce....~!a;~.~.d~r.s. _ . . . . . . .
. 28.41. .S.QUth.. US....~L......Ft.... _P.ierce, Florida ~345~. . _ _ . _ . ,
lianor (umished labor, servioes or materials eonsistin9 of: (Describs specially Fabricated materials sepa~ately)
ane 14" pvc well wi~h a~ h.p. pump and a 42 gallon tank~ also
100' of 1" sch. 40 pvc pipe.
Locations 1501 S.E. Port St. Lucie Blvd. & hiorningside Blvd.
Port St. Lucie, Florida 33452
32~10D~ :
oF a ~otal value oF.._F.nur. .hundred Sixty . Thr.ee _and. _ ..dollars (t 4b3• 32 ) ;
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of which there remains w~paid s 4.63, ~2 for wlach amount he daims a lie~ on the Following ~
described real propeify in.......-. . ..S.t.....I,LiCie. . . _ _ County, Fbrida: :
(Desaibe real property wffideMly for identifiwtion, induding street and number iF known) _
.3~/adZ.- saS'- a9,36-~0%
Lot 28, Block 85, SOUTH PORT ST. LUCIE SECTION ~5,
; according to the Plat thereof recorded in Plat Book
14, page 12 of the Public Records of St. Lucie County,
Florida.
Owned by....HarrY...E.~. ..&...Bri~ette 1~ . Hall _ . . . . _ _ _ _
Hs further says that lienor fiumished the first oF said labor, services or materials on .
19-........, and t~ie last of the same on 19 and (if the lien ~
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is dairned by one nd in privity with the owner~ that the lienor sen?ed his notice to owner on . . ~
De.~.~....2~' 19~~--, by. .tr:ail _ .
¢K; PEC~K~E~ (Method of Service) . .
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ST.IUCtE G~u''tY fl~• , .
a~~~~- ;_~•TR+?S~ ~3~ Ground....Water....Systems.._of Florida_.. %
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acr'":1 YE~~` ,
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It o9 AM ~5 By. _ .
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Ayent or AYrwir~?
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Swom to and subscn'bed before ms tha ..............r ................~.......day of__ . C.:~.... _ . ....14/.. .
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I%iic htr/m~n~~d pnW~rr~! /y: G, ~~d ~ ' :
~ ` NOTARY a~ u~ e~e.e nr c~~p1DA AT URGE
~ " ~ C~OAUMiSSlON f~IRES FE/. ?3. 1970
f ''~run~n~n~~"..
r1~~ ~_c"42 PACf ~5~ ~1 G. , SONDE~??~N•~e..Fo~~ u?x~~ir~es
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