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ILA. 1N7 lAW ~T RAMCO FORM +tOr
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d.Fon m., Ih. und.rsi~d aufhorily. P~?~~~ a~~~.......~h.a~'~,.~~....F.or'.t~t.~......,1.r....
~~Y swor~, say: thit h~ is th~ ~~nor h~rNn or Y# oE tiw IiMOr hKai~,
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whos~ address is~...l].:1,....Cr.QG1~l~.~~....AX.@(1!d~.....~P....S?.a....4.oX...9..7..~..a....~.@.(I~i.@!~...~4Q~.h..... F1.Q. 33457~
(lienor': /1dd~~ss) . i
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and rhat in pursuanos of s conrrscl w~1+....A-RQn.. ~.o.r~S.t..r..~1Gt.~.on.... 220.~....P~'.ui.t~....Rood, Port, ~ -
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_ .......................St.._..Luc.i+~......F1s~r..~..dQ...33.45.2........__ . _ I
{i~ fu~hsd {sbor, ssrvio~s or materials oonsistin~ of: (Dsscribe spsa~ly fabritated materials separately) !
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Lumber and Reloted Building Mcterials
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of a ~aal valu. of...F.~x.~....hun.d.r..e~_...twe~h~y... ~wo_..Q.n~....9~./...J~.~od~oMars (i ~22•~3 ) i :
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of whid~ ther~ remaittis ue~paid s...522...~.3 for whid~ amouM he daims a lien o~ Ihe fofiowing j ~
..S.t.....Lu~C.ifl .....County, Florida: I
desa~sd nb! propKtr in .
(pes~bs roal props~ty suffaer~ly For ideMification, indud+ng streN and number if known)
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Lot b~ Block 67, Port St. Lucie, Flo"~ida
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` RECORQ E z. - ~ C 0,+-r'
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I by...._...General_._.Developme_~t„_.Corpordt.ion... , _
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M ti~ fwther ssys tl~at lienor furnished ths first of said labor, servic~ or matarials on..~.u_~e__.4.__.1975 ~
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.......,19-.._...., and the Isst oF the same on ..~.uln.Q....2.3,........._........_._., 19-7. and (if ~he lien ~
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i is daWnsd by ons not in privity with the owner) Ihat the lienor served les no~ica ro owner on J.une 11, ~
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~ 197.5..., by...Ge.cti.f.i.ed..t?Iail . ~
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(Method of Servios) ;
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.............day of_........zl.!!.. . ........._...::,'`'~%R'. . _ ~9• ~.S i i
Swom to and wbsa~ed bsfore ms this -
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i l~ru hu~nunc~d prrparrd by: Beatrice Tranowski STj~t ~
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~ !1clrl/C'!! p~ O. EoX ~7 6ENERAt INSURANCE UN~ERWttITEtiS ~
~ Jensen Beach~ Fla. 33457
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