HomeMy WebLinkAbout0673 FIA. iN7 LAW~ . ~ AAIfQO FORM tsp•
Ft 71,.0~
~l~ti~r~t ~arf ~t~n
313666
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~ of MART I N ~ ,
g~Eon m~, th~ ~dsni~d authorily, P~~~t~ sppea~sd....Ch a rl e s P o r t e r.,.... J r........
who. b~inp dul~? swon~, say: thst h~ is th~ li~nor h~nin or oE th~ li~nor hK~,
..........................._..._w.....:...............wPCRS.E~t...LUr.1BEF~... C~fE?AN.Y.......INC.........................._.....................
(Uuar
a Nams)
whos~ acldress is-...~1.~...CGl~4~.~~e...A~e.R4!.e.a.....~P,~~.....F~.Q.X....Q..7..~..,......1~.l1.~~.[1.. B~.AS:.h,..._F.1.Cl...'...3~457
ltie~'s Address) .
and that in p~xsuano~ oE a cont~ad with.._. ~?-D.on....C4~~.tr.~~.~j~.R.~1.?....~2.Q1....P.~'u~,.t~._.Road...-............,
. _ ............:....................---.........................PQ.r..~....5.~.......t-u.c.x.g.,....F~or.~.da....3.w..4.S.2 . ,
(i~nor furnishsd labor, servioss or rrwteriats aon:istin~ of: (Describs . spsciaUY fabricatsd materiab s~para~~lr)
Lumber and Related Building hlaterials
oF a tolal value ofUne...hundr..ed~--seuentesr~~ -and....b1~/1.00.. ...doUaa (S __1.1.7,11. _ :
• • - 117 11 ~ '
oF wh~d~ thare rema~ns unpaid S._ for whid~ amount he daims a lien on the Fdbwiog :
St . Luc i e. ....--CouMy, Fbrida:
deseribed nal prop~rty in~---------~~ . .
. (Desaibs ~eal property wffiaeMty for idsMiPic.ation, indudin~ street and number if known~/
~5~~? G - S/S
= /°37D - bC~'~//
~ot a, e~o~k 200, Port st. ~~~ie, Florida. 31~66
S~LI
CIE ~~UNTY FE~
RG~f? ~O;iRA$ U. ;
_ RE Cla
RX GtF.:,t1l7 CQURt ~
e. ~ yf¢;;;F~~+ ;
~ ~ ~ut ~9 3 za PM '15 ~
~
Ownsd by........Cs.nar..a1....R~v.e.lapm~.nt...Co.rp.~c.at.i.on__ . '
. ~
Hs Iurther says that lienor fumished the first of said labor, services or materials on_....at~tne....lb.,........
................_........__..~.......__....~.w, 197.5..., and the iast of the same on .....1une....16.,....................., 19.7.5.-, a~d (if the iien
is daimsd by one nd in privity with the owner) that the fienor served his notioe to owner on June.--.18.,. ~
i
..............._........,19...7.5~ by...._..Cert~i-f i~ed -tlai 1... - . . . . - .
" (Method oF Service) ~
~
Porter Lumber.Company, Inc.
_ . . ~
~ 1
rles Porter Jr.~ ;
By . . . . .
Ayent or Anorney
7~i. ~ ;
y ~ ~9_7~ ~
Swom to and wbsa~d beforo me this....---.... .~.9--.-
..........................da of..........1.U..~-.1
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~?~n? ~+~6; ti , , : _
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l7,is I~uin~,nr„~ prrparcd by: Be a t r i c e T ra n o,vsk i -
P rJ. BOX c7 NOTARY PUBLIC STATE OF FIONfVA 117:(~R~~
;1 ~~i~ir~t! • MY COMMISSION EXPIRES OCT28. 19~ r'".•
Jonsen Beach ~ Fla. 33457 tiENERAI INSURANCE UNDERWRIiERB~
~ b~242 ~ 674 . -
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