HomeMy WebLinkAbout1486 F1.A. fi67 LAWi ~ 11~MC0 fORM I~O~Y
Fs ~ 314.~`'40
~ ~l~tim ~ii~rt
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~ INpIAN RNER ~
d~for~ n». 1M undeni~d aulhority. P~rsonally appaared-.. ....W.... P... waters . -
3 ths a~ent t .
who, b~in~ duly swwn, says ~hat he is th~ lie~o? heroin o? the attorney S oF the lienor herem,
lYaters T7.ectric Cor~sazly . _ . .
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(lienor s Name)
Rt. 2 ~ox ?05~...oe~ ~~b~ Florida~ 32960
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whose addreu is- _
(Liarwr's Adakess) •
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and that ie ~xusuanos of a ~ontrad wi?h--=.~~D°n Conetrwctioa
Gener~l _ Deqelo~ent._Corpor~tion
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IiMOr fiunishsd labor, ssrvioes or materials consistiny of: (Describe specially fabricated materials separately)
~1 0.
F lE0 ~t~0 t+EC R~~A. '
s~, ~~ci~ couN Y
nac~~ Po~i ~?s
~ G:ERK C"?~UII COURT
Zabor and 23ateri~l for ~lectrical work. aECC~~~ L~~'f~ fl
~ p~ 2 a PM'75
of a total value of... ...~iine h.undred and seventy _ . dollan (s 970.00 i
oF w1iKh there remains unpaid S-64Q.04. _ for which amount he daims a lien on the fotlowin9
described re~ Props~tY in.__... . _ . . _ . _ a"~. I,uci.e _ CouMy. Florida:
(pexribe ~ea~ prope~ty wf(iciently for ideMification, indud'+ng street and number if known)
~ 3yr~- s.s~- od6~ 6~a
zot 6~locx 67 River ~ark Unit Seven~Plat B~k 1~,
Page 42, Publ~c Recor s o~ St Lucie unty, ari a.
865 ~ SandiA .
Port S-t. 1ucie~ Florida
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i
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~ by._...A!Don__Construction General Deve~opaent Corporation
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~ - He fwthaf says that lisnos fumished she first of said labor, services or maier'~ais on .
...._..d.-17-..., 19..-7-5., and the last of the same on .......?-21.- 19. ?5 and (if the lien
~ _ _
is daimed by one nd in privity with the owner) that the lienor served his notice to owner on
................~t~.;~...3~..............., 19. ...75, by. . per3oz~~z1 Delivery
(Method of Service)
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Y
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~ By _ . . .
AqeM or Attomey
~ ~
= d,.
~ Swom to and subsoribsd befors ms this-......... ..day of ~?U$ust . . . ..,::19.7g.;,
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woratrr rua~K SrntE'oF nd~u~A~ht.~A~''
~ ~tY coM?~~ss• :
C ~g~ GN E~v ~E~ v/?~• l._I979,
~ %l?is fns/n~~;•u1 ?•~'`~'nCO~..L ~$V ~O~VN WN eor~p tH~u C~t.f2.V.11JS~. flNbE9,kr,RC~f1t5~ `
~ tSU K~ VII
:I~f,ln_v Post ice Box~ 368 ~
~ Vero Beach, Florida 32960 go~~~ /'~t
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