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FLA. tY67 1.AWi ~ ~ RAMCO ~ORM fiOM
314~4S ~
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~l~t`tm ~f ~t~~t ~ ~
~ of INDIAN RIVER ~ -
. . ~I. P iNat .
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B~Fon n~, ih~ urxl~n~yn~d authonly. Penonally appear~d .......................~............ers
~ . ths agent t
~ who. be~ duly swom, ssys that M is the lieno~ herein or # the attorney ` of the lienor hs~ein,
~iaters ~ectric Compai~y
. . _ .
(li~ s Name)
wFws~ sddreu is-..........St....2..~ox...7Q5~~...Y~ro...~~shs . ~`lo.~.d~ 329.~0......... _ . .
(lienor's Address) _ , ~
_ . . ,
and ~hat in pwsusnos of a oontrau with_...:...A~Don _Cons~r.uctio~...... _ . . ~
Ge,neral. De~elopaent...Corp~ration.... . . _ . _ _ _ ,
lienor fumished labor, servioss or materials consistinQ of: (Describe specially fabricated materials separahly)
~ FILEO RNU RECONOEp
ST.lUC1E C~UMTY flA.
ROC~~ ~vtTRAS
7~abor and Ivaterial Por glectrical vroz~:• CLER< <,~~.;,~~1 COt~RT `
• RfC~Rn yco~;~,~ ~
A~c 6 2 so '75
~ 314.2~ ~
of a total value oE._ One.. thousa.-id. three . hundred. twelve/50 ...dollars (S 1~312.5~ - ~
of whith thero remains unpaid S 559 •75 , for which amouN he daims a lien on the Fdlowing
desuibed real property in. . _ . _St..._I.uciQ _ CouMy, Flarida:
(Desaibe real properly wHidantly for identification, induding s~reet and number iF known)
3y~?a- ~~.s ~,o ~ ~ oo~
Lot _6 ~oc~ 19~ South Port S~ Lucie Unit Fifteen, Plat Book
vesthav~en Court 16, Page 42, ~'ublic Reoords o~ St.
Port st. Zacie, Floria~ Lucie County, Florida.
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:
E by _A!Don _Construction u Generzl Deve3opraent Corpora ~ion
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Hs huiher says that lienor fumished the first oF said labor, services or materials on
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.............................._.5..-z5- 19....~`~., and the lasl of the same on 6"'2~".............., 19 and (if the lien
~ is daimed by one not in privity with the owner) that the lienor served his notice to owner on -
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~ Per~ozlal Deliv . . . _ . _ _ . _
~ ..................,19__7~, by _ ~Y
4 (Method of Service)
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f i ~
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By
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~ Aqent or Anorney
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` Sworn to a~d wbsaibsd beFore ms this-~-. Au st . 75
~ ....day oF .8V . _ . ...19.
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~ ~sry ~ . - _ ` ; _
~ t+~TaRY PUBIK STatE pf ~G&t~A AT U!,~~ ~
~ ' MY COA~t~~S::C,.r. -,r~~c~ -1: 1979 ~ . ~ ~
~ %%u Ir~unii»f~i~ rrrynrr•~l CALVIN B. BROWN ~QNpEp THltU GfNER,'?L INS u.~fls(twwtEAS f~.` ~ ~
BURCH COLLINS & BROWN 'r'r= ~ = ~
~ .~lt/r/rtxt ~ f, = ' ,
~ Post Office Box 3686 ~oo~ti~4~ ~~-1494 _ ~
Vero Beach, Florida 32960
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