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FLA. 1967 LAW! ~ IIAMCO FORM lfOr 1
Fi 71l.OA
I ~l~xU?~i ~it~er~
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qlountq of S t. LuG i e
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• lVAYNE L. H~,RR I NG }
BeForo m~, th~ w~dsrsisndd aulhonty, i~ersons{ly appearsd..
the a9eni ;
who. b~iry duly sworn, says th~t he is ~he lie~ herein or #~~eltqtl4ll[IRX ~ ot the lienor i~?erem.. . ;
ADOBE BUILDING CENTERS, INC. i
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(lieaoi s Name) ~
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W~ ~ 2056 Scott Street, Hollywood, F~orida 33020 ;
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(Lienor s Addreu) '
GEORGE ~dcRAE, INC . ' ~
and that in punuanoe of a contrad with . . . . _ :
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lienor lumished labor, ss?vioes or materials oonsistin9 of: (Describe :pec+al[y fabricatad msterials s~psrat~ly)
TILATH, PLASTER STOP. EXPANSION JOINT, MAGNETIC PUyGH, POLYETHELENE,
~ASKING TAPE, FLOOA SCRAPPER, BLADES. CORNER BEAD, WELDCRETE, MORT~
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1~IX . BAGGED CEbiENT, LATH AND ~dASON SAND F~~t i:_ ;;~EU
ST tJ, ~.~iY F~a.
~ a. ~ 5 `t?~.
f.~:.~. ~.^:.'RT ~ .t
VN~~~V 1t ' ~ ~ ' ~
Noy 1~ ~ 23 f'fi'~5 ~
ONE THOUSAND EIG~iT HUNDRED SIXTY&03J100 1,860.03 i
of a total value of. _ . . . . _ _ . _dollars (S ~
01 which there ~emains ur~paid s _ 1, 860 . 03 for whidr amount he dairr?s a lie~ on the fdlowing ?
SAINT _LUCIE
desaibed rsal propsrty in._ _ . . . . . . . ~ounty, Florida:
(Desaibe roal property wffidently for ideMifitation, indudiny stree~ and number iF known)
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~ TURTLE REEF: Hutchinson Island, AIA South of Fort Pierce, Florida; f
as described by the 1Parrent Deed recorded in the Official Records -
Book 218, Pages714 thru ?17, Public Records of Saint Lucie County. ;
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( D.I.C. Corporation/Turtle Reef Associates/
Beach Club Development Corporation, a Florida corporation
Owned by . . _ . _ . . . . . _ . _ .
l, He further says that (ienor fumished Ihe ~irst of said labor, services or materials on
! August 5 ?5 August 28 ?5
. 19-......_., and the (ast of the same on . 19_ and (iF the lien
~ i: daimed by one nol in privity with the owner) that the lienor served his notice to owner on .
: September 2 75 CERTIFIED biAIL
, 19..._...., by. .
(Method oF Service)
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ADOBE BU I LD I IYG CENTERS , I IvC .
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Lianor (
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gy. ~~~t~.._ _ -2 ~ _
A9ent ~G~tfFi~i~~
Sworn to and subsai'bsd before ms tha ................2.~t.b.....................day of Novemb.er :...,~d9.,~~..?5 ~
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_ Notary Publk r? y - ~ -
Not.i•y Fc''r,, S• ~ l.. '
%lii~ /uuminrir/ ~?rrf~r~rirl l~p: WAYI~ L. HQZRII~'i r,,,, -_.t i.~ i~-.:' ,
. I J,h< <s 2903 H311sboro Rd. e . , . . . ~y~r , ~-';::::'%Z,~~~\` A
RF~~URN T0: ~?fAS R. S~H~t Palm Bea,ch, Fl.
Z(156 Svott ~reet p R - ~
Hollyw~oc~d, Fl. 330`LO ~t~'~~~'TV P.~.'•~ 5V~
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