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/ ~ FLA. 1Y67 LAWi ~r' 11AMC01'OIIM itOr FS 71J.09 ~ ~ . (~l~rt~i ~or~ ~t~n ~Ssw~ o~ ~Or~ ,33(~11.~ ' ~ ~ 4 _ _ Beiore ms, tl~ undersiyned authority, p~rsonally appeared...Sam._ ~anks ~ ; y ~he agent C ; who, bein9 duly sworn, says that he is ths lienor heroi~ or 1~~~ ` of the lienor herein, . . t _ ..._Ray.....~sa.Qk~.'..s....~.~.Pt.~,.C....~a~....Se_.r..vice. _ ~ (li~nor s Name) ` P.O. Box 64, Stuart, Fla. • _ _ _ whose a ass ~s _ . (lienor s /lddress) and that in purwance of a contraa with De pendable Const Inc . ~ _ . . , _ . . . _ . . . . . _ _ _ . . , , liefior fum'~shsd labor, ssrvices or matsrials consisting of: (Describe specially fabriwlsd mate~~shly) ; i Installed: 900 gal. Concrete Se~::.ic Tank ; 300 sq. ft. Drainfield: ~ 12 yd. Rock ~ 150' of 4" perforated Pipe ~ ; 300 sq. ft. asghalt felt ; concrete distribution box . ~ of a total vak,e of.-...--. Five.. H.~ndred Thixty Five dollars (S 535.00_ ~ of whic~ tharo remains unpaid S 5~5.• ~Q_ , for which amount he daims a lien on the (dbwin9 St. Lucie County desaibed real PropertY in . _ . . _ _ _ . . . . CouMy, Florida: (Describe rea! property suffiaently for identificalion, induding sireel and number if known) I,ot 15, Block 410, Sect. 3 ki~~c, ; r: -r~~ ~vL~fO ~i~~U~:••= -.'ubYt Il~- ' 'rlest Virginia Drive F:,c_ ; ,.-~~3 t ~ Port St . Lucie -y~~ ; = cc~sr ~ , ~ :._~t,,=-_ -5/d -o~~r~~ ~oa ~ I~ 11 AH'7S " N~ ~ ~rs~ CtilY • f ~ ! ~ ~ ~ 3(~~.1. ~ = De.pendable_ ~on$t .I.nc . _ . . Owned by . _ . _ . ~ ~ Hs further says that lienor fumished ihs first of said labor, sen?ices or materials on De.~.......1.6._,...19.75 19.....----, and the last of the same on .:...De.C.. ....2Q.,.. .1.97.~., , and (iF the lien ~ is daimsd by one not in privity with the owner) thal the lienor served his notice to owner on ~ - ~ .............................._......._..._.....----~.19......_.., by.. _ • - . _ _ . _ _ ~ (Method of Service) ~ Ray_ C.ooke_'._~__Se.ptic..Tank_ Serpice._. a ~ ' . IeflOr r;; c . • ~ ~ ~ ~ By... _ G_ . . .:c.... . ~ . ~ _ Ayent or Attornsy ~ Sworn to and wbscribed bsfore ms this........--- ~.5.~.h.. ........................day of 1r:a.rGh.. .19. 76.. ~ ~,~,scr:+,.,, • . ~ t ~ ~ • , ~ s . .ti~ ~ ~ ~ ~ ~ ' ~ . . ' l~ . ` , 1 • ~ ~ ~ y3. . ~ - ` ~ ~ r V W.~~~~. . . . . „ ~ f ~ . ~ `?I ~ ~ ; ~ ~,3~ . ~ : ~ . : - ~ _ ; . ,NV~~.~.~~t~-~f,a 1* _~;GE ~ ' ~ • ~ Cr .T ? 't+! _ , - ~ _ . ' , V , - r ~ _ : E?. 7, 1977 8~~ ~c..~ , - ,~~..:p,;~~~ ~ % lri~ /iism~i~~r-u! f~r~ fuiri ~l l~ U ' . ~ .1~/~/r~:c~ C,.:F.:... O f . ~ tCRI ` E:.~ 250 2 t: ~ ~ ~ ~ . : , ~ r ~ - : ; , : ~ ~ ~ ~ . . ' r x ~-_x..