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FLA. tv67 lAW ~ wAMQO R011M 110•
F8 713 09
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Before ms, th~ wtdersi~ned authoritY. Personaliy~ appeared....S.....Wayne..Mann.. i
who, b~in9 duly swom, ssys Ihat h~ is the lie~+w herein or #~~9~~ ~ oF the lienor herein, ;
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_ Babcock $u~~,~,i.~!6...~4~NB~,3f....In~.... '
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(lienor s Name) _ ~
~whos~ address is~~~_~b~oCk...~tre~~.....klelb~urne, £larida.32935 ;
(lienor s Addreu) -
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and thal in purwance of a cont~act w8h Thomas Cha].i~aux...D/..B~A...C. .G.. Romode.l3rig
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lisnor fumishsd labor, services or materials consisting of: (Desuibe speciallY fsbricated materials s~psnt~ly)
Building supplies, including hardware, lywood ~
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R.I h~irp Y~~tr'IE f eC~/R
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i of a total value of 21~a-Thousand~•Six-Fiundred-Forty-Seven&89/]l~ars (S 2,64~:8g ~
oi which there remains unpaid S 2 tG4~.89 , for which amount he daims a lien on ihe Followin~
desaibed ~ea) PropertY in St. Lucie . . Cou~ty, Florida:
(Desaibe real property wfficien~ly For identification, induding streef and number if known)
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' Atlantic Avenue, LakeWOOd Park, Ft. Pierce, Florida
IAT 26, Block 39, Unit 4 and LOT 27, Block 39, Unit 4, and LOT 28,Block 39,
Unit 4
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I Thomas & Noella Chalifoux ~
Owned by _ ~
Hs fixther says that lienor fumished ~he first of said labor, services or materials on .-11/.26/..7.5..
~ 19...... and the last oF the same on ....:.....4f~9~'76..._..................., 19. and (if ths lien
~ is daimed by one not in privity with the owner~ that the lienor served his notioe to owner on
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..................._.....AP..~l........., 197 by. .Certified !l~ail
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~ Babcock..8ui, d3.ng-..~u~~.l~.~....
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28th..... _ _
Sworn to and subsaibed bsfore ms this . . .....day of _ ~u~ie .~6
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~ !i l9fy Ptf ~.~l~K~a OT tOT~ .
~ Q y Caow:7s:c:. ~:~~s i p!. 11, 19~19 ' _
P•~b~ v~ nd~d by Am~~:cc~ F~~~ 6 Casraltr Co.
%%i~:~ /~t~lr~iinrl~l ~refvire~~/ 1~?': Ba.bcock Building SupF1Y, Inc~~ S. 'dayne ltann~ Agent r'I'//' 7y
~ .1J,/rr.i~ 393 Babcock Street, i~elbourne, Florida ?2935 ~
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