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FLA. 1007 lAW4 ~U~S ~ ~ 11AMC0 MORM 1lO~
F8 71J.09
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. ~auidq of S'T. LUCIE ;
Before ms, the undersiynsd autlwrity, Porsonally appeared _ THCMAS A. F'OGT
who, bein9 duly :worn, says that hs is the lianor herein or ~ ~he
at~ ~ of the lienor herein,
JONES SEPTIC TANK SERVICE
. . _ . .
~ (lienor's Name)
Post Office Box 1707, Stuart, Florida 33494
. .
whose address is . _ . _ ,
~ (lienor's Add~ess)
_ _ _ _ _ ,
and that in pursuance of a contrad with . R-CAM CQNSTRUCTIC'N
. _ . .
lienw fumished (abor, services or materials consisting of: (Describe specially fabricated materials separately)
The installation of a 900 gallon septic tank with 300 square feet of
drain field.
of a total ~at~,e oF. ~ Hundred and Eight and no/100 d~la~s (s 608.00 ~
of which thero remains u~paid s 6OS.00 , for which amount he claims a lien on the fdlowing
desuibed roal Prope?h~ in St.__~.,,LiGI.~ County, florida:
' (D~uribe real property suFFiaent{y For identification, induding street and number if k~own)
~
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; Streamlet Street, Port St. Lucie, Florida; Lot 7, 31ock 583, Section
; 10, Flat Book 12, Page 49, St. Lucie County, Florida.
~ FILED AMQ ~ECOti0E0
€ ST. LUCIE COUNTY FIA.
R4CER POITRAS
C' %~K ~,RCUtt CO
~
~ ~VS~~ I ' r~ .'c~F~
R
` MaY I 3 43 PH'1R
A owned by__..MR._~JVIL,SCN_ _ .
~ Hs Further says that lienor fumished Ihe first of said labor, services or materials on Janu~'V 30,
3
s
~ 19..7.$, and the last of the same o~ . 3.~?u~'Y. 3d., 19 `~g, and (if ihe lien
x
is daimed by one nd in privity with the owner) that the lienor served his nolice to owner on
I'ebruary 10, 78 certified mail.
~ . , 19. by . _
(Method of Service)
~ Clifford Jones d/b/a Jones Septic Tank
_
. . _
~ ~ienor "~A1'Vi~P
' ,
~ ~ B,, - . _ _ _
- AgeM a Attor
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Swom ro e~d wbsaibed bsEore ms this _....day of ~~-~aY f.. t9 78.
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~ ~/lrr.c /~tr/niinrat ~~rr~~~~rrJ l~r~ Thomas A. FO,.~} ~c"' "-L'~ r.~ stcmm~ ~c upc,~
y~ ~ c~r.tN.v•~ -;~•#,•,~y :a ,:.s:,
- .1,/,/.,~„ 700 ~'olorado Ave. , Stuart, FL ~ ,o i~ ; ~ +
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