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422451
~~w ~sn Mccw?Nics RAMCO FORM 120Y+
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~l~ttrit ~af t~ert
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James G. McDougall
Bsb~e ms. th~ unde~sig~sd authority. p~rsonatly epp~a~~d _ _ . . . _ .
who, being duly swor~, says thst h~ is th~ li~no~ hsrein or the aysnt of th~ li~nor h~~ein.
_ Jame.s _G. I~cDougell .
_ . . _
(lisnw's Nams)
. 625 St. Lucie Cresent, Stuart, Fla. 33494
whose address is . . . _ . ,
(Li~nor's Addross)
. Yorktown Construction Co.
andthatinpursuenceoiscontractwith.._ . .
. .
lienor iurnished labo~. ssrvicss or mste~ials consistintg of: (Describs apecially fabric~t~d msterials separatal~)
Labor only to partially complete the trim carpentry
on the following property.
Port St . Z+L1C lE Count Fiorida:
on the following described real property in . . _ . . _ . . . . _ . . _ . _ _ _ . . . _ _ . . . . . _ . . y.
(~escribe real property sufficiently for identification, including street and number, if know~)
Lot 1-2, Block 4~4, Section 26,
Port St. Lucie.
Corner of Horizon and Sagamore.
Dave J. Gessner and Beth i~). Gessner
ow~edby _
Six Hundred 6~0.~0~
of a total value of . . . . . . dollara (S . _
60U.00
of which there remains unpaid S..... • tor which amount he claims a lien on the above
described real property.
I He further says that lienor fumished the first of said labor, services or mste~ials on . Jul~ ?1. ~ 1975
~ Au~ . t~ , 19?8... , and (ii the lien
~ _ . _ . . . . _ , 19 _ and the last of the same on _ . _ . . .
' Sept. 18
is claimed by one not in privity with the owner) that the lienor served his notice to owner on
_ _
, 19.. 78., by. ~.11
(Method of Service)
and, (if the lien is claimed by ons not in privity with the contractor) that the lienor served a copy of his notice to
owneron _ _ . . _ . .
(Contractor)
.
. . 19... bY- . . ,
_ _ _
~ (Method of Service) ~
and additionally, (if the lien is claimed by one not in privity with the subcontractor) that the lienor servsd a copy
of his notice to owner on _ . _ . _ . . . . . _ _ . .
ISubcontractor)
, on r . ,19 .....,by.. . . _ .
~Y.. Z. ri 1~ ~n ~1$ ~ (M hod oi Service) I
~:if 01?11~ +~rtO~iD£p \
. . .
,
S7.1i1:•f :J~iY?7.f.~. . . . _ .
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RE'L~ItA Y61ttF~
_ . _ . .
ey.
_ 4~51 Agent
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Swo?n to ~wd e~f4scribpd bsfore me this_._......~ : . _ _ .da _ . _ . _ 19 _7:8.
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. .'...~"~~i.~/ ; ; ~ % -
' ` = Notary Public
7'his loslr~ini~•ii~, pri•~?ured b~•: ~TNtr ruu ~c s~~r~ ~tcn~w
~lddre•ss~ ~ 's ~ , ~ ~r co+•k~, cx?~us ~t >va~
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