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t'u?. tees u?we ~ ewMao t+oew rapt
re sts.oe.
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James A. Ki rbJl...LLL
dekn nte, the uetderstyrted ~ulhorifr. P appeued-•••••-••-•-•••
who. being dulls sworn, ssys titN lte a the liertor -herein or the °~nt # of tM lienor herein,
the sttomey
,,.~„~nd,
Surveyor
.••,,,Ki r~iy_ III L
• _ ~~~..1$2~...E4r.~...Pierce.....Florida...33450
whose address ts~•_••
(liertor's Address) .
and thst in ptrsuartoe of a oorttrad with-.-.-..~sx~~wj•~---~~~~!~~•-•~!nd_Son...Contractors.,...Inc.....................,
~iertor (txrtislted labor, services or materials aortsisiHtp of: (Dsscn~e speaally fabricated materiak separately)
Boundary Survey and Percolation test
~onsult~tion -
of a total vsiue of.-0.~~-~~nc~rtrd-fifty..-five .~bn (1.....155.00___...
- 15.00 for whitlt amount hs claims a lien on the fdbwirt9 .
of which then remains unpstd s . ,
-described reel property in--• ..............faint...LUC~~...---.......--...........---.....-----.................................. __..~ounty, Fbrida:
(Describe real property wf6ciently for identi(iration, irtdt~rg street and nttrrtber iF known)
Lot 26 Block 13 Lakewood Park -Unit 2 _ - ~ D ~ 'f'~ ~ E COR C p
~ Plat Book 10, page 56 Saint Lucie County, Florida ~ • ~?U':T"
'18 ~F~^- 2p A~q : 4
. 9~
Owned by......i~~~.~~?K:.--....~rass~.-p.Y~...."5
ffe further says that liertor ftrrrtished the ~ of said labor, services or materials on- '
...~EFtEIt1~k2E~.....1.4.._......._.,197.-, and the Iast of the same on fir.. about...OCt.-.15...., 19 78--, and (if the lien
is chimed by one rat in privity with the owner) that the (senor served his notice to owner on .
...w.~. (Method of Service)
V Vector
dy
or Attorney
b.for. m. tl,rs ..............._...1...9....~~..~_.:............day oF.. , . --19-
Sworn to and wbsort~ed . - . .
.
.
This hulnnn~~i~ prrpnrr'r~ by: ~ .~-j
f .
AJ[Imtf ~ ~ - ' ptetary hibPK. State et fbrida at t~ i
~',~{.f i~ My Co~nmRren fxpi.at Osu t
4ondrd hY ah~r~.an Fire b Cosuelty Co