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F~a. rtH7 yaws ~ ru?weo Foraw rsor
F• 71~.Oe
~l~i~n ~t~~t
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~ef~e rete, authorit}r, persona!!}r ~a Frank ne "'horns^.
the a~eM t .
who. berm duly sworn, say: that he a the lienor herein or .the attorney S of the lienor herein,
...._....._.F..~.~.k....ne...Thor~as.~ronstruction
.
(lienor's Name)
whose address is-....~~.1._."~id~aav Road, Ft. Pierce., rl'
(lienor's Address)
and that in pursuanos of a oonhsd with......^'he 7.ir.+hack - Cx'oun, Irc. ,
.lack Linhack, President'
senor furnished labor, services a materials oonsistiny of: (Describe spsaally fabricated materials separately)
Lz.:or for forr+ zr,r}~, ^tasor. ~c+r}-, lavout~~r~EO •~f:~ KECORD~p
C';_ T•
and supervi s i.on.. 4i~~'~
'78 Dry ZO pM 3 ; 29
• .
Three tTtmclrer? 3~`n • •
of a total value of---.-..... .
of which there remains unpaid Z Q~__....._.__..... . for which amount he claims a lien on the fdbwiny
St. ?•uci.e Cc•untt' ..Coup ,
desuibed real property M - ty Fbrida:
(Describe real property suF6aentlyr for identification, indudiny street and number if known)
Lot lg, T?lock 58 South Port ct. T.ucie ~/t', Trnit 5
accordinn_ to the alat t!~erPOf fi 1p~ in Plat hoot- 14
Wane Z?, t'trv ntLhl is ^ecorr~s of 4t . T•ucie
~oi~rty, F] .
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Owned by.-....~"h.e...T,ir?b~c3c _.Grc?t~n..r... Znr-...:~ .F] or.ida ...~'~r~orztion.~........
°5i. rol.orac'o ?!ve. ~'vite 22~~, Stuart, F1. ~
Fle further says that lisnor famished the first of said labor, services or materials ~...TPCemher _ .
~ , ~
c
t...__........, 19..
~ end the last of the same on ..ne cert. se r....4..............., 14~. and (if the lien
is claimed by ores rat in privity with the owner) that the lienor served his notice to owner on
rect. - 19--7a b l;v hand.
Y.................. _ _
'}otice of ~'ormtencer~ert- file? t of rvice)
on het. 5, 197°. !
Lienor
sy
- A?9eM
a Attorney
. . , .Sivorn.to and braion nre tha............~.~? .......................day of .........19....
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. " 3ubsa~ed
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~••%i:,,,,,F~..'~' ttlprAtY /UA1K STATE df FIORID A U~
• - ' A4r co~wMrsston ocrras 1T)~ `
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