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C LAIM OF LIEN
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State of ~lorids - . `
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County of g~t Luoi~ ,
Before me, the undersigned authority. personally appear.ed
Ronald J. Pl~l~r , who, being duly sworn. says
that he is the agent of Rinker Materials Corporation whose address is _
51h 3outh 3rd 3t.reet; P.O. Boz 1928i Fort Pierce, l~lorida , and that in
pursuance of a contract with B~ D Hoaesa ~ ~ ~
lienor furnished labor, services or material consisting of ~
- Steel, ~ Misc. Hui~din8 1'(ateri~ls - ~
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on the following described real property in Saint Iuoi~ County, Florida:
~ Lot 17, Bloak ~8, 3outh Port 3t. Lua1e, Unit 6, Iasaa Road
' owned by ~9~ ~ Rusaell Bloom?ield "
of a total value of $ 126Q.1~ - , of which tnere remains unpaid . ~
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~ $ and furnished the first of the same on `
~ , 19 . and the last of the same on 12-~'?8 ,
19 , and (if the lien is claimed by one not in privity with the ownerj that
the lienor served his notice to owner on , 19 . b
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RINKER MATERIALS CORPORATION ,
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~ Sworn to and subscribed before me this ;
7~ da of 197 ' F1LED AND E~R'DED3,,, :
~ y ~ ~T. I.UC~E OU TY: ~1.A'. ;
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Notary Public : ~ ; ` , - _ ':~ii:. Sute R~ ~ ~ Z . 36 ~
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- ~,y~ ~ > >9a2 7~FEB
My CommissioA ~ " s: ~ f~ a c.~ ~ -
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563 2/72 ~-;s~~'~:;;:.:k y~{ CL£RK CI~CCUIT CD~R
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