HomeMy WebLinkAbout0113 ' 4~81
- ~u un ~icwuucs• _ 11AMC0 FORM 12014
u~N ~~w. r~ s~~a
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~f MARTIN ~
~
Bston m~, th~ w~d~~si~n~d autlwrit~r, pKSOna11~r app~u~d C~'ES GROOME
who. b~irp duhr sworn. says tl?~t M is tM li~nor hK~in or th~ a~nt ot tM li~not hKNn. ~
......................:.................,~ENSEN.. FLOQRING.,...INC
~ lU~'s N~m~1 .
,
whose addnss is ..............20Q~...N.....~.~... ~4~!~r~~~l,_.Street,~.. Jensen...Beach,...Fla.........
IUMOr's I?dd~s1
and that ~n punuanc~ 01 a contract with... Bjr.jl~e..~!~~~`~'r.~ ..GQNSTRU~~ION.. CO ..,....~NC...,
.
.........~.7.0O...S.....F...---~a~.exxio..~i~,...,...~Qx~_.~a.~,ex~Q......~'3~~.....~~.4.q2
lie~or fumished labor. ssrvic~s w matKiais co~sistie~p of: (D~scriM sp~cially iabricat~d matKials sspuatd~?1
Carpeting, materials and labor -
on ths folbwin~ dsscrib~d roal prop~rtY in ST..:.LUCIE.-•-•-•-• ..........................................Counp, fbrids:
(Oescribe real propsrt~ wffici~ndy for ider~fication. includin~ strNt snd ~umber. if known)
Lots 5 and 6, Block 1, TROPICAIRE SUBDIVISION
according to the plat thereof, as recorded in
Plat Book 10, Page 6, of the Public Records of
St. Lucie County, Florida, ~ ~
ROBERT NELSON ~ ~
ownedby .
. EIGHTY-EIGHT
of a total vslue of ...~~...T.HOU~~I~TO,--.F~G~~._.H.U~jI?~iF•A..~A~IAL..... do~~ars l= ~.Q.,.~88...OQ ...............1
of which there remains unpaid s. 6., ~88-.-00-•••-------------------------- fo~ which amouot he claims a lien on the above ~
described real property. ~
I~ He turther says thaf lienor fumished ths ~irst of said labor, s~rvices or materiais on DeCember._.10,._._.
! -
f . ~9...78.. snd ths Isst ot th~ sams on....JaIIUBryr...lA......... .~s_..7..9.. and (if the lien
~
~ is claimed by one not in privity with ths owner) that tha lisnor served his notice to owner on.......TaT,~ll,aX}!......___.
~~....---.._........19..~~.., by..............~_~X~.~.~i.~d...~i1......._.........................----~--...................... .
(Method of Service)
and, (if the lien is claimed by on~ not in privity with ths contiactwl that the lienor sonred a copr of his notice to
owneron
(Cormsctw)
...............................19._......... by....................---.....---.............._..............................
on
IMethod of Service) E
and additionally, lif tha lien is claimsd by one not in privit~r with the wbcontractor) that the lisnor served a cop~
of his notice to owne? on
(Subcontracto~) " `
on...........r.~LEO..At:a_ ~ECORDED' .19_.......... by...---.............................................:....................... . ~
~ r; r U~~• f L:,. .(Method ot Service)
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Swom to and subscribed betors ms this..._..~
~.1..___._.....-__day . F~t1.~~rY..... '••i~.:'-• Cy~9'~r '
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No~/IRY l1~1~ ST~ • ~ ~A ~ ` ' ' ` ~
Thi.~ I?isln~mc~nt pr~par~d b>-: ROBERT P. SUMME
Addr~~s.~ 200 Seminole Street, Stuart, Fla. 33494 ~CO""~s~~' p~ ~
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