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B~For~ ms, 1h~ t~rsiqn~d authorifv, psrsonally appsared ~ ~ohn F radd
1he a9en~
who, bsin~ duly sworn, says that M is the (ienor herein or # the attorney ~°f the lienor herein,
. Ft._..Pierce...Utilities_,_Authority _
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(lieno~ s Name)
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• P.O. 8ox._3191,....Ft. Piarce~ Flori_da 33450__ . , ~
WIIOSA ~ASf IS.......... . a
• (lienor's Address)
Ri~h~rd..Vr.~e.~.~~d _ _ , :
and that in purwanos of a contrad with
_ . _ . _ _ .
Ii~ Fumished labor, senices or materials consisliny of: (Describe specially fabricated materials s~parat~ly)
Utilities (see attached copy of final bi~l)
oF a tolal value oF. Four_ Hundr.ed Sixty-four and 64~100dolla~s (S a64.64 )
of which thero remains unpaid s. 464.64_ . , for which amount he daims a lien on the followiny
dssaibsd mal propsrty in S t. L uc i e County, Florida:
(Desaibe real property sufFiciently for identifitation, indudiny street and number iF known)
1714 miami Ct Apartments A~ 8
I
i Tucker Terrace~ 81ock 6, l.ot 37
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~ Owned by .RiG.t~ard Vr.eeland _ ~
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~ Hs Furlher says that lienor Furnished the first of said labor, services or materials on
~ ~?.e.cw~tbe.r....1.6 1977..., and the (ast of the same on .-..Sep.tBmb_er....1 , 1978 , and (if the lien
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~ is daimed by one nd in privity wiih the owner) that Ihe lienor served his notice to owner on
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19__. by .
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~ (Method oF Service) ?
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~ Ft. Pierce Uti ities Authority $
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s ohn F radd Agertt or AMO~y '
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= Swom to a~d subsaibed before rrw this. _ `'~7 ......day oF _ ...._.1¢~_
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