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FLA. fY67 lAW3 ~ 11AMC0 FORM~Spit 1
F! 71 J.09
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BeFore me, the undersigned authority, personally appeared._ ~vI'~A.~ E..... MULLINS
the agent t
who, being duly sworn, says that he is 1M lienor herein or ;the attorney f of the lienor herein,
PREFAB CONST'~'[JCTORS II~C.
(Lienor s Name)
whos! ~~;~33o2..,En.ttsrprise Road, Ft. Pierce, F1 33,50
(Lien&'s Address)
and that in purwanoe of a contrail with .....WILLIAM-..E......SIN(3LETON CO., INC.
lienor famished Iak?or, services or materials consisting of. (Describe specially fabricated materials separately)
. ~s~or t erect structural steel; bar foists and decking
ra t~me fob labor beoause steel did not arrive
at promised time, beoause Anchor Bolts were not at
oorrect looations, extra Crane time and overtit?»for
labor and Crane, remove roof decking whioh had been
installed udder the supervision of s former employee
of SINGLETON, turn the decking over and reinstall. t
of a total value of.sIXZEEN HUNDRED NINETY NINE &no~20t~lars (s 1,699.00 )
of whidl there remains unpaid s -~~9 for which amount he daims a lien on the following -
described real property in ...S.t-•.---Lu.c~e__ County, Florida:
(Describe real property wfficiently for identification, inducting street and number iF known) -
- New 7-Eleven Building '
Spanish Lakes F+LEO r.~:i) ?2ECORDEb"
Port St. Lucie, Florida 33452
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CLFR4:ICir•CL~' i?i!v1~T
Owned by.......~tJTALAND CORPO~ATI ON . _ _ _ _ _ .
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Ffe further says that lienor Furnished the first of said labor, services or materials on ~eoe:aber '
. ..........20th 19.78-, and the last of the same on Fe-brua.rY__...2.... 1979 ,and (if the lien
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is daimsd by one not in privity with the owner) that the lienor served his notice to owner on March
............30th . 79. Certified i1aI1 5375 8
.._........,19.. .,by.. _ _
of rvi )
~'AB TORS NC.
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By..}J NALD.. I;i~i NS...; F
Mont or AttQ~,.~,~~'rl"<J'2r
Swom to and wbsalibed before me this..-.-~~ ....................................day of • ~9w~
n`` f,
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Notary P r~•,,,,,,11u+•.
ti>f]11i1N>f)Udfl ' SNI lv>f3N79 nyHt t]~Or~lOe
%ir li,.vn„nr,n /rrr/v,rn/ C. M. Slade t9st t •utS s~lta~ Nolsslwwm sw
p1/1 1V YQI~Ol! !O ~1V1S ~I79f1/ jti1I1C/e
.1,/,/nxr Ft . Pierce, r'1
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