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FLA. tYe7 LAWf IIAMCO •OIIM /iOr
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BeFore me, the undersigned suthorily, personally- appeared-.......... K•.... C..._. Sloan
.
• the agent
who, bemg duly sworn, says that he is the (ienor herein or ~ # of the lienor herein,
K. C. Sloan Paint ~n Paper
(4enor s Nsme)
1145 S. II.S.#1, Fort Pierce, Florida 33450
whose aiidrescis ,
(Lienor's Address)
and that in Treasure Coast Builders, Inc.
purwanoe of a oontrad with _
291....$.11.._,Port..-.St., .-Lucie,-.Blvd., Port St. Lucie, T'la. 33452
lierar Furnished labor, services or materials consisting of: (Describe specially fabricated materials separately)
8 gallons paint
2 pints stain
2 gallons mineral spirits
And an assortment of sundry items such as roller frame,
roller extension, roller tray, roller covers and brushes.
of a total value oF...~ne hundred thirty .five and 92/100~1ars (s 135.92 )
of which there remains unpaid s -13.5.•.92 - ,For which amount he claims a lien on the Fdlowing
dssvibsd real Properly in.__....... _St......Lu.C..~.e......_ County, Florida:
(Describe real property suffiaently For identification, including street and number if known)
2836 S. r.. Floresta Drive, Lot 28, Block 787, Section 18,
Port. St. Lucie, 3t. Lucie county, rlorida
Owned by-...........~~'c.~~.ux~.....C,~~~.#s.'..:~ulder~., ...~~.nc. _ _ _ _ . .
Fle Further says that lienor Furnished the First of said labor, services or materials on - .
t~ o a ember.-..1.........., 19.- 78 and the last of the same on id ov embe r -..17 , 19 78 and (iF the lien
is chimed by one not in privity with the owner) that the lienor served his notice to owner on .
y..... _ _
19........., b
_
`~'~tD ' "1% ",tCOR0E0` -(Method of er )
Ft_
~450,~ ~ lienor
'79 APR { I PM 3 : I g By......- _ _
~ y ~ AgeM or Attorney
Sworn to eadwblarl`ed-bsFore me this- ~~.1~:~ .....................clay of ~~r~ 19
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