HomeMy WebLinkAbout2318 442'71
ROt10A fTAIYT~f 0l11M'>< 1041 M 18016 AMwbchw~ w/ hr NN H TM M. A W. Omr G.wv
l~ck~r11N. FNrli
~~m of lien
~tlit` Ot......FLOR I OA
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QLOtU1t~1 Oi._.._ST ...Luc 1 E
PETE'S TILE, INC. •
(Name of Lienor)
331! OLEANDEt2 AVENUE FT. PIERCE, FLA.
(Residence or Business Address of Lienor) 4
being duly sworn says that in pursuance o
f a contract with TREASURE COAST Q U I L D E R S I
i
(Name of Lienos's Employer or person with whom he contracted)
performed labor and
he { }the following services and (Here describe the labor or services perf
owned or
furnished materials
i
materia:s furnished. Describe specially fabricated materials separately)____________________________________________
CERAMIC TILE INSTALLED IN A HOUSE ON FLORESTA DRIVE, LOT 28,
BLOCK 787
s
E
t
3
to the value o
f 0 N ~ ___T_H Q ~1,~ A (~N.E_.1iUND RE.Q.. T-H.I-RS.Y....QNE.--A~ID_..S~lI,~1~0---~ S
1 ~ ] 31 , 9 0 ~
s~S~i~e. contract price) (
OF MHICH 51,131.90 FEMAINS ID
on the following described real property. (Describe real property su
ff
iciently f
or identi
fication, giv-
ing street and number i
f knoum) ' SEE BACK
F
. z
LOT ?8, BLOCK 787, PORT ST. LUCIE SECTION 18
TREASURE COAST BUILDERS
owned by------------•-----------------------------------------•---•--•---•--...-----._._.._...._......---------...-----......---..._...--------.._.__..__._.
E (Name o
f owner against whose interest lien is claimed)
~ whose interest in such real property is________________.__..._____. _
~ (State owner's interest, as fee simple, life estate, tease-hold, i
f known ) -
_ tabor r _ _
~ He further says that the last item of services wasj fu nuked } on the_________________________
~ materials. ` t
4
day of_______________________________________________________ 19_.__...., and, of the contract price stated, there is unpaid
the amount of - ~
(State amount unpaid)
~ for which amount he claims a lien on the real propert~ h r 'b
NC
...:an.~ `uUq. ~ E _
_
. BY: HENR 1 K H. PETE sEN (Signature of Lienor)
E ~ -~ti~iscube~ and sworn to before me this--_-~ -7__------day o
f ~ 19... ~
= ` ~
~~Z~,' ~ - (No r Public)
_ - - _
.
y 1i~jll~h'Y~i`imission expires_________________________________________ (County) (State)
i NOTARY IU~LIC RATE Of fLOt10iA Al WC+t
M. COMMISSICM/ EJI?IRFS W1t. M M~~
f TMRU ws. gooK 7 ~~~~2318
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