HomeMy WebLinkAbout0134 .44~~39~ 1~ /
FLA. f967 LAW6 ~ RAMCO ?ORM ts0•
FS 71J.09
(~l~im ~a~ ~i~e~t
~ ~
~ St Lucie ~
1
8efor~ ms, the unds~si9ned authorify. ~srsonallY aPPeared ...R~hert ...A Cooper
. ~ the agent t .
who, b~in~ duly sworn, says that he is the lienor herein or the attorney ~ of 1he lienor he~ei~, .
.........Ez~~e.1...Kit~cb.ens....Inc _ . _ _
(lienor's Name)
whose adc~eu is-2-12Q...O.1d...Dixie...High~+vay, Fort Pierce.,._.FLorida 33450. ,
(lierwr's Address) -
and that in pursuance of a contract wilh Phillip .Ket.cham............ _ _
. ~
_ . _ _
lienor fumishsd labor, servioes or materials consisting oF: (Qescribe specially fabricated materials separalely)
1 Set Mic a Kitchen Cabinets W/Tops
2 Vanities W/Tops
1 B ase C a,binet W/Top
49~ S ales T ax
Installation -
of a total value oNineteenHundredNinetySix&04/100----dollars (s 1, 996. 04 )
of which there remains unpaid s 1, 996 . 04 for which amount he daims a lien on ~he following
desaibed rea) property in - St LuCie . County, Ftorida:
(Describe real property sufFiciently for identification, induding street and number if known)
481 Goldco as t Avenue ;~19 ~ 8 ~ 2, 28
Lot #15 Blk 27, 6& 25
Ij St Lucie County F~~~p p~p kECGks~EO
; Port St Lucie, Florida 33452 st~ic~~ca~~~+1YF~A.
ROGER POITRb~
~ ~LEfiK Ct~ CU1T COU
ittCORO ~'i.R'."!EO
k ~4~y9
E
! Owned by... ......_....Phillip. Ketcham
_ . _ . .
i
~ He Further says that lienor Fumished the first of said (abor, services or materials on _
~ M.arCh...20..,......._........., 19..79, and the last of the same on......A~larct~~- 30, 1979, and (if the lien
3
is daimed by one not m privity with the owner) ti~at I~e lienor served h+s notice to owner on
~ Mar~ch..2S.,..__..... 19_?.9, by U S Postal Service
~ (Method of Service)
~ EXCEL . KI TCHE INC
~ . _
,
~ lie
~ '
, ~ gy , _ . . _
,
Ayenf or Atfo
!
, .
,
~
` Swom to ' ' ~ '
, and subsrnbed beFore me th~s.........18.th ,
~ day of _ _ M ay _ , •
....i~7.Q. • ,
: . ~ ;
~ ~ _ ••1 ••v•
~ ~ ~ ' . -
~ _ 1~Qxt'/.. . . ~.1... _ : }~v -
~ Notary Pu ic " . : o ;i, a _ : ±s~ _ _
~ortMr ~ic st~h a i~Oi~j-~i' t~uio~
t:
fi . . ~
I I/B I/IS/!1//1/('N/ f~re fNllr'~l 1~~: C1 eone Len t z Ndt GON?Wt~ss~p~ E~~~~A~?.'~~R43••;~ '
P O Box 1296
.~I JJ~~x~
Fort Pierce, Florida 33450 J k ! f~ y
~ ?nr.. ~ a ~y ~
V~..
~ ~,s,~'~i',~
~ ca~ ~~"-'""~+`s.~k ~~"!r~ - ~_~~r
~ r:'~, -
.d „ a ' ~=;F- .