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~ountp ot...........~~.r~..e~~t
BEFORE ~LlE, the unde~segned authorety, pErsonally appea~ed ........LESLIE G. KNOPF
..V7.~~..~X~S,~d~Tit..G~._~.T.A~!1.Q~?.~I?. RQOFING.. & SHEET METAL WORKS,~,_ INC. who
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bein~ duly~ swo~n, says that he i.c (the fieno~ he?einl f~~~~~~]~x~(dC~~1~f~~XQIK~
whose address is -------._..53.85...I.a1ce..Wnr_th..Road~..~,ak~..W~zrth,...F~.ax.xs~a._.~~~~3.......----
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a»d that in pursuance o/ u cont~act with ...---..Y.~A~AR__~ON~~#tUG~IQi!I.. ~0.~.:
lienor /urnuhed labo~, service.c or mate~ials consistin,q of ___...built-up roofing, insulation,
and tile roofing ,
(Describe speciall3~ fa6ricnted mate~ials sepa~ately)
on thc /ollowin~ descsi6ed real p~opert~~ in St . Lueie
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G'ounty, Florida _...._.___.$~e.. Exhibi~_.A._at~ached_.hereto
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i (Dcsc~ibe p~operty suf
jiciently ~or identi/ication and ~iue street address if uaailable)
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! ownc~d by._. OCEANRISE OF HUTCHINSON ISLAND, INC., a Florida corporation
j 24,690.00 *
E of a total value o/ of which there remains unpaid $----~41296, 00..----
~ and ~u~nished the first o/ the same on_______________7~nudx_Y...~._...__._.._____, 19__79. and the last of the
.cnme on February__ 3__________________~ Jg__79*and (i/ the lien is claimed by one not in priaity
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~ with thP owne:) that the lieno~ se~ued his notice to owne~ on__.__._..__.January___5_...._~ Jg79_.. by
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~ (he~~ dQSCribe method of service of notice).__.._.~~x_~~.~~.~d...itkl7~l_
~ '"he undersigned affirms that all lienors contracting directly or indirectly with
~ Standard._Roofin~_and_.Sheet_.Metal__~~lorks.,.____ c.__in..conn _ction with this project
have been paid in full. S R~I ..&.....HE T TAL WORKS, INC.
~ ~y : s~-- - - . . ~ ..~.~t~i/.~. ~ -
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_ slie G. Knopf, ice Pr~es~c~,Qnt~r•
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` Sworn to and subtcribed befo~e me this__. - jg
aY of---------•- ....;.1 ..__7.9.
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' Nota Puh1i (Nota~y
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~ *7 G Stare o( Flortda at .
~ :~1~• G'ommission ex~ires... Mf_~nlmi«ion.~~;res~„n~ 25. i9s2 ~
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~ '~'he work of the lienor is not completed. This Claim of Lien is filed during
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~ the progress of the work due to the Notice and Affidavit of Recommencement.
~ Additional work in_the amount of $2,920.00 is still to be done.
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8~ ~655 Patm Beach Lakes Blvd.
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