HomeMy WebLinkAbout0174 ~~~s~s9 ~ ~i
Thi• Instrument prepared by: R.~. Mintes
]~ddress: LONS STAR FLORIDJ?, INC.
. 64S1 North Faderal 8ighway
Fort Lauderdale, l~la 33308
I9t9 JU~~ -5 ~M 1~ 21 ~
0 AlIU MtC~MKItO
~TnA~A' C1.AIM OF LIEN
q~Rlt
State of Florid~Fcoao vEr~~~~Fn
County of sroward 446'7S9 .
Before me. the uadersigned authority. peraonally appeared
R.C. Minteer ~ vho, being duly svorn, says that he is the
lienor herein (or the agent of the lienor herein),
Lone Star Florida, Inc.
enor s ame
~rhose address is~ 6451 North Federal Hiqhway Fort Lauderdale, Florida 33308
enor s zess
and that in pursuance of a contract ~ith -
Creekside Construction ~
lienor furnished labor, services or materfal consisting of: (Describe
specially fabricated materials separatelq.)
Steel, concrete and block _
of 8 tOt81 value of Three thousand fortv seven and 66/100 dollgts
3,047.66 ) of which there remains unpaid 1.253_34 .
for which amount he claims a lien on the following described real property ~
in saint Lucie COUt1ty. Florida: (Describe real property suffi-
ciently for identification, including street and number if knawn) ~
Lot 3, Block .62 -
! Indian River Estates Subdv. - P.B. 10, Page 73
~ .
~ t~med by James Samuel Hebb and Bor~~ie Lee Hebb
~ He further says that lienor furnished the first of said labor. services
~
or materials on January 12 - , 19 79 . and the last of the same on
E
~ March 9 , 19 79 , and (if the lien is claimed by one not in
~
~ privity with the owner) that the lienor served his notice to oamer on
~ January 23 , 19 79 ~ by Certified Mail , and (if
~ - t o o ervi ce
~ the lien ie claimed by a subsubcontractor or materialman to subcontractor)
~~hat the lienor served his notice to owner on the privity contractor on
~
~ . 19 , bq . and (if the
t o o er ce
; iien is claimed by a materialm~n to a aubsubcontractor) that the lienor served
~
~ his notice to the subcontractor on . 19_. by ~
7
~ ~
Y • tlnder penaltiea of perjury Z declare tha~~
t o o e ce .
~ ~t~ ~ :
; . .<_Q - :F~_
~ read the foregoing and the facts alleged are true, to the best of m~;"~~~C~dg~c, :
~
~ , 6`9~( .i~:
~ $nd belief . ~ ' ~r-k~o
~ _ • .
~ . • Ze
1;t or t':- s'~ ,
~ , ~ . - ~is'~~ r R~~:
; ~worn to and •ubscribed before me this ~disy of Jt~n~r''
~ ~ F c~ s'e-f--:.~.~'-~'•',
19 79 • ' 3~`~l~.J~O f': 174 ~ 6'.x`_
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