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FLA. tY67 LAWS AAMGO FORM t10~!
F8 71,.09
C~l~tt~t ~t~rt
~ St. Lucie ~
~
Ray A . 3t~ys
B~for~ n~, th~ undersi~ned authoritY. P~rsonally appeared . . _
who. b~in~ duly sworn, says that he is th~ lienor herein or ~ the a9ent ~ of Ihe lienor hersin,
the attorney
Landmark Lighting & Supply
. ,
(Lienor s Name)
3313 Olean der Avenue, Fort Pierce, Florida 3345C~ ;
whos~ sddreu is...... . . . . _ . ,
(Lienor s Addreu)
_ _ _
and that in pursuance oF a contrad with . Pete Znr_harakis
_ _ . _ . . _ _ . . _ . ,
Ii~~ fumished Isbor, services or materials co~sisting of: (Deuribe specially fabricated materiab separately~
Li~htin~- ~'ixtures, /'ttic Fans, anc~ Bathroam Accessories
~
of a total value oF.Three Hundred Fifty Seven and 19/l~~ars (S 35; , i9 ~ ~
of whith there remains unpaid S_ . 357 ,19 _ _ , For which amount he daims a lien on the foAowing '
' . S G . Lu C ~ e _ _County, Florida:
~ dssuibed real PropertY ~ . . . _ _ . . _ _
~ (Describe real property wffiaently For ideMiEication, indudiny street and number. if known}
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t
g ~ Lot 22 ~ilk 81
~ LTnit ~ Ir.dian P,iver Estates
~ l919 J'~'; -6 P'~; ~ 55
~
~ FtLE i3 F~:~ f'' C~:rtJE4
~ S ROG
R POITRA5A~
r CIf~K C1zCU~t cOj.f ~
~ p~CCici1 V•._ -n--_~..
d~. J. Janat~, ~l~~
' . °
.
y . . . . _ _ _ _
~ Hs Iurther says thaf lienor Furnished the First of said labor, services or materials on 2~~`' ~ ~ n
~ 2/I4/79
~ . 19.....---•, and the (ast of the same on , 19 , and (iF the lien
~
~ is daimsd by one nd in privity with the owner) that the Genor served his notice to owner on .
~ June 4 '9 Certified "~il '
. y
~ . .
~ 19-..._...., . _ _ _ _
=4 (Msthod of Service)
Land:^:ark Li~htinf, & Sunply
: .
. . _ . _
Lienor
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gyi;av A. F3F~• ~ ~ J ~
_ ~.5........ a~- ! ,
. . _ _
~ _ Ayent a omey ~
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Swom to and wbsa~'bsd bsfors m~ this ....................!1....................._.......day of Jun.e.. . _19 '
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