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456115
R{.A. 1N7 LAwi 11A1100 RORM IeOM
rs s~a.oe t
~l~ttm ~f ~'t~ert
of Indian River
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Before me, tl» under:ipned suthority, personally sppeared...-..•.... Pat., Theal l
who. being duly sworn, says tl?at he is the lisnor herein or # of the lienor herein,
PAN AMERICAN ALUMINUM CORPORATION
........................_......_..............».........................tVdnor's.Nams).......................................................................................................
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4 North U.S. #1, Vero Beach, Florida 2 60 `
whose address ~s .............17~............................._...................................................----...---................................................. t
(lisnor's Address)
and that in pursuance oaf a oontrad ~,..~..Ponte South Builders.,...._Inc.....
.....P.~.-..0 ...Box....~~~.+.... Stuart......Florida...... X3494
tenor furnished labor, services or materiels oonsistin~ of: (Describe specially fabricated materials separately)
Awning type windows and screens, a pass-thru unit, and
glass sliding door units. 1919 A~~ 23 Pt4 ~ 35
. x`~'~~~ S ROGER
PQ
TRA~A.
CLERK ClRCUtT T
DECOR!) VERIFIED
of a taal value of....-Sixteen- hundred... ninety _-twp..&..-...~6I1~lar: (i 1-~-692•.36.......
of which there remains unpaid s 1-~- 692. •.36 for which amount he claims a lien on the foNowinp
desar~sd real property in ................Saint...Luc-e_.County_....-.-.-_.-.,_.-.-..-....-......- --County. Florida:
(Dssuibe real property wf6dedly For identification, indudin~ street and number iF known)
South Port, Unit 5, Lot 25, Block 52
112 South East Cambridge Drive, Port St. Lucie
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Ctwnsdby William., J_.--.FeshR...-,2218.--S_.E-. Harrison Street, Stuart, Fla.
Fle further says that lisnor furnished the first of said labor, services or materials on
.....,Tip??.~...~.$,._._....._....:..., 19..?.Q, and the Iasi of the same on .....Tune..-.27 19.-?.9, and (if the lien
is dained by ores rat ih privity with the owner) that the lienor served his notice to owner on.......
-.JJda.y ..1,3.. ........................,19..?4, by......G.e~t.ified .maii.., _ _ .
(Method of Service)
Pan American Aluminum Corporation
Lienor
~ - ' - Pat Theall
By . _
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r
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August
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Sworn to sn~,d before nii~.tha ..c'~.........................day of _ _......19.?9. .
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- _ ? ~ v = ~ Notary Public - . .
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e, %%is~~,G~,~;~T,~,f~r,~N~,,~/'~~~,.~ .Pat Theall, Pan American Alwninum Corp. /~Pa -
' ;~,/,/,,:E~ ~b'~ViB'~'U..S. #1, Vero Beach, Florida 32860