HomeMy WebLinkAbout1148 .._c
. . _ -
~
~e~
458501 -
- RL.A. 1 N7 lAwe ~ IU1Ma0 RORM 1 N •
R• 71A.Oe ~ED
~l~i~n ~or~ ~t~rt
0~ ORANGB
13ekn me, fhe ~ndersgoed authority, personally appeared...
JSFFRSY.. FULFORD
sa that he is the liellor herein or ~ ~ of the lienor '
who, beirq duly sworl~, ys the attorney her«n,'
FRw~ sTRlcia.aNn _
~ .~,f~~~~..~._ .............._....__...a-.........................................~...... _
r •
• - whose addnu P.O..
Bos 14778:.._Orlando.;. -Florida .32857
(tierlor's /lddress)
~ ~ ~ pursllsrloe ~ a with At~ICl1N PRECAST COBPORATION, a subcontractor, and/
or supplier of Gorham Construction Coapany (general contractor)
I'ienor fllrrlislled labor, services or materiels collsistirl~ of: (Descr~e spedsNy fsbric"ated msteriak sepsntelrl
Labor and materials to fore and pour concrete walls
of storm drain lift station. Bast side of Lake,
South of sales office.
. -
of atotal value of.----~io_.Thousand Three Hundred.. Twenty-Eight _ (s 2,328.00.
a ~ of which thore remains unpaid s.-... ~ •-32800 for which anwurlt hs claims a lien on the folbwinp
5w ~ ~ desort~ed real property q11....-----. St....Iucie County, Florida:
w o (Describe reel property wfficiantly for identification, indu~llp street end number if known)
I b ~
c:. N o - -
~ ,a
f ~ ~ 4 High Point of Ft. Pierce - pro3ect name
I 3100 South Federal Highway, Ft. Pierce, FL 33450
~;o ~ St. Lucie County, Florida
~.oo
C., N f~
N
Legal description attached as Eshibit "A".
0
~ by......._...._.~...ffiGfl POT.iT EQOITIES, L'VC.
a
~ hle further says that lisrlor fiunisllsd the first of said labor, services or materials on.......June..4......
.._..........,19..79 ,and the Isst of the ssms on June..15._.-- --,19-- 79., and (if the lien
a claimed by one not in privity wish the owner) that the lienor served his notice to owner on
June 21 ~ _ ~ 79 ~ by • ...registered mail -return receipt requested
(Method of Service)
FRA'3K STP.ICRLA:ZD
• O
JEFFREY C. or Att ' i~zx:=. ; ~ .
~l
" Sworn to and subsa~ed before nle this -•...•..dey of....... ` _`r'`~q '
~Q' ~ ~
t..a.o~ ~a}~'+•J~1~!l7h.v c~kl,l!1:41t~i~~'.
Z3b1 "tit f~ sanix3 uwss;,~u~ A~ .
7'lris IIlS17J/i/J111/ pnpnred Gy: JiFFP.EY C. FLZPQ~ a6ir1 ;v io a;z+S "mo"d
Ad~lir~s tDA:;S & SILL ~ ~$Y
1200 L'artford ~uildino, 200 E. Robinson St.
n~~_~~_ nr "ieor~ ~ naw~w ~ ~