HomeMy WebLinkAbout0777 _ 1 ~ i.
4~i02'76 '
cu? ~f» 4wECwuocs. RAMCO FORM t20)S
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St. Lucie _ ~ •
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Beio+erne,theundersignedauthority.personallyappearsd.......Ga>"~..I'!I*...DB.-P810~•-.Sr....-•;-••-•..•.-,•,
who, being duly sworn, says that he is the lienor herein or the agent of the lienor heroin. M8SQ111tW1p
Fa$te>~ers••and•-~uipment.•.Co..~....Inc.....d/..b/a..CQas~~.~~t~.. Fa~~~~ter~...~d......---.
Equipment Co. ~ nC . lLienor's Name)
whose address is ......~,~7Q...~~.....4~.. Street Miami FYorida - i
(lienor's Address)
and that in pursuance of a contract with...~a.~''.a..~ IY1d~~~~~Q~
lienor furnished labor, services or materials consisting of: (Describe specially fabricated materials separately) ~
extension cords air-compressors screw guns miscellaneous items
St I,tiCie - .............County, Florida:
on the following described real property in
(Describe real property sufficiently for identification, including street and number, if known)
OCEANA (Hutchinson Island) r
- 9900 AIA Jensen Beach, Florida - -
Topwn hip 3? South Raggen4lsEastn 2~ - _
St. Lucie County, Florida -
owned by---....~Adl'~0~-0c~~a..P~rtnership.....----•
One thousand two hundred twenty-
of atotal value of ....f~V.e-..and.. ~2?000-• X~GX-• dollars (S .~•3 ~-2--5-••~~--•----•- --"--1 I
of which there remains unpaid S-- l.f•~•2~' 1~Z---••••••••-•--•••-••----••-•• for which amount he claims a lien on the above
described real property.
He further says that lienor furnished the first of said labor, services or materials on
--!Tu1Y..9 .19.79..., and the last of the same on..............._. J1l~.y...a.a.... , 19:9.--.and (if the lien {
is claimed by one not in privity with the owner) that the lienor served his notice to owner on
- ---------•----~-August...2Q. ~9------7..9by.........certified-. mail . ~
(Method of Servicel. -
and, (if the lien is claimed by one not in privity with the contractorl-that the lienor served a copy of his notice to
owner on
(Contractor)
----.19-.....----• by.......-..............-
on _
(Method of Servicel k
and additionally, (if the lien is claimed by one not in privity witF~
the subcontractor) that the lienor served a copy
of his notice to owner on
(Subcontractor) ~
44iC~2~Ei
,19.........-, by..--•-••----......... -
on-
~ MASONKWIP FASTENER~Met d~~P~+lc~NT CO, Inc
2 P~ ~ t 2-
d/b/a COASTLINE •FASTENERS••&--.EQtJI.~P2..C0.., I
i
S~ i..;~.
' F;ti:l! <~il~ NEi;U?nstO ~ Lienor '
ST.LUClE COiA1tY.FlA. •`':.a~~
ROGER POITRAS ~ _
•
CLERK CIRCUIT i g ~i7_./ ......~~I,~~~'.... ti'~'..• y~... .
REC&R01tE4lF1Et+ ~ Agents cr tt~ ~ --T
' ~ ! f'' O..
Sworn to and subscribed before me this .......................2~t-................day of ..........!Sf;.ptC .Q~
- -,-----c ,
iI.AR PU Sg~/~(T{rpjp Rr4'~14 A7lhR~ - `
,IlY C0411lAIS~ON EXY In ES ~~~14 ~9~1~L3" ~
This In~lrumrrttpr~~pnrwl h.•: Ella BOUtwEll
:hldrr~ss 7920 East -Drive EO~I(~~ ( PdGE
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