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flA tiU MFCNANICi RAMCb FARM 120 `'s
UfN IAW. ri )UOt
t~l~ttn~t ~t~~
~tts of ~loriaa
4Toiutl~ of ST . LUC I E
Before me, the undersigned authority, personally sppeared ...JOSEPH S . BROIVN
who, being duly sworn, says that he is the lienor herein or the agent of the lienor herein, .
SEACOAST. HOMES, _ INC..
(Lienor's Name)
whose address is p•~.~...Aox ._2294,_ Miami .Beach, _FL.__ 3,3140
(Lienoi s Address)
and that in pursuance of a contract with..., COLLIE E. COOK £ VIOLA COOK .
lienor furnished labor, services or materials consisting of: (Describe specially fabricated materials separately)
1,0i1St7`11CL161t UI a.iil~ie rantiij% iiirtciiiiiK
on the following described real property in ST . LUC I F ~ .....County, Florida:
(Describe real property sufficiently for `identification, including street and number, if~!known)
Lot 14, BIk 378, PORT ST. LUCIE Section 6
as per plat thereof at Plat Boo~C 12, Pagei~6D,
Public Records of St. Lucie County, Florida.
Street address: 702 SE ~lhite Ave.
owned by COLLIE E. COOK $ VIOLA COOK, his wi~e
Fift one thousand Two hundred fift I~
of a total value of _ y _ - ~ollarsOS ~.1a.2~.~/.~.~0.. _ )
of which there remains unpaid S 3 ~ 6O 2 . O S ,for which amount ire claims a lien on the above
described real property. _
He further says that lienor furnished the first of said labor, services or materials on `Lune 3O
19 ? 8 ,and the last of the same on .AUgUS~._. 3Q _ _ , tg7.9 and (if the lien .
is claimed by one not in privity with the owner) that the lienor served his notice to owner on ....NIA.
.t9_ ,by _ _ _
(Method of Service)
and, (if the lien is claimed by one not in privit; w%:n the contractor) that the lienor served a copy of his notice to
owner on N/A
(Contractor(
on .19_ ,by. _
(Method of Service)
and additionally, (it the lien is claimed by one not in privity with the subcontractor) that the lienor served a copy
of his notice to owner on N/A _ .
lV.Aj.d ~ ` (Subcontractor)
on . 19 _ , by
(Method of Service)
?i9 ~~I -8 r,'s ~ ~4
SEACOAST HOMES, INC.
$i.lU~l"t C'::1'~T'+.~ i , Lie r
ROGER PC'! iR,::~
CLERK ~IE:C'J! i r' 'rig
Rc~c~~ :'i~: -9_ ByJ(} H TROLLER
t
.:`~i,4-
Sworn to aryl, subscribed before me this _ . ~j/ .........day of GV_ .C:-~1~9-~(J~~L, _ 19
f'I~LIC STAi]S,CF fLpltOA Ai U1ItGE
• r~~~CdNA41SSiOhj'EJV11lfS flrC[ 1~ 19i3 -
~,~i~ jfKfi.~ S'~l~'~ Itw tM'~tRWRti~S ~ (JL~-C~_
~ct._ Notary Public
'1'Iri.r~Ih~rl•rriria~rif prf•pnrf•fl b~~: SCOTT M. KENNEY
lflflr.•... 515 S. Indian River Dr.
~t : 'Pierce, FL 33450 l~Itna a