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HomeMy WebLinkAbout0631 ~ ~ AMENDED C 3 17 - ~ 7~' s?~ »n Mrcw?N~cr RAMCO FORM 120va u[M uw. rs naa (~l~tim ~f ~t~rt 46?1.99~ ~txts of tax ~tautl~ of St . Lucie Gary M. DePalo~ Sr. Before me, the undersigned authority, personally appeared who, being duly sworn, says that hs is the lienor herein or the agent of the lienor herein.... M830Y1~C1~1'~p Fast.eners..and...Fquipment..Cc..., ~n~... d/.b/a .G_oast~.~,1:~~...Fas.te~er~ .and. . Equlpmerit CO. ~ Inc . Ilienor's Name) whose addressis.. 727o...SW..~±~ .?~t,~6.Gt?...... ................Mi.ami.~..FlOrida.............. (lienor'a Address) and that in pursuance of a contract with G. F. Industries lienor furnished labor, services or materials consisting of: (Describe specially fabricated materials separately) extension cords air compressors screw guns miscellaneous items on the following described real property in St • LuC i e .......County, Florida: . (Describe real property sufficiently for identification, including street and number, if known) jl<E f~7TACH Cod Y owned by ~tadnQr-Ocsana .Partnf:rship..... One thousand ttr?o hundred twenty of a total value of five .and 12000 7CXXXXXXXXXXXXXXXXXXdollars IS 1~ 225.'.1'2 of which there remains unpaid 5.-11.??~.' 12 ,for which amount he claims a lien on the above described real property- I He further says that lienor furnished the first of said labor, services or materials on ~ Jll~y 9 .197.9__, and the last of the same on. .July ll: 19....[.9, and (if the lien N is claimed by one not in privity with the owner) that the lienor served his notice to owner on s August 20 1979 by certified mail (Method of Service) ~ and, (if the lien is claimed by one not in privity with the contractor) that the lienor served a copy of his notice to f 1 owner on (Contractor) on , 19_ • by--_ (Method of Service) ~ and additionally, lif the lien is claimed by one not in privity with the subcontractor) that the lienor served a copy of his notice to owner on :s (Subcontractor) on _ , 19. by.. ~ MASONKWIP FASTENERS & F,~~er~bel, Inc. d/ /a COASTLINE FASTENERS & EQUIPMENT CO., Inc. A _ _ _ ~ lienor , ~ j~ fay. /I;(L,.~,,m~.~C~~..~`_.. ~ ' ~2 Sworn to and subscribed before me this 8 _ _ day of " ' ~ t©beD 19 79 . Notlwy~Pub~ic' 7Ytis /nslrnrn~~nl pn•parr~d ht•: Ella Boutwell - { .4ddrr•~.~ 7920 East Drive _ iJnnth T2.,ts Vi l l .,ero T.'l r.~si rl.~ ~'Zl ~l (IXA~ h ~Ar