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~l~ttm ~f tart .
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of MARTIN
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Before me, the undersigned awhority, personally- appeared............ C N..... TILTON
who, being duly sworn, says that l,e a the lienor herein or ~ t ~anorney ~ of the lienor herein,-...-
.................._............TRI-GO~TN'I'Y-. GAS,.. INC.
(Uer,or s Name)
whos. 3232•. S-,.-- E_.- _Dix.ie .Highway, Stuart, _Florida-...33494
(lierwr s Addreu)
and that in purwanoe of a oontrad with-.....- SHEI3A,TON• RESORT INN--..._.....
lienor f„rnisl,sd labor, ssrvioes or materials consisting of: (Describe specially fabricated materials separately)
LIQUIFIED PETROLEUM GASES
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of a taal value ~.~hree.'~'h u and .Two Hundred_Fifty. -two ..dollar (S 3, 252.62 _ )
and . 6~2 ~1~0
of which there remains unpaid s .3.,.252....62.... _ for which amount he claims a lien on the folbwing
described real property in..__....._...___... St..-.Lucie.... - _ _ County, Florida:
(Desaib~ real property sufficiently for identification, including street and number iF known)
S~ rp~'T~~.~
Owned by -........RESORTS-. L.I. MITED - _ _
He further says that lierwr furnished the first of said labor, services or materials on. ,A'agust
19..73., and the last of the same on .S.~pte..~nber._2$._--.---.---, 197 ,and (if the lien
is claimed by one not in privity with the owner) that the lienor served his notice to owner on F
3
(Method of Service) }
TRI COUNTY GAS, INC .
- lier,or
z
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C . N . Tiltor?Agent or Attom~eX. ~~~r~,~ ,
Sworn b and :ubscn'bed bsforo n,e this...........~.~r..~ ........day of - OctQ1Je~~; ~;a _X~.
_ ' _
. , G = ; s;
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My Commission Expires.,~y/~~/J'jj ~
17~i~ I~r~~nnnr-~rl l~nl?~irr,l l~?': C. Norris Tilton, P. A.
.IJ,lrrx~ P. O. Lox 526 ?
1935 r~ E. Ricou Terrace
Jensen Beach, Florida 33457 a~K~~~ PAGf~~