HomeMy WebLinkAbout1962 ilA 1977 MCCNAN~CS RAMCO FORM iZO~~)
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Before me, the undersigned authority, personally appeared ...BOb. BLlM10 .
who. being duly sworn, says that he is the lienor herein or the agent of the lienor herein. . .
...Bob . I .dbs BIB. Plumbing . Co... _ _ _ -
(Lienor's Name)
whose address is 811.. Bf3arney..Rpad,...FOrt . Pi@rGe ~ . l1a...j345~. ,
(Lienor's Address)
and that in pursuance of a contract with EiChard.Miller _dba Pointe.. Sauth .Builders ,
lienor furnished labor, services or materials consisting of: lDescribe specially fabricated materials separately)
Furnish labor and material >tor complete plumbing
oY house, also, 1lzrnish and ixt:3ta11 ptt>ofp.
on the following described real property in _ $t.•.. T,llale. County. Florida:
(f)escribe real property sufficiently for identification, including street and number, ii known)
886 S. Arer~c~een Tern.
Lot 16, Block 40g, Tract 3
~ Port St. Lnaie, Fla.
owned by Petf:r.P• aT3d.Carsel..Hai>b
of a total value of o~ 'f•11Qd 8~,$}1t...~A1TId~'!6~ ni~s~:.~ixe - - dollars fS ].8~5..OU )
of which there remains unpaid S 1~g5,00_ _ ,tor 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
.hlIIe 21, . , 19 79, and the last of the same on~.Ob still iA. proae$a9 and (if the lien
is claimed by one not in privity with the owner) that the lienor served his notice to owner on .
September 20, 19.79 , by 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
owner on Eiahard Miller dbe~ Pointe.. South - Blii.ldera
(Contractor)
on September 20, .19.'].9.... by . lllsil ,
(Method of Service)
and additionally, (if the lien is claimed by one not in privity with the subcontractor) that the lienor served a copy
of his notice to owner on
864793 (Subcontractor)
. 7
. '9 '2 n". ~ (Method of Service)
! , i ~:.t _ Burns Plumbing Co.
SLLUCiE C:~_HrY.i
Agent
Sworn to and subscribed before me this day of ~g -
~
~ Notar Public
l•h~'`It~.'r~? r~rtl Aj Ei~)ui,~IA~ : Bob Btarns ~ Y I w?~
Iildri••. 611 Kearney ROad 2
rptl?f:Y f'Ufkl~ StATf O~ H 1~~
Fort Pierce, F'la. 33450 Go~ss~p+ Ex?Il~s trot