HomeMy WebLinkAbout1213 4416091 ~ ,
ru? »n rccw?w~cs• RAMCO FORM 120!S
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Before ms, the undersigned authority, personally appeared • RONALD R . BOEHL
who, being duly sworn, says that he is the lienor herein or the agent of the lienor herein....
Treasure Coast Supply, d/b/a Doby Supply
(lienor's Name)
whose address is......1.9.?1..CamplertKe..Ave..-,--.Vero Beach, Fla. 32960
(lisnor's Address)
and that in pursuance of a contract with......pQ lute SOUth Builders
lienor furnished labor, services or materials consisting of: (Describe specially fabricated materials separately)
Drywall & Drywall Materials
S t . Lucie .count
on the following described real property ~n y, Florida:
(Describe real property sufficiently for identification, including street and number, if known)
1125 S. E. Cambridge
Port St. Lucie, Fla.
Lot 25 Blk 52
William J. Fesh
owned by - -
92/100
of a total value of ..One.-.Thousand-.•Thre.e.. Hundred.- Eight &dollars i5 ........13.08.~.9z..........-.1
of which there remains unpaid S.-..1.308•'•92....-..•------------------•-.. 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 ....June--•21-, .-1-9-?9.-~
_ , 19.........., and the last of the same on-Au~ikSt...1.$.............. , 19~~...., and (if the lien
c
is claimed by one not in privity with the owner) that the lienor served his notice to owner on
June•.26 _ 79•. Certified Mail
19.... by.....
(Method of Servicel
and, (ii the lien is claimed by one not in privity with the contractor) that the lienor served a copy of his notice to
owner on _ _ Po.~,nt.e.. S.O.uth... BL1•ilders............
ntractor) Certified Mail
June 26
on . 19........... by--............................ ,
(Method of Servicel
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 .
(Subcontractor)
~ f
on._.. _ _ ...............................19...........by...................................
(Method of Service)
44;6091 pp y / /
Treasure.-Coast Su 1 d b a
~l~ i~~i ~ rJ i:.', • 27 lienor Doby -SuPP1Y
Ef.ll!!:~f CG•"~iY.FI;,. By "~;ts ••--s+sS
~
f?t?Gt:ft. r CITfi1:5 bpald R . Boehl
y .
Lil:PJ: Cf CL°!i iuL"'i/ <;0~ ;::~~~~n~:~~-: ;
Sworn to and subscTltfedbefordmethis -..........14th _...day of _...,-'.4 ; ..1/.@~b@Y'~j;~!'. _.19_79...
1 • ~ ~Ioty' !~i -
"/'hip Inslntmr~nl pr~y~nrrd hy: Ilvi SZirony .
tddr~-~.~ 1971 Commerce Ave fbjary P~;,•St;te of Florida at lam
Vero Beach, Fla. (lk~ ~`~°,'~~E'~'8 I~S~
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