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4b"7102 ~
CLAIM OF LIEN
State of Florida
County of Saint Lucie
Before me, the undersigned authority, personally appeared
Ronald J. P13ller ,who, being duly sworn, says
that he is the agent of Rinker Materials Corporation whose address is
514 South 3rd Street P.O. Boa 1928, Fort Pierce, Florida 33450 and that in
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pursuance of a contract with Jimmie Keene - i
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lienor furnished labor, services or material consisting of +
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blocks steel. and misc. building materials
on the following described real property in Sant ta~eiS County, Florida: ~
j Lot 15, Block 511, Section 10, Port St. Lucie, Florida 33452
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782 S.E. Thornhill ~ ~
i owned by Jimmie Keene
of a total value of $ 5154.78 of which tiiere remains unpaid
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~ $ 12$.95 and furnished the first of the same on
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7_~ , 19 79 , and the last of the same on 9-5-
19 79 and (if the lien is claimed by one not in privity with the owner) that
the lienor served his notice to owner on 19 by
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RINKER MATERLALS CORPORATION
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Sworn t'o and subscribed before me this 46'7102
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Z~day of 19~ . ~a::~• ~il~~., ~~79 26 ~ ~
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