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r~~ H77 MECNANICi ~ RAMCO FORM 120yi
l1EN IAW. f{ 71~W i
~t~xim ~t~en
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V • .ri v
Robert A. Ke11;r
Before me, the undersigned authority, personally appeared
who, being duty sworn, says that he is the lienor herein or the agent of the lienor herein, .
Ke11y gyros. 'factor Services Inc.
IUsnor's Nsme)
718 Mictrra~7 RrI. ~ Ft. Plerce~ Fla. 33150
whose address is ;
- (Lienoi s Address)
' Pointe South Bldrs. (Dick Miller)
and that in pursuance of a contract with ,
P.V. Box 335 SLUSrt, Fla....---_331194
lienor furnished labor, services or materials consisting of: DDsscribe specially fabricated materials separately)
Clearing of ? of
^~rading
on the following described real property in St. Lucie County, Florida:
(Describe real property sufficiently for identification, including street and number, if knownl
Lot 11 ~.k. 721; Sec. 18
662 S.E. Portage hue.
Port St. Lucie, F'._.a. 332:52
Abnor R• LiU~ar_ k. Lotso..~'
owned by .
?'o~~z~ hundred sevent;~ ~,rree ~ no/10(! 1t73•Kfl
of a total value of . dollars (S
r
of which there remains unpaid 5...-.?'?.3~.J~-.---~ ~ for which amount he claims a lien on the above
i
desCrlb@d !L'al ~r~na?ty.
He further says that lienor furnished the first of said labor, services or materials on
_......-.~~20- , 197.9...., and the last of the same on 8/2'..-.. ,19.?Q..., and (if the lien
'a is claimed by one not in privity with the owner) that the Ilenor served his notice to owner on
~ 3/22 79 Cartified Mail
, 19.........-. by--.............-----...-.............------..........- ,
(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
(Contractor)
on ..........................................,19-....-....,by...---...-..........
_ (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.-...
(Subcontractor) j
...1
H„ , , 9
~~,?i4~Y ' ~ ~ ~ ~ ~ 29 ~ 2' (Method of Service)
. ~ cb ~ ~ • ?
o'* ~ -~y•• ~~-~i Kellar Eros. mractor Sa;roice~ Ir_c.
~ . Rn;,cR PCIT~AS ~enor
_ f 1;..: a _ - c~ By -
j ' (,t• Agent
~ . s~.~.
SwoTrtfo and subscribed before me this.. _ _ .~-C). _Ty.day of _ .19.~~.
Notary Public
l'hi.r I?rslrun?r•?rl prrl?nr?•?I bt-: g~ZY
91 ~iai.nbo•.r Dr. Notary Public, State of _Pcr:da et ~s
,...~w~ Aar rt. Pi~rce~ ~S. 33;50 tutu Commission Ex^':.~ = :,rifler 27. {
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