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FLA. 1947 LAWS ~s\ 11AMC0 FORM I20~!
FS 713.08
(~i~xim ~f ~~t~n
~ls of ~loriDtt
Olouistp of
Before me, the undersigned authority, personally appeared- . Daue...Brown
who, being duly sworn, says that he is the lienor herein or # the agent ~ of the lienor herein,
the a?torney ~ }
Keller Building Products
(lienor s Name)
whose address is 4051 South Federal Highway, Ft. Pierce, F1. 33450
(lienor's Address)
. _
and that in pursuance of a contred with Dick .Harden-.-
248.3 Nick -Joe. Lane,_ Lake Park,_ F1. 33410 .
lienor furnished labor, services or materials consisting oF: (Describe speaally Fabricated materials separately) •
150.33 Sq. Yrds. of carpet plus V pad -
48.66 Sq. Yrds. of vinyl
t
- ?
of a total value oF.Dne thousand, seven-sixty-twa 22/l~q(lars (s 1762.22 )
of which there remains unpaid !l .1752.22 ,For which amount he claims a lien on the following
described real property in - _ ~ - _ - - S t . - LuC~e County, Florida:
(Describe real property sufFiciently For identification, inducting street and number if known)
1491 Sandia Drive, Lot 4, Block 361 Sec. 2 PSL
~ s . LUCIr FLA.
~ t:G6 S
REC4 ~ - '
~ SEC ~ 07 ~
4
Owned by .Alber.t . Sollazo
Fle further says that lienor Furnished the firs) of said labor, services or materials on .August .
......................................31...., 19...7.9, and the last of the same on ..S.eptetnber.. 13 19 7.9, and (iF the lien
is daimed by one not in privity with the owner) that the lienor served his notice to owner on September ;
........................~-...---..__...1.0...., 19..79, by C.er.tified Mail s
(Method of Service) {
u - Keller Buildinq_Products
lienor
By Donald Johnston i
.
Agent or Attorney
~ q f
Sworn to and subscn'bsd before ms this...... ................................day of ,,ti,,~ _ _ 19~ ~ .
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