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ru gar wtcw?n~cs' RAMCO FORM 120 y+
urN uw. rs »aa
~i~tim ~t~rt
~ ~
of ST . Lucie
Before me. the undersigned authority, personally eppsared Ge.V.>rye...~''......M.~~!~.µ),{~.~11
who, being duly sworn, says that hs is the lienor herein or the agent of the lisnor herein, .
tieor~e b,cLau~hlin
(lisnor's Name)
whose address is 5 ~ .7---~...4~. V ~-9~.~ t.. h V e.~...... y t.~... 5 t ....~u C e s... ~~1 o.r~ c~a . .
(lisnor's Address)
• L i C COminercial Construction Cor
and that in pursuance of a contract wrth - .-......p.
.........................y~...N_.w ....1t3~..St•.-. Miami..... Fla......,~3.1.6~...-.............................
lienor furnished labor, services or materials consisting of: (Describe specially fabricated materials separately)
Labor - raintin~
St. Lucie ...count
on the following described real property in y, Florida-
(Describe real property sufficiently for identification, including street and number, if known)
Sans ibllar Villas ana Condominiums
BuilainM 5-A .nd 4B
Hq aIa
Jensen beach,r''', - ofric:ial iiec;uru iioo;r; 300, la~ea 2350 through
23y3. ar el of lava lyin in Section 22, `Pownship 36 South,-
Range 4~ ~as~• 5 nd llar Yj~ 18S j~gvelp ~~t Corp.
owned by .sj~BB~--J-.--•Y ~`-aleZl~s...1rT~e~.--•---..........-.. - - -
~~~0 Palm Beach Blvd., Stewart, FL 3344
twent seven four hundreu nint 27 4y0 000
of a total value of ..............y................-..-..-...-.......---.......- y.:........ dollars IS ......f..........~.................)
i
of which there remains unpaid 5.....~ Ejy.~(jQ-.OO--------------------••. for which amount he claims a lien on the above
~I
described real property.
~ He further says that lienor furnished the first of said labor, services or materials on
march.-25,....... .19.7y..., and the last of the same on .J.ept. 25 , 19.7.. ,and (if the lien
is claimed by one not in privity with the owner) that the lienor served his notice to owner on .
I
~ Ivov. 6 7y Management Service bureau, Tampa, r'la.
_ ..............,19..........,by.....................................
Ef IMethod of Service)
j and, lit the lien is claimed by one not in privity with the contractor? that the lienor served a copy of his notice to
6
owneron....._.. _
(Contractor)
e on........_...._..._... .........................,19..........,by...........__................._....................___
• IMethod of Service)
and additionally, (if the lien is claimed by one not in privity with the subcontractor) that the lienor served a copy
K of his notice to owner on _ . _ _ . _ _ .
s
(Subcontractor)
>~i
_.,19....._.,by....... .
~ fILED AN: ~ ,;•;~ED Method of Service)
i .LUCIr ; v; .FLA. ~ ii~~
RG' - ~ 5
f RECOp ~ c~,~.!~ Lienor
i
Dec 10 3 06 P~ 7y fay _ _ _ _ _ _ _ ~ _
Agent
Sworn to and subscribed before me this._ ~ _ .day of ~ - 19.E
M)ft.RY M13UC SATE Of FLORIDA AT LPRGt -
n1YCC~1.tLtSSiO'~.~`PIRESiEB 8 2930 ,+.^~t.~-~-•w_.r~ ~ -
:nFD t?+~cu C:.;, ~ ~•~~-Q:• arrr5 ' / Notary PubliJc ~ -
l71i.. lnslrunrrn~ prr•pnn~d ht-:
~ -1 rrdn.cs ~?R X271 2_~9
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