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ru? 1l77 MECNANItf' RAMCO FORM 12054
urN ?~w. rs naa
~t~t'tm ~t~rt
~ St. Lucie
Carl Johns a ent
Before ms, the undersigned authority, personally appearsd .
who, being duly sworn, says that hs is the lienor herein or the agent of the lienor herein...
Climatrol Florida a division of Climatrol Sales Inc
(Uenor's Namel
whose address is..........529.S Industry Road Cocoa, Florida 32922
,
(Usnor's Address)
and that in pursuance of a contract with...... Joseph Polizzi
....._..:....7.91-S...E.--Celtic------Pt...St...Lucie,...Florida........................... ,
lienor furnished labor, services or materials consisting of: (Describe specially fabricated materials separately)
Fabrication at~nstaL.ation of screen pool enclosure
on the following described real property in St.--.Lucie - .............County, Florida:
(Describe real property sufficiently for identification, including street and number, if known)
?9~ S. E. Celti Avenue Pt St Lucie, Florida also known
as Pt S1 Lucie Section # 3 Lot 23 Block 404 Official
. Records 273-237 -
owned by _ _Joseph D. Polizzi .
of a total value of ...Twenty--tw.o ~hundred-.tvuenty. -nine....... dollars !S -...2z.z9,.Q0
...............1
of which there remains unpaid 5 1430. OO for which amount he claims a lien on the above
described real property.
~ He further says that lienor furnished the first of said labor, services or materials on
Sept 25 79 Sept 25 ?9- ,and (if the lien
.19____..,andthelastofthesameon.._ ,19.....
i
is claimed by one not in privity with the owner) that the lienor served his notice to owner on
~ November 21, 79 Certified Return receipt mail
_ 9.. ....,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
qE
3
~ 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
1
of his notice to owner on
FIIED a~; (Subcontractor)
ST.IUC!- .;Ep
A CtE=• ~ t p (Method of Service)
~ RECC~ - : - ~
s T'~'~- Climatrol FL a div, of Climatrol Sales Inc
DEC I l 3 4s x'79 _ _ .
ren r
'
C
469'749 By . ~
,
:f' ~n r gent
` 13 December 79
~ n d:before ms this_ ......_.....da of _ . _ _ . _ . l d.. _
. ~ J
~ 'Q ~ ~ ~ Notary Public
i rt~r/~~i1ti~ `rte orr~d b~~: ~~~'lsj4~r~s
~ . i ~Q P - n ustrv Raa d u~,~.