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FLA. tY67 LAWS AAMCO FOAM 1fOr
Ff 71~Of
(~,~I~xim ~r~ ~t~~
~t~tu of ~tot;~a~ I
~osudq of ST . LUCIE ~ '
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Befors me, the undersigned authority, personally appeared ROBERT L . PEGG
who, being duly sworn, says that he is the lienor herein or ;the
a~
?t~or~ney ~ of the tenor herein,
RON_' S....RU~.. REMN~A1~iT #~~.Q~ O.F VERO BEACH , INC .
(lienor's Name)
I
whose address is 1.239_ 16.th. S.~reet, Vero Beach, F~.o~rida 32960 ,
(lienor s Addrass)
and that in pursuance of a contract with -
VINCENT ANTONUCCI
lienor furnished labor, services or materials consisting of_ (Describe speually fabricated materials separately) i
Carpeting and padding, and labor for installation. ~
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THREE THOUSAND ONE HUNDRED ln 3121,47
of a total value of TWENTY-ONE and 47/ d-~ars ~3 )
of which there remains unpaid S 2.621.47 ,for which amount he claims a lien on the fdlowirt9 ~
described real property in S t . Lucie CouNy, Florida: ~
(Oesaibe real property suffidently for identification, ~nduding street and number if known) '
436 Skipper Lane
Port St. Lucie, Florida
OT9 DEC 3I ~!t ~ 01
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REt~RR VERtF1E0
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Owned by VIi1CENT ANTONUCCI
Hs further says that lienor furnished the first of said labor, services or materals on
Septetnber..__29.. 19 79 and the last of the same on September. 29 , 19 79, and (iF the lien
is claimed by one not in privity with the owner) that the I~enor served his notice to owner on
, 19 , by
Method of Serwce)
ROWS RU lyIld R{~ RO BEACH ,INC .
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` By br jlltto~i G
d ~ ~l%
Sworn to and subscribed before ms;. ~s•l . • .day of December 19 79
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