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4'Ti.2'79 r~
nw »n rEC?uw~cs• RAMCO FORM t20~'i
urN ww. rs naa
~l~tl~i ~t~l~
of BROWARD
Before me, the undersigned authority, personally appeared V.., • M. • HOLLOWAY. - .
vice president
who, being duly sworn, says that he is the iMl00i]b1001917QKfa![lp0a[QOf the lienor herein,
.......G`EWIi~i?..~irr~3I~Y..~A4~lY
(Lisnor's Name)
whose address is .....43.10.. N..W.....1 Oth..AvenufK. F4r1..4~!d~rdple,-..Florida .
(l.ienor's Address)
and that in pursuance of a contract with..........,~~i...iN~. ,
lienor furnished labor, services or materials consisting of: (Osscribe specially fabricated materials separately)
Rental Service of one (1) Drott Irlodel SOD Hydraulic Excavator
Serial No. 6280230
on the following described real property in.....-....5.~..... Lu.Cie ...................................................County, Florida:
(Describe real property suNiciently for identification, including street and number, if kriownl
SEE ATTACHED EXHIBIT "A"
Mobile Home Environmental Systems, Inc . . .
ownedby •
of a torsi value of ..Twenty.-Qt'~.e..Ths~l~scandr..El,Qht..HElndT~..FQ~ty...dollars (s2.1.,.~..QQ
i of which there remains unpaid S.7r.280-~~--~---••- for which amount he claims a lien on the a~iove
i
~ described real property
.
He further says that lienor furnished the first of said labor, services or materials on MdrCtl ll.., .
, 19.7.9..., and the last of the same on....-NOVeiil~?~x'....7...-......19.7.9..., and (if the lien
f
. .
is claimed by one not in privity with the owner) that the lienor served his notice to owner on . NoY-r S, a!n.L~
.Df~cember...2.7.,.- -~.19..~9... by... certified--mail. • ~ .
(Method of Service)
and, lit the lien is claimed by one not in privity with the contractor) that the lienor served a copy of his notice to
owner on . .-..MOBILE HOME ENVIRONMENTAL..-SYSTEMS,---INC,
Contractor)
December 27, - --,19---~9.by--.-certified..mail
on
(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 .................._......nOt...dpp11C1b1e........--
(Subcontractor)
19....... , .
on , - y..
(Method of Service)
REWIND-b1~C11-INERY.-t~~PANY
Liengr
By -
.
. • ,bii• . ~
Sworn to and subscribed before me this...-... 2.6th .........................day of . ~.e1~?e7E : ~
~..,.~....'....-.19..? 9...
a,
~3~ vu~ 306 A~u! . , . '
LA~1i GFFICES 'lrotary Publics -
1'l~ic Insfrunu•n? pr?•pur~•?l h MARK S. SCHECTER. P.A. b -,r~ ~
M~RCEDE EAST BUiLQI~lG. ~~~ITE ~ R~y~~~•57~~#FI.o111oAATlA1;GE
.1~Glrt~cs ~I~Y~Ct3',+!;1i1SS10?~(?1f11:S JAN. 11,1981
2727 EAST OAKLAt~aD ~'ri ~ N, :fit L/d_ ~NOEO rMROIJVr~MF1AO5K1'MJCKIEBERRY,ING
~n PGST OF*!CE - z t IF~~7 •