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FLA. 1167 LAWi 4'72339 ~ RAMCO FORM tso•
Fi 71.00
l~ttm ~f ~t~~t
~ ~ -
~ pf St Lucie
Before ms, the undersigned authority, personalty appeared ...............Samuel ...D._ $t.eele . .
who, being duly sworn, says that he is the lienor herein or the agent of the lienor herein, .
the attorney
............6,XGBL...KIT.CIANS...S11iG
(lienor s Name)
whose addreu is~----.~.i~Q....Qid-..4ixie.-.~igh~w~Y, Foxt. P.~rce.,....Flord.a 33450...... - !
(lienor s Address) ~
and that in pursuance of a contrail with....... Thomas .Lom,an _ -
lienor famished labor, services or materials consisting of: (Describe specially fabricated materials separately) ,
C inets W To s
1 -Set Custom Mica Kitchen ab /
P ~
4 -Mica Vanities W/Tops
1 -Surface Saver
Assorted Hardware
Install ation
49b Sales Tax
1 -Hutch
i
of a total value oF..Twent.yNineHundredEighteen&52/100 dollars (S 2,918.52. )
of which there remains unpaid'S ~ 2,918..52. ,.for which amount he claims a lien on the following
described real property in St .Lucie....... _ County, Florida:
(Describe real property sufficiently for identification, induding street and number if known)
S
1980 JAN 1 I PSI ~ 00
f {
i ~L D ANO kECOk[d D
ST~LO~f,ER
t
QITRASA~ (
CLFRtt CIRCUR W
4'7239 }
Owned by ................Thoma_s._Lom.an. . _ _
lie further says that lienor fumcshed tlce f~rsi of said labor, svrv~cas 6i ~~wtesrio~3 vrc - No ~o.,...e._ , t
14-.7.9, and the last of the same on .November - 30- ~ ~ , 19 ?9, and (if the lien
is daimed by one not in privity with the owner) that ?he lienor served his notice to owner on November 16
x
19.79, by.. United States_Postal Service
- (Method of Service)
E F.,l;. KITCHRNS.. IhIC._ .
lienor
- Agent or Attorney =y "`~'Jj,, ~ l
' b~i
Swom to and subsrnbed before ms tha.....-.....-1l.th .........................da of J anu.ar. ~:.;1...• +
_ j ~ q~ljtt ~ ; .
r
Notary Public ~ ~?j'•;
%ric Lis~nnnrrr~ n' r~re'c/ Samuel D Steele NCI'tAt1f fUltC STATE Of'~ ~ ,pow '
FP ~ ~
i1 clJrrxc P O Box 1407 p~;Ep rww ~ u?L tNS. uNOEltwtt ruts j
Fort Pierce , Florida 33450 i,qc~ sip
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