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HomeMy WebLinkAbout2182 • 4'72450 nw »77 MEC«wi.~cs RAMCO FORM 120'-, UEN IAW. it 71~Ot ~l~tint ~i~en ~ _ of St. Lucie Beforems,theundersignedauthority,personallyappeared....Ce_1eSte_..Bush who, being duly sworn, says that he is the lienor herein or the agent of the lienor herein, L D, Bush.. and -_Compaizy,~_ .Inc..,...------ i (lienor's Nams) f whoSeaddreSSis.....4~.2...~axmex.s..Iriaxk~.t...Road.,...FQ~~...P~ex~.ce....~lox.~,da...~.34.50._.... . (Lisnor's Address) Pointe South Builders and that in pursuance of a contract with , ! lienor furnished labor, services or materials consisting oi: (Describe specially fabricated materials separately) - 1 fully custom mica kitchen with top and 2 fully custom mica vanities with tops on the following described real property in........5.~.....~.)~G~,G .....................................................County, Florida: (Describe real property sufficiently for identification, including street and number, if known) Lot 25, Block 52, South Port St. Lucie, Section 5, a Subdivision according to the Plat thereof, re- corded in Plat Book 14, page 12, of the public ' records of St. Lucie County, Florida. owned by...William.. Fes~1...a11f~...An>Za...k'esh......hi.s...w~.~e.. of a total value of Qtil~..llwusand..Five.kiucidred..Sa~:.ansi..36~10U-.. sonars ~s .1...5.06 _.3b.-.--- of which there remains unpaid S1-,.~.Q~ -..36 for which amount he claims a lien on the above a described real property. Se tember 28, ~ He further says that lienor furnished the first of said tabor, services or materials on ..........p , . , 19.79..., and the last of the same on.....Qct.,....15 , 19.79..., and (if the lien is claimed by one not in privity with the owner) that the lienor served his notice to owner on ± October.....1._...........19...79..by............U~... $.....mail (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 i owner on . _ _ (Contractor) ( (Method of Service) i r and additionally, (if the lien is claimed by one not in privity with the subcontractor) that the lienor served a copy z of his notice to owner on - (Subcontractor) 4'72450 Q on ~ e of Se ice) FILEO tNC k[CuMiitU ~ ~'~~'li~-l_._ Sf.l!lC:E COONTY.fI.A. ~ ROGER POITRAS ~£RK cutcwT cl?ua Agent for the Lieno. , ' , • f~c~~a ~~i'F ~~+r - L . D . BUSH AiyD COMPANY., Il'~C . ` ~ , By..._... _ _ . -...~....~r~.~ . ~ ~ Agent a r! 20th D cember - ' ``79 Sworn to and subscribed before me this................. day _ ..._-19+........:,~ ' / _ ' ~ i% ,4 ' i. ; y..... - ry ub1iC ~ _ %~hic /nrlrrrnu~~r( prE~p~rri'rl h.•: Charles J. Dorfman, Es , _ _ - _ - iild~,•,., P . o . BOX 3388 ~ crMa . ~ Fort Pierce, Florida 334~`~'"~`'~'~"'~' - \y~~o `