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4`72526 ~
FLA. tYa~ LAW RAMQO FORM tap•
F• 71~.Oe
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~l~tim ~i~~ - .
~ St. Lucie
f3elore me, the undersigned authority, Personally appeared-......-...Carl....Carlton.r....Jr....... .
who. being duly sworn, says thst he is tM lisnor herein or ~ the agent ~ 'of the (ienor herein,
. f~'fP~'9~'/
Glen Blackburn Trucking.R.....Inc.~ `
..................................w..._.........~........_.... (Lienof s Name)
Rt. 4 Box....157.-A... . _ . _
whose address i:
(lienor s Address)
and that in pursuance of a oontrad with.- ..-.-.Frank, .DeThomas•,.„ Sr.............. Seminole.,. Springs..,
ksrmr (urnsshed Tabor, services or materials consisting of: (Describe specially fabricated materials separately)
i
fill, mason sand and marl -
d 58/100...
of a total value oF..Eighty-Three ,.Hundred ..Seventy-f iye_.-Mars (S -8375.5.8 - ~ )
of which there remains unpaid s _ 174.1_, 94.. for which amount he claims a lien on the Fdbwing
described real property in..........`~t.......L1~C.~........... _ ..CouMY. Florida:
(Desuibe real property sufficiently for identification, including street and number iF known)
Seminole Springs The South 3/4 of the west-~ of the NW'~-
of the SWt1 of Section wl Township 35 South, Range 40 East, St. Lucie
County, Florida less the west 40 feet for road right of way. a
1980 JAN 15 Alw & 4 0
~ 4'72526 ST~Et CIEE~~~ hECORtkU }
t~OCER PQtTRAS
CLERK CIRCUIT CGii T
- RFCQRB VERIFIFt)_
Owned by..........Seminole...Spr.ings., .Inc... . _
I`fe further says that lienor furnished the first of said labor, services or materials on ..March._.15,.. 197 ~
..............._...._........._......_......w., 19........., and the Iasi of the same on .(~c.t.....18-, ...-19-.7..9....., 19 and (if the lien
March 22, 979 i
is clef by o~ not in privity with the owner) that the lienor served his notice to owner on _ _ .
19........., by...... _.C ertif ied._ mail _
(Method of Service)
Glen Blackburn Trucking, Inc.
'error
g 4.-ate?..
Age or Attorney !
Sworn to and wbsa~ibed before rtie this .............llth................'......day of January .19 80.
.
5
My comet//isslt~ ~X~ dept. 22, 19- 0
%i.~ /uum,niw /?n/?,,n;/ Beverly Busbin •..p
Rt. 4 , Box 157-A ; r i
~~``/nr~ ~tx~ Ft. Pierce, Fla. 33450 ~