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ru- ,rccwwKS• RAMGO iORM 12614
uEr uw. sa Ursa + ,e, _
~~i11T~ ~1t~n -
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~ St. Lucfe -
Before me. tM undersigned authority. personally appeared
who. being duly sworn. says that l1e is tM iierwr herein a the went of tM lienor herein....
ALPHA MACHINE-& TOOL COMPANY
ILierrgr's Name)
whose address i:.....'.f'.~..TNITRPRISE ROADs..~!R~'..~
+~rrr.~i~.. ~1~4~DA..3'~..+.~`Q .
. ILienor's Address) .
and that in purswnce of a contract with.:..... Ste. PIPE PROnUCTSa••I2~.
P. 0. Box 365, BENLasTr RD. & STADIUM STd, AUBIIRNDALE, FIARIDA 333
lisnor famished labor, services or mstoriab consisting of: (Describe specially fabricated matsriahl ssparatelyl
452 3f4 hours of LABOR - .
RAM MATERIALS = - _
DIRECT MATERIALS -
OUTSIDE SERVICES (~A1' TREAT)
on the following des~oribed real property in ...............ST.-.LQCIE...:.................:::....._....................C.ounty. Florida:
(Describe real property sufficisnt111 for identfication, irrcluding street and number, if known)
One 3 "ANGLE COALING •
One 4 "ANGLE COUPLI2~ _
One 2 ".OFF SET TERMINAL ADAPTER (one cavity to -fit Slide Bass)
One SLIDE BASE RDOONDITIONID _ -
- owned by.....Sk~IlQQ..PI.PE..PROIIUCl'Si--~•
of a total value of ~~P~4~..'1.'~QUf~d.~h~B..~LiAS~'ed.~''.QTty. TvA
.----dolbrs IS$,~+2.SJQ
of which there remains unpaid:8x'..2 for which amount hs claims a lien orr the show
I _
Ij described real property. -
- Sept. 17, 1979
Hs further says that lienor famished the first of said labor, services or materials on
- ,19.........., and the last of the same on......~eC.~..3i1..................19...~._. and lif the lien -
is claimed by one not in privity with the owned that the liersor served his notice to owner on
(Method of Service) .
and, lif the lien is claimed by one not in privrty with tfee contractor} !fret tM lienor served a copy of his notice to
(Contractor} .
= - -
- ~ (Method of Service)
and additionally. (if the lien is chimed by one not in privity with tl~s subcontractor} that the lisnor served a copy
''fi't
of his notice to•ownw on ...........................•---....................................:...~t:~:i:,~-~}
!Subcontractor) - • • . ~ ~
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19F~0 JAt~ 2~ PM 25 - - -
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ST.LIiClEC4ilNfY.R1?. f3y•-.•• A
ROGER POITRAS g~ '
CIERK CgICUfT COLhIT _
Sworn to and subscifbliii~r}I`~~ s~ 3 day of . --------.............19~p
_ _ e,......... x~.r.....~.
_ N P~lic
This InstrumPnf pre~parpd by: - . - ~~I ' -
A~? tfN M `>M ~1'i~MROa ~?11
M AA 1 _ i 1~1~ ~1It !1v 11~d !0 MMi 9lflfl/ tlflloN