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FLA. tYA7 LAW 4`76919 ~ RAMCO FORM ltOtl f(
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Before nte, the undersigned authority, personally appeared.•-~-.•..~....Ksnneth._L...,Stone..... _
who. being duly sworn, says that he is the lienor herein or ~ the agent ~ of the lienor herein,
the attorney
.......................)Rr~.A~.ltlth..~....done..d~Ia..R4D...~.tone..dc...Son Pluab~ing.............................
(Lienor's Name)
whose address s...........~,X19...A~..~¢da..1~v..euAue,...1br~. Pierce.r...Fl.r........331!5.x i
(Lierar s Address) }
and that in pursttanos of a contras with ......Luis Cats.-.d,lb~~... Ci4~.. QQ.t~.i~:v~t~,om _ _
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liertor famished labor, services or materials consisting of: (Describe specially fabricated materials separately)
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Plutabitag piping. fittings, fancetx~ fixtures and labor to install same.
11ro thoueard---------------------------- ~COf3.t~0_..~
of a total value of _ _ _ ...ddlan (S . ;
of which there remains unpaid s .2000!00__- - For which amount he cFaims a lien on the Following
described real properly in _ 3t, .Lucie... County, Florida:
(Desaibe real property wfficiently for identification, including street and number if known)
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103 Losraa tbwct, River Park 1`; ~Q F~ ~ 22 P)+ 2~ r ~ 1
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ST.LttCl: C~'~?ii r.?ii1- ;
ROGER ppITRAS
CLERK CIkCU1T COU"' _ ~
fCCf!~9 ~'ra'zi^^
4'76919
Owned by- ........L~i.a...C~?taa~..d/bfe?...~ata . G~nst~ructiQn . _ . _
Ffs further says that lisnor Famished the First of said labor, services or materials on._- . - - - -
....................Qtztabt3r._1Q...,19?9..., and the last of the same on-...J~l................. 19~.., and (iF the lien
is claimed by one rat in privity with the owner) that the (ienor served his notice to owner on - -
t9........ , by _ .
(Me of Service) -
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Lienor
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By....... _
Agent or Attorney -
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~~,u.-~ ........day of --:.:;.19:oQ:.-..; ,
Sworn to and subsanbed before me this........-.. - .
Nofery Public, ~yh of Florida at Carpe _
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anmssan xpl
My c e res February ~ 1981 / J . - e~ ~
Bond.d with L,a - .
S"re~' Notary Public , ,
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I Iris /iulnnncirl Fr< furre•rl 1~~: - • ~ `
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BOOK cr.'~?U PAGE G~~