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RAMCO FORM ItOD
FLA. 1e67 LAWf
Fe 4'921
~l~tim ~t~~
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BeFore ms, the w>Idersigned authority, personally appeared..--.-.Kenneth..L..._ Stone--.-
who, berg duly sworn, says that he is the lienor herein or the agent of the lienor herein,
the attorney .
Kenneth L. atone d,~b/a Ken atone do Son Plumbing
(lienor : Name)
_ whose address is-..... Il1Q.. Ala~eda Avenue, Fort Pierce,. Fl.~........33~!:S~
(trenor s Address)
and that in pursuance of a contrail wdh ......-Luis CatB.-.•, d~b~a........ Cats Construction
and R.. Valerio dE __.-F.~ . Mirabel. contractor.... _ ,
lienor famished labor, services or materials consisting of: (Describe specially Fabricated materials separately)
Pluabing piping, fittings, faucets, fixtures end labor to install sage.
OF a total value of _:...1'~...thpt~s~Ad . sevetlty-~~.vQ---------- - •.:dollars (i ~?S• ~ _ _ )
of which there remains unpaid s 207.x.00 - for which amount he claims a lien on the folbwing
described real property in_. _.__.........St.....Lucie~...:.... _ _ County, Florida:
(Desaibs real property suFficiently for identification, including street and number if known)
2b49 3. L. Solana Lane
~ Lot ~ bl Tract v-~ ~ "0 FEc; 22 P~; 2~ 55
F1,E0 RnU cr GuK::c u
SLLUCiE CS,1;~tTY.FIA.
R06ER POITRAS
CLERK CIRCl;iT Cr,C.:i:tj~
- 4'6921
Luis Cata d/b~a ...Cats Construction. do R,_ Balerio_...._
owned by .
He further says that (ienor famished the first of said labor, services or materials oa__ - - - - - _ -
..........,Tu~~_~9.a 19~-••, and the last of the same on...~-~...20-a........-.............., 19 and (if the lien
is claimed by one riot in privity with the owner) that the lienor served his notice to owner on -
............,~~4~1.....4. 19..x, bY... _ wiled statement. _ . _ _ _
( shod of Service
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Lienor
gy.
Agent or Attorney -
-
Sworn to and subsal'bsd before ms this y
. "
. Notary ~I+blie, State of ibrida M G ~
My commluion expiry Febr 1.~'
. wry 4, 1981 rl : f.,
Bonded wish _ _ ..w - -
tswyera SurNp C - - _ - `
aP• Notary P`ubFeG-. - .
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