HomeMy WebLinkAbout0434 • u
4'T~019
f1A~ TORY r 1~ rV. w
~~l-t r a * awce ~r
• • 1980 FE6 25 1114 38
~i~m of ~~en f LEO ANC PECG FIA.
S
R~QER
POITRAS
CLERK CIRCUIT COUR~
~tAtt OI.....FI,ORIDA aECaao ~•~r~~~~
~,ountp oust.--Lucie 4'7'7019
ri ersonall a eared .GEQ~~E,_~. _.~,7.~~;..~~t •
BEFORE ME, tht undersigned autho ty, p y pp
AS_.PRESIDENT_t__ FIRE-OUT.. SYSTEMS _.INC who,
being duly sworn, says that he is (the lienor herein) (the [agent] [attorney] of the lienor heron)
whose address is ..412__Pedmont St.,,,__Or1~c~Q~._ Flo~d~__3~g06_____________________
and that in pursuance of a contract urith _D_!_DDriQXAN_!$._TIiI__IIOTJMTY._SALES
P.O._ BOX 181~_,__.F`t._.Piercet-_-Florida X3450_._______:.___-._
lienor furnished labor, services or materials consisting of .Manufacture 8s-_In~t~~l~~_.__.....
Ran~e_ Hood, Duct Installed Exhaust Fan & Fire Sy_stem._____Vented______________ ~
Pizza Oven. t
(Describe specially fabricated materials separately) ~
on the lollourinq described real property in _._.P4~C'fi__ S#_,...~±1tG7.sr_•..._____5~,.__~,]~leie
~ St. Lucie Gardens Subdivision, Section__1_,___Township__371____-
I C.'ountt•, Florida - - - - • -
t
I Range _40,B1k. _~.__That__part-__of__lot__1~__1-yr~g_w~~~._Q~_.S-R~_4..~U,.S...1_)___less
~ the North 376' _and _lees the__Road_ Right__of._Way_.__--II1~3414-~01_=~~1~_-3s02
(Descsibe property sufficiently for identification and give street address i
f available)
l
..._C.C.:...~.Rl`10I~~?-_~~`i~RP~t~SES_.INII.,~..P-II---Drawer._A-J_*._Pt..-__Sa1€~o,---Fl.
owned bl
33492
of a total value of ,~._X640_,_00_____________________, of which there rer?eains unpaid ,~$2Il.D0-._..--.-------..
and fur~zished the first of the same on_______._Janua.xy__.28 19$.0___ and the last of the
same on .___.__..J~?uary___~8____________________ 19_._80 and (if the lien is Claimed by one not in privity
with the oiuner) that the lienor served his notice to owner on.._ Febru~i'y___,S_____________ 19.$4._ by
(here describe method of service of notice)._.United__States_-Ma.il__Delve~y__q~_.~jg:~~.G.e
f
Af --~nt.ention.To---Claim-_A..La.en.------------ --------------W--~
- ---------~~----~'!°7---------------
- -
Lienor
-
Sworn to and subscribed before me this_..__.20.._._.._.day of___._...Feb~~~~y________~.....~ 1~9:~~...
~fy/ r
Nolary Pul~u. Slate of florids of larq~ --•-(11~Ot t1~C}Y~'_'
. r,
My Commissan ExFues Js1y-19: 1483 ~ Y'
My Commission exp:res_....to.o.0.a.I1n«...rf4,.a.~,;;~,•;~.y ~
tt~~ ~ 1'. :i~~'
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