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FLA. te`7 LAW! - 11AMC0 rORM tlOt1
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Before me, the undersigned authority, personally- appeared...... .
the agent tt
who, belrg duly sworn, says tfiat he is the lienor herein or # the attorney f of the lienor herein,
. - (Uenor
s Name)
whose address is......2./.Q~..it1,f>~~cltab~e...Rcr,ud.....-.....~tr~r,~..9.'i.~~c,~,----~.~'at~ruait.-.-.33.4._~Q
(lienor's Address)
and that in plrsuanoe of a oonhad with,......--R.O~t...COQI.~...~.~t.Q~..~Q,C!~J.tubtnl~
senor furnisltsd tabor, services or materials consisting of: (Describe speaally fabricated materials separately)
SuPP.Li~d, and i.rt~~aLGed emrpe~. and vuu~,L ~Cooiri'1~ ~n- bowie o~ ow~e~% At
/ /44 Sabina Lune, 9~0~ St. Lucile, }.La. (Spec. flowse~
of a trial value ofOn~ .71.aouuurd..Seven ~/undn.~,d...~,c~t.~...~owrRl~~ld~Aars (i _ 1,74.1,3..... _
of which there remains unpaid s lr-7~~• l-j _ for which amount he daims a lien on the fdbwin9
described real property in ...............5..#,.....Leirr:i~....p
C -County, Fbrida:
(Describe real property suFfiaeMly for identification, including street and number if known)
- Sab.cncc Lune- 1990 FEB 29 ~2: 32 .
Lot 28 B.Loch 272• Secti.,oR 3
~ ~ FtLEL~,eA[• ~iC(r~ia 0
~ 9'o~ct St, Lucie, ~.Ca. 33452 sLLUCiECeuvTYf~a.
ROGER ~OITftAS
~ CLERK CIRCUIT CCUR7
RCCC 9 ti~rnrr rt~^~s.yyrr
- ~!`V~ _
Owned by-.....,('~t....,RfL~~/.t,--CiD.Lt~L-.. ~~.~~2lt~J..~Cu~/GQ.L .1QV[!ig/!. ~.~O.GTli.~11~OCt.LLttAR
Fie Further says that lienor Famished the First of said labor, services or materials on 2~15/.>'~((J......
.~~.~i......Lsr__...._..----.............., 19..x, and the last of the same on ..-.....~u~ 19_ and (iF the lien
is chimed by one rat in privity with the owner) that the lienor served his notice to owner on . 2~25~80. _
~ (Method of Service)
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Sworn to and subscribed before me this..........Z~~/.t
..............................day oF.... 3~~,n~ta~i~.~ - 8(1..
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cam. ~in.~~.
~ Notary Public
tiltte:y ~~~K, ~KtE-CF F?:. ~t 7! t+'~~Q
%ni /~a/niinr-ul ~tnwin~/ ~'iriilti. L ~onee. YY Cc '__is,a i.w es +a:: '«+0
E .1.1t1n:~~ 2/0/ 0/zeecJzo6ee Road .30~ P:i~e~e, ~.Ca. 33450