HomeMy WebLinkAbout1506 ' ~ w.-
4'7 ~"~'15
tu? Hn MECw?M~cs• RAMCO FORM 120Ya !
uEM u?w. is tua
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Robert A. Case
Before me. the undersigned authority. personally appeared
who, being duly sworn, says that hs is the lienor herein or the agent of the lienor herein .
........L~ixislqu~.~t..~~u~b~~~..?~.. SuPP.1.Y.. Company.e...Inc . t
(lienor's Name)
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whose address is........~OQ~..-0>~ange-.•Avenue,.- Ft.---Pierce, Florida
• luenor's Address) -
and that in pursuance of a contract with.....F]C8t1k.• DeThom88 Construction Inc .
lienor furnished labor, services or materials consisting of: (OsscriM specially fabricated materials separats~y)
Labor and material far construction of residence
on the following described real property in.......St.....Lll.~~.C ......................................................County, Florida: ?
(Describe real property sufficiently for identification, including street and number, if known)
Lot 32, Block 32, Unit 4 i
324 Naran3a Drive, Port St. Lucie, Florida
owned by....~.R4'i.. P~,erce
of a total value of Ty~l@-nty-•-thr•e8--hundr.ed-.thirty..n~tLe--...dollars (s 2 r.3~9..-50 ~ ~
and SO/100
of which there remains unpaid S.-X1.9•. S-Q-•••-•-••-•-•---••••-•••••----•--•. for which amount he claims a lien on the above
described real property.
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He further says that lienor furnished the first of said labor, services or materials on
.-..D.ec.ember....5......... , X9.7-$...., and the last of the same on....FebruBTy-..S.-.--.--- , 79g~-..,and (if the lien F
s
I
'E is claimed by one not in privity with the owner) that the lienor served his notice to owner on
E
-Dt<.cember---11--------.... X9...7.8--• br--------.mail...........
~ ~ {Method of Service)
and, (ii the lien is claimed by one not in privity with the contractor) that the lienor served a copy of his notice to
~ owner on .....~r$,r1.IC...~.~~.~'lOp1~s...C.Ot18t~'LiC~~011---IRC------•--------•-•-•
Contractor)
December 11 .....~......~9....~g.by--....--.-~a~.1
on...-----•--• ,
(Method of Service)
and additionally, iif the lien is claimed by one not in privity with the subcontractor) that the lienor served a copy
of his notice to owner on
(Subcontractor) i
(5-?0 f EG 29 ; 3: } 2 (Method of Service)
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: _c~~-.:t:; •~,-~,ndquist.Plumbing,&--Supply--Co.-,.• I
SLIUCif : G~TY.F; r i
ROGER F'ul i R~ S Lienor
S CE£Id! CIF~If,T CO:;r t ft~~L`"-.
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Sworn to and subscribed before me this ..............~Q..--.-----.-.:_.. ay of _ ~ _ ~ ~ - " ~ ..-........-....19.. 8.0~..
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l'liix 1?rsirun~t•nI prt•/rnr~•rl hy: ~ ~ • State ~ ~ ~
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Iddr•~~r P~6E~ f~ Ewa ~ 24. 19E3 t
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