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ru? MccMwwicr RAMCO FORM 120+4
urN uw. rs i~~a
~I~tim ~f ~r~n
Before me. the undersigned authority, personally appeared ..........RQ~P..X:~..A.e...Case .
who, being duly sworn, says that he is the lienor herein or the agent of the lienor herein.
--.-Lindqu.ist_..Plumbin~.-?~_.Su~ply Company, Inc.
(Lisnor's Nams)
whose address is....2.Q0~...Qra~g@-- AVenu@-t..-Ft....Pierce,-.Florida .
IUenor'a Address)
and that in pursuance of a contract with......Fr811k.. D@ThOm88 Construction Inc . and/or
----Se~ooi~oi.~...SDri~n~.s...~~~..
lienor furnished labor, services or materials consisting of: (Describe specially fabricated materials separately)
Labor and material for construction of Seminole Springs
4-plexes
on the following described real property in.....St.•-.LuC.i~ ...................................:...................County, Florida:
(Describe real property sufficiently for identification, including street and number, if known)
The South 3/4 of the West ~ of the NW ; of the SW 4 of Section 21
Township 35 South, Range 4C East, St. Lucie County, Florida
2431 South 25 Street, Ft. Pierce, Florida
owned by- -.....tiS.eiO.~.C1~Qa.~...~pX'.~ngS...IX1R..
of a total value of .S.ixty....fQUr...hundrfKf~..ninl~.ty...nine............ dollars lS .~..-4.99.•QU
I', of which there remains unpaid S - .1. a 4 3•$-•-z~ • • - • • . • - - • • • - • • • - - • • - • • • - for which amount he claims a lien on the above
II described real properq?.
~ He further says that lienor furnished the first of said labor, services or materials on M~Ch...22...-.
, 19.?9--..and the last of the same on..~U[1e ..26.----...,....-...-- ,19.79..., and (ii the lien
is claimed by one not in privity with the owner) that the lienor served his notice to owner on
i t{ay...l.7
...........................,19...79., by----11811------•----•
(Method of Service)
and, (if the lien is claimed by one not in privity with the contractor) that the lienor served a copy of his notice to
owner on .......Frank-.DeThomas-.C onstruction.-Inc., .
(Contractor)
on.....~~~...~.~ 1979..... by.... A78~1--- ,
- (Method of Service)
and additionally, (if the lien is claimed by one not in privity. with the subcontractor) that the lienor served a copy
of his notice to owner on
ray y
4 ` ' 16 . = lSubcontractor)
# on 19........... b
y.................................. .
n C (Method of Service)
~ 1G;U f tt.~ Z~ Ci": ~ 2 u
...Li>nsiqui.$t ..~umb~~g..&.. SuPPly Co.•., i
i'iLEO t.,: Cv.'.tr Lienor InC .
) ROGER i 017R...
~ CIEfiK ClF.~U~T C(':.b i By / { ~
+
P`~,,~ .~j~ L V
• i~
Sworn to and subscribed before me this _.........ZQ
.............................day of ....:;.F;,~ .g,~:~+-<~.~, c•..............1~~_....
Q J, ,
i.
U . < C? ~ -
IYtis Irrsl~rrmrvil pr~~pnrrv[~ht-; .'i,`~.y'' cf ~
~ ldrlrr•tc IiR '~~~~t~i +`""Tc, ~ ~ 24. 1983
BUOK PACE NUJ ,r a c....r.